Christopher W Wheldon1, Annette R Kaufman1, Karin A Kasza2, Richard P Moser1. 1. 1 Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute , Bethesda, Maryland. 2. 2 Department of Health Behavior, Roswell Park Cancer Institute , Buffalo, New York.
Abstract
PURPOSE: The aim of this study was to characterize lifetime tobacco use across two measures of sexual orientation and six types of tobacco products. METHODS: We conducted a cross-sectional analysis of the Population Assessment of Tobacco and Health (Wave 1, 2013-2014, USA) to estimate the prevalence of tobacco use (cigarettes, e-cigarettes, cigars, pipes, hookah, and smokeless) stratified by gender (men/women), age (< 25/≥ 25 years old), and sexual orientation. Sexual orientation was operationalized as sexual identity and sexual attraction. RESULTS: Younger lesbian/gay and bisexual women had higher relative odds of experimental use of all six tobacco products compared to heterosexual women, whereas lesbian/gay and bisexual women in both age groups had higher odds of regular use of cigarettes, e-cigarettes, cigars, and hookah than heterosexual women. Younger gay men (but not older gay men) had higher relative odds of experimental and regular use of cigarettes compared to heterosexual men. Older gay men had higher odds of experimental e-cigarette and hookah use, but lower odds of regular cigar and experimental/regular smokeless tobacco use. Measures of sexual orientation identity and sexual attraction resulted in similar estimates of tobacco use with noted differences in those who identified as "something else," as well as among those who indicated asexual attraction. CONCLUSION: Our findings reflect a complex relationship between sexual orientation and tobacco use. Gender-based and product-specific approaches to tobacco prevention and control efforts are needed to address the high use of tobacco among sexual minority women.
PURPOSE: The aim of this study was to characterize lifetime tobacco use across two measures of sexual orientation and six types of tobacco products. METHODS: We conducted a cross-sectional analysis of the Population Assessment of Tobacco and Health (Wave 1, 2013-2014, USA) to estimate the prevalence of tobacco use (cigarettes, e-cigarettes, cigars, pipes, hookah, and smokeless) stratified by gender (men/women), age (< 25/≥ 25 years old), and sexual orientation. Sexual orientation was operationalized as sexual identity and sexual attraction. RESULTS: Younger lesbian/gay and bisexual women had higher relative odds of experimental use of all six tobacco products compared to heterosexual women, whereas lesbian/gay and bisexual women in both age groups had higher odds of regular use of cigarettes, e-cigarettes, cigars, and hookah than heterosexual women. Younger gay men (but not older gay men) had higher relative odds of experimental and regular use of cigarettes compared to heterosexual men. Older gay men had higher odds of experimental e-cigarette and hookah use, but lower odds of regular cigar and experimental/regular smokeless tobacco use. Measures of sexual orientation identity and sexual attraction resulted in similar estimates of tobacco use with noted differences in those who identified as "something else," as well as among those who indicated asexual attraction. CONCLUSION: Our findings reflect a complex relationship between sexual orientation and tobacco use. Gender-based and product-specific approaches to tobacco prevention and control efforts are needed to address the high use of tobacco among sexual minority women.
Entities:
Keywords:
sexual attraction; sexual orientation identity; tobacco products; tobacco use
Authors: Margaret Rosario; Heather L Corliss; Bethany G Everett; Sari L Reisner; S Bryn Austin; Francisco O Buchting; Michelle Birkett Journal: Am J Public Health Date: 2013-12-12 Impact factor: 9.308
Authors: Ahmed Jamal; Brian A King; Linda J Neff; Jennifer Whitmill; Stephen D Babb; Corinne M Graffunder Journal: MMWR Morb Mortal Wkly Rep Date: 2016-11-11 Impact factor: 17.586
Authors: Karen I Fredriksen-Goldsen; Jane M Simoni; Hyun-Jun Kim; Keren Lehavot; Karina L Walters; Joyce Yang; Charles P Hoy-Ellis; Anna Muraco Journal: Am J Orthopsychiatry Date: 2014-11
Authors: Karin A Kasza; Kathryn C Edwards; Zhiqun Tang; Cassandra A Stanton; Eva Sharma; Michael J Halenar; Kristie A Taylor; Elisabeth Donaldson; Lynn C Hull; Hannah Day; Maansi Bansal-Travers; Jean Limpert; Izabella Zandberg; Lisa D Gardner; Hoda T Hammad; Nicolette Borek; Heather L Kimmel; Wilson M Compton; Andrew Hyland Journal: Tob Control Date: 2020-05 Impact factor: 7.552
Authors: Kathryn C Edwards; Karin A Kasza; Zhiqun Tang; Cassandra A Stanton; Eva Sharma; Michael J Halenar; Kristie A Taylor; Elisabeth A Donaldson; Lynn C Hull; Maansi Bansal-Travers; Jean Limpert; Izabella Zandberg; Lisa D Gardner; Nicolette Borek; Heather L Kimmel; Wilson M Compton; Andrew Hyland Journal: Tob Control Date: 2020-05 Impact factor: 7.552
Authors: Jaimee L Heffner; Kristin E Mull; Noreen L Watson; Jennifer B McClure; Jonathan B Bricker Journal: Nicotine Tob Res Date: 2020-08-24 Impact factor: 4.244
Authors: Kristi E Gamarel; Ryan J Watson; Raha Mouzoon; Christopher W Wheldon; Jessica N Fish; Nancy L Fleischer Journal: Int J Behav Med Date: 2020-04
Authors: Evan A Krueger; Jessica L Braymiller; Jessica L Barrington-Trimis; Junhan Cho; Rob S McConnell; Adam M Leventhal Journal: Drug Alcohol Depend Date: 2020-09-16 Impact factor: 4.492
Authors: Jessica N Fish; Ryan J Watson; Jacqueline Gahagan; Carolyn M Porta; Dominic Beaulieu-Prévost; Stephen T Russell Journal: Drug Alcohol Rev Date: 2018-11-26
Authors: Joseph G L Lee; Bonnie E Shook-Sa; Jeffrey Gilbert; Leah M Ranney; Adam O Goldstein; Marcella H Boynton Journal: Health Educ Behav Date: 2020-01-29