BACKGROUND: Sexual minority youth are more likely to smoke cigarettes than heterosexuals, but research into the determinants of these disparities is lacking. PURPOSE: This study aimed to examine whether exposure to structural stigma predicts cigarette smoking in sexual minority youth. METHODS: Prospective data from adolescents participating in the Growing Up Today Study (2000-2005) were utilized. RESULTS: Among sexual minority youth, living in low structural stigma states (e.g., states with non-discrimination policies inclusive of sexual orientation) was associated with a lower risk of cigarette smoking after adjustment for individual-level risk factors (relative risk [RR] = 0.97; 95 % confidence interval [CI], 0.96, 0.99; p = 0.02). This association was marginally significant after additional controls for potential state-level confounders (RR = 0.97; 95 % CI, 0.93, 1.00; p = 0.06). In contrast, among heterosexual youth, structural stigma was not associated with past-year smoking rates, documenting specificity of these effects to sexual minority youth. CONCLUSIONS: Structural stigma represents a potential risk factor for cigarette smoking among sexual minority adolescents.
BACKGROUND: Sexual minority youth are more likely to smoke cigarettes than heterosexuals, but research into the determinants of these disparities is lacking. PURPOSE: This study aimed to examine whether exposure to structural stigma predicts cigarette smoking in sexual minority youth. METHODS: Prospective data from adolescents participating in the Growing Up Today Study (2000-2005) were utilized. RESULTS: Among sexual minority youth, living in low structural stigma states (e.g., states with non-discrimination policies inclusive of sexual orientation) was associated with a lower risk of cigarette smoking after adjustment for individual-level risk factors (relative risk [RR] = 0.97; 95 % confidence interval [CI], 0.96, 0.99; p = 0.02). This association was marginally significant after additional controls for potential state-level confounders (RR = 0.97; 95 % CI, 0.93, 1.00; p = 0.06). In contrast, among heterosexual youth, structural stigma was not associated with past-year smoking rates, documenting specificity of these effects to sexual minority youth. CONCLUSIONS:Structural stigma represents a potential risk factor for cigarette smoking among sexual minority adolescents.
Authors: Patrick W Corrigan; Amy C Watson; Mark L Heyrman; Amy Warpinski; Gabriela Gracia; Natalie Slopen; Laura L Hall Journal: Psychiatr Serv Date: 2005-05 Impact factor: 3.084
Authors: Mark L Hatzenbuehler; Katie A McLaughlin; Katherine M Keyes; Deborah S Hasin Journal: Am J Public Health Date: 2010-01-14 Impact factor: 9.308
Authors: S Bryn Austin; Najat Ziyadeh; Laurie B Fisher; Jessica A Kahn; Graham A Colditz; A Lindsay Frazier Journal: Arch Pediatr Adolesc Med Date: 2004-04
Authors: Brittany M Charlton; Mark L Hatzenbuehler; Hee-Jin Jun; Vishnudas Sarda; Allegra R Gordon; Julia R G Raifman; S Bryn Austin Journal: J Adolesc Date: 2019-06-22
Authors: Ryan J Watson; Minjeong Park; Ashley B Taylor; Jessica N Fish; Heather L Corliss; Marla E Eisenberg; Elizabeth M Saewyc Journal: LGBT Health Date: 2020-01-27 Impact factor: 4.151
Authors: Robert W S Coulter; James E Egan; Suzanne Kinsky; M Reuel Friedman; Kristen L Eckstrand; Jessica Frankeberger; Barbara L Folb; Christina Mair; Nina Markovic; Anthony Silvestre; Ron Stall; Elizabeth Miller Journal: Pediatrics Date: 2019-08-19 Impact factor: 7.124
Authors: Marla E Eisenberg; Darin J Erickson; Amy L Gower; Len Kne; Ryan J Watson; Heather L Corliss; Elizabeth M Saewyc Journal: J Youth Adolesc Date: 2019-08-24
Authors: Claudia Trudel-Fitzgerald; Ying Chen; Ankura Singh; Olivia I Okereke; Laura D Kubzansky Journal: Am J Public Health Date: 2016-07-26 Impact factor: 9.308
Authors: Kristi E Gamarel; Christopher W Kahler; Ji Hyun Lee; Sari L Reisner; Ethan H Mereish; Alicia K Matthews; Don Operario Journal: Prev Med Date: 2015-10-24 Impact factor: 4.018