Ollie Ganz1, Amanda L Johnson2, Amy M Cohn3, Jessica Rath4, Kimberly Horn5, Donna Vallone6, Andrea C Villanti7. 1. Schroeder Institute at Truth Initiative, Washington, DC, United States; Department of Prevention and Community Health, George Washington University Milken Institute School of Public Health, Washington, DC, United States. Electronic address: ganzo@gwmail.gwu.edu. 2. Schroeder Institute at Truth Initiative, Washington, DC, United States. 3. Schroeder Institute at Truth Initiative, Washington, DC, United States; Department of Oncology, Georgetown Medical Center, Cancer Prevention and Control Program, Washington, DC, United States. 4. Schroeder Institute at Truth Initiative, Washington, DC, United States; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States. 5. Department of Prevention and Community Health, George Washington University Milken Institute School of Public Health, Washington, DC, United States. 6. Schroeder Institute at Truth Initiative, Washington, DC, United States; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States; College of Global Public Health, New York University, New York, NY, United States. 7. Schroeder Institute at Truth Initiative, Washington, DC, United States; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States; Vermont Center on Behavior and Health, Department of Psychiatry, University of Vermont, Burlington, VT, United States.
Abstract
INTRODUCTION: In the United States, the prevalence of tobacco use among sexual and gender minorities (SGM) is higher compared to their non-SGM counterparts. Tobacco harm perceptions have gone largely unexamined as a potential mechanism supporting disproportionate tobacco use among this population. The purpose of this study was to examine differences between SGM and non-SGM young adults in harm perceptions of various tobacco products and tobacco use behavior and whether low tobacco-related harm perceptions moderate the relationship between identifying as a SGM and tobacco use behavior. METHODS: This study used data from Wave 10 of the Truth Initiative Young Adult Cohort Study, a sample of U.S. young adults (ages 18-34). Data were collected from September to October 2016 and the study sample included 3089 individuals. Demographics, past 30-day use of cigarettes, little cigars/cigarillos/bidis and electronic cigarettes were assessed. Absolute and relative harm perceptions of these products were also examined. RESULTS: Identifying as a SGM and low tobacco harm perceptions were found to be positively associated with past 30-day tobacco use. There was no interaction between SGM status and harm perceptions on past 30-day tobacco use CONCLUSIONS: Findings confirm that SGM young adults continue to disproportionately use tobacco products, compared to non-SGM young adults. More research is needed to understand moderators of the relationship between SGM status and tobacco use in young adults.
INTRODUCTION: In the United States, the prevalence of tobacco use among sexual and gender minorities (SGM) is higher compared to their non-SGM counterparts. Tobacco harm perceptions have gone largely unexamined as a potential mechanism supporting disproportionate tobacco use among this population. The purpose of this study was to examine differences between SGM and non-SGM young adults in harm perceptions of various tobacco products and tobacco use behavior and whether low tobacco-related harm perceptions moderate the relationship between identifying as a SGM and tobacco use behavior. METHODS: This study used data from Wave 10 of the Truth Initiative Young Adult Cohort Study, a sample of U.S. young adults (ages 18-34). Data were collected from September to October 2016 and the study sample included 3089 individuals. Demographics, past 30-day use of cigarettes, little cigars/cigarillos/bidis and electronic cigarettes were assessed. Absolute and relative harm perceptions of these products were also examined. RESULTS: Identifying as a SGM and low tobacco harm perceptions were found to be positively associated with past 30-day tobacco use. There was no interaction between SGM status and harm perceptions on past 30-day tobacco use CONCLUSIONS: Findings confirm that SGM young adults continue to disproportionately use tobacco products, compared to non-SGM young adults. More research is needed to understand moderators of the relationship between SGM status and tobacco use in young adults.
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