Kristi E Gamarel1, Ryan J Watson2, Raha Mouzoon3, Christopher W Wheldon4, Jessica N Fish5, Nancy L Fleischer3. 1. Department of Health Behavior & Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, USA. kgamarel@umich.edu. 2. Department of Human Development and Family Studies, University of Connecticut, Storrs, CT, USA. 3. Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA. 4. Department of Social and Behavioral Sciences, Temple University College of Public Health, Philadelphia, PA, USA. 5. Department of Family Science, University of Maryland School of Public Health, College Park, MD, USA.
Abstract
BACKGROUND: Sexual and gender minority (SGM) adolescents are more likely than their heterosexual and cisgender peers to smoke cigarettes. Family rejection has been associated with adverse health outcomes; however, few studies have examined whether SGM-specific family rejection is associated with cigarette smoking among SGM adolescents. METHOD: A non-probability sample of 11,005 SGM adolescents (M = 15.58, SD = 1.27) completed an online cross-sectional survey. Bivariate and multivariable analyses were conducted to examine associations between SGM-specific family rejection, sociodemographic variables, and smoking. RESULTS: Approximately 7% of the sample currently smoked cigarettes. Pansexual, asexual, trans boys, and non-binary assigned female at birth adolescents had the highest SGM family rejection scores. In multivariable regression analyses, SGM-specific family rejection was independently associated with smoking after adjusting for covariates (AOR = 1.15, 95% CI 1.04, 1.28). Family support (AOR = 0.80, 95% CI 0.73, 0.88) and experiencing violence (AOR = 1.64, 95% CI 1.49, 1.82) were also associated with smoking in multivariable models. Adolescents who identified as bisexual versus gay/lesbian (AOR = 1.50, 95% CI 1.21, 1.85) and trans boys versus cisgender girls (AOR = 2.05, 95% CI 1.13, 3.71) had an increased odds of smoking. Those who disclosed their sexual orientation identity to most (AOR = 1.95, 95% CI 1.45, 2.63) and all (AOR = 1.60, 95% CI 1.21, 2.11) of their family/parents had increased odds of smoking. CONCLUSION: Our findings underscore the importance of attending to the role of SGM-specific family rejection and distinctions with SGM adolescents in tobacco prevention and smoking cessation efforts.
BACKGROUND: Sexual and gender minority (SGM) adolescents are more likely than their heterosexual and cisgender peers to smoke cigarettes. Family rejection has been associated with adverse health outcomes; however, few studies have examined whether SGM-specific family rejection is associated with cigarette smoking among SGM adolescents. METHOD: A non-probability sample of 11,005 SGM adolescents (M = 15.58, SD = 1.27) completed an online cross-sectional survey. Bivariate and multivariable analyses were conducted to examine associations between SGM-specific family rejection, sociodemographic variables, and smoking. RESULTS: Approximately 7% of the sample currently smoked cigarettes. Pansexual, asexual, trans boys, and non-binary assigned female at birth adolescents had the highest SGM family rejection scores. In multivariable regression analyses, SGM-specific family rejection was independently associated with smoking after adjusting for covariates (AOR = 1.15, 95% CI 1.04, 1.28). Family support (AOR = 0.80, 95% CI 0.73, 0.88) and experiencing violence (AOR = 1.64, 95% CI 1.49, 1.82) were also associated with smoking in multivariable models. Adolescents who identified as bisexual versus gay/lesbian (AOR = 1.50, 95% CI 1.21, 1.85) and trans boys versus cisgender girls (AOR = 2.05, 95% CI 1.13, 3.71) had an increased odds of smoking. Those who disclosed their sexual orientation identity to most (AOR = 1.95, 95% CI 1.45, 2.63) and all (AOR = 1.60, 95% CI 1.21, 2.11) of their family/parents had increased odds of smoking. CONCLUSION: Our findings underscore the importance of attending to the role of SGM-specific family rejection and distinctions with SGM adolescents in tobacco prevention and smoking cessation efforts.
Entities:
Keywords:
Adolescents; Family rejection; Sexual and gender minorities; Smoking
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: Mark S Friedman; Michael P Marshal; Thomas E Guadamuz; Chongyi Wei; Carolyn F Wong; Elizabeth Saewyc; Ron Stall Journal: Am J Public Health Date: 2011-06-16 Impact factor: 9.308
Authors: Erin A Vogel; Johannes Thrul; Gary L Humfleet; Kevin L Delucchi; Danielle E Ramo Journal: Health Psychol Date: 2018-11-29 Impact factor: 4.267
Authors: Heather L Corliss; Margaret Rosario; David Wypij; Sarah A Wylie; A Lindsay Frazier; S Bryn Austin Journal: Addict Behav Date: 2010-01-04 Impact factor: 3.913
Authors: Sarah E Johnson; Enver Holder-Hayes; Greta K Tessman; Brian A King; Tesfa Alexander; Xiaoquan Zhao Journal: Am J Prev Med Date: 2015-10-31 Impact factor: 5.043
Authors: Francisco Cartujano-Barrera; Lisa Sanderson Cox; Delwyn Catley; Zainab Shah; Ash B Alpert; Ana Paula Cupertino Journal: Explore (NY) Date: 2021-11-17 Impact factor: 2.358
Authors: Allegra R Gordon; Jessica N Fish; Wouter J Kiekens; Marguerita Lightfoot; David M Frost; Stephen T Russell Journal: Ann Behav Med Date: 2021-06-02