Tobacco Use at the Intersection of Sex and Sexual Identity in the U.S., 2007–2020: A Meta-Analysis

Li, Jingjing; Berg, Carla J.; Weber, Amber; Vu, Milkie; Nguyen, Justin H.; Haardörfer, Regine; Windle, Michael; Goodman, Michael; Escoffery, Cam

doi:10.1016/j.amepre.2020.09.006

Cited by 53 publications

(51 citation statements)

References 55 publications

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“…However, heterogeneity can also be overestimated with large, precise studies that do not have overlapping CIs, which has been identified as a problem in other metaanalyses. 94 Heterogeneity in the current study is likely the result of both factors. Our attempt to control heterogeneity by limiting our review to OECD countries excluded emerging evidence from low-income countries.…”

Section: Reviewmentioning

confidence: 89%

Associations of tobacco retailer density and proximity with adult tobacco use behaviours and health outcomes: a meta-analysis

et al. 2021

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ObjectiveWe sought to conduct a systematic review and meta-analysis of evidence to inform policies that reduce density and proximity of tobacco retailers.Data sourcesTen databases were searched on 16 October 2020: MEDLINE via PubMed, PsycINFO, Global Health, LILACS, Embase, ABI/Inform, CINAHL, Business Source Complete, Web of Science and Scopus, plus grey literature searches using Google and the RAND Publication Database.Study selectionIncluded studies used inferential statistics about adult participants to examine associations between tobacco retailer density/proximity and tobacco use behaviours and health outcomes. Of 7373 studies reviewed by independent coders, 37 (0.5%) met inclusion criteria.Data extractionEffect sizes were converted to a relative risk reduction (RRR) metric, indicating the presumed reduction in tobacco use outcomes based on reducing tobacco retailer density and decreasing proximity.Data synthesisWe conducted a random effects meta-analysis and examined heterogeneity across 27 studies through subgroup analyses and meta-regression. Tobacco retailer density (RRR=2.55, 95% CI 1.91 to 3.19, k=155) and proximity (RRR=2.38, 95% CI 1.39 to 3.37, k=100) were associated with tobacco use behaviours. Pooled results including both density and proximity found an estimated 2.48% reduction in risk of tobacco use from reductions in tobacco retailer density and proximity (RRR=2.48, 95% CI 1.95 to 3.02, k=255). Results for health outcomes came from just two studies and were not significant. Considerable heterogeneity existed.ConclusionsAcross studies, lower levels of tobacco retailer density and decreased proximity are associated with lower tobacco use. Reducing tobacco supply by limiting retailer density and proximity may lead to reductions in tobacco use. Policy evaluations are needed.

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Section: Reviewmentioning

confidence: 89%

Associations of tobacco retailer density and proximity with adult tobacco use behaviours and health outcomes: a meta-analysis

et al. 2021

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“…Previous studies found that recall of The Real Cost campaign ads significantly varied by tobacco product use (higher among youth who use tobacco products ( Mantey et al, 2021 ), lower among youth who use tobacco products ( Stevens et al, 2021 ), the presence of a tobacco product user in the home (higher) ( Duke et al, 2019 ), and attraction to people of the same sex (higher) ( Weiger et al, 2020 ). Notably, these are populations with disproportionately higher use of tobacco products ( Li et al, 2021 ). While it is possible that recall was higher among subgroups in these studies because they were more likely to notice or remember the tobacco ads, being that they were more relevant to them, we did not see the same trend in our study.…”

Section: Discussionmentioning

confidence: 99%

Aided recall of The Real Cost e-cigarette prevention advertisements among a nationally representative sample of adolescents

Krajewski¹,

Wu²,

Zhang³

et al. 2022

Preventive Medicine Reports

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“…Bisexual women experience the highest prevalence of tobacco use among women ( Li et al, 2021 ). Our adjusted results generally align with prior research ( McCabe et al, 2018 ) that has reported little difference in the prevalence of tobacco use across race/ethnic groups within this population.…”

Section: Discussionmentioning

confidence: 99%

“…Lesbian and bisexual women (LBW) have a higher prevalence of tobacco use than heterosexual women ( Li et al, 2021 , Wheldon et al, 2018 , Ridner et al, 2019 ) (e.g., 37.7% for bisexual, 31.7% for lesbian, and 16.6% for heterosexual women ( Li et al, 2021 )). One reason for tobacco use inequities is targeted marketing of tobacco products to the lesbian, gay, bisexual, and transgender (LGBT) community ( Emory et al, 2019 , Tan et al, 2021 , Dilley et al, 2008 ).…”

Section: Introductionmentioning

confidence: 99%

“…LBW are not a monolith, and disparities in tobacco use and advertisement exposures exist within this group. Bisexual women, in particular, have the highest prevalence of tobacco use among all women ( Li et al, 2021 , Ridner et al, 2019 , Johnson et al, 2016 , McCabe et al, 2018 , Emory et al, 2016 ), and they report greater exposure to tobacco advertisements than lesbian (and heterosexual) women ( Tan et al, 2021 ). Additionally, the distribution of tobacco use according to race and ethnicity differs for LBW vs. heterosexual women.…”

Section: Introductionmentioning

confidence: 99%

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Associations of race and ethnicity with tobacco messaging exposures and tobacco use among bisexual and pansexual women

Keller‐Hamilton

Stevens

Wedel

et al. 2022

Preventive Medicine Reports

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Within the lesbian and bisexual community, bisexual women have the highest prevalence of tobacco use, and Black and Latina women are much more likely to use tobacco than their heterosexual peers. Research on tobacco use among bisexual women is limited to descriptions of prevalence in this population. We evaluated associations between race/ethnicity, exposure to pro- and anti-tobacco messages, and tobacco use outcomes among bisexual and pansexual women. We recruited a sample of N = 382 bisexual and pansexual women in the United States using the online survey platform, Prolific. Participants reported sociodemographics, exposure to pro- and anti-tobacco messaging, receipt of coupons, and ever and current use of cigarettes, e-cigarettes, and other tobacco products. We modeled associations between race/ethnicity, pro- and anti-tobacco messaging exposures, and tobacco use outcomes. Unadjusted results indicated differences in prevalence of tobacco use by race/ethnicity, with White women having the highest prevalence of ever using each product, but Black women having the highest prevalence of current cigar smoking and any tobacco use. Associations between race and tobacco use were attenuated in adjusted analyses. Receiving coupons was strongly associated with current use of cigarettes (aOR = 8.02; 95% CI [3.55, 18.1]), e-cigarettes (aOR = 7.26; 95% CI [3.55, 14.9]), and any tobacco (aOR = 5.04; 95% CI [2.44, 10.4]). In conclusion, unadjusted differences in prevalence of tobacco use across race/ethnic groups were attenuated after controlling for pro- and anti-tobacco messaging exposures. Receiving tobacco coupons was consistently associated with current tobacco use among bisexual and pansexual women. Restrictions on coupons could promote health equity.

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Tobacco Use at the Intersection of Sex and Sexual Identity in the U.S., 2007–2020: A Meta-Analysis

Cited by 53 publications

References 55 publications

Associations of tobacco retailer density and proximity with adult tobacco use behaviours and health outcomes: a meta-analysis

Associations of tobacco retailer density and proximity with adult tobacco use behaviours and health outcomes: a meta-analysis

Aided recall of The Real Cost e-cigarette prevention advertisements among a nationally representative sample of adolescents

Associations of race and ethnicity with tobacco messaging exposures and tobacco use among bisexual and pansexual women

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