Sexual orientation disparities in adolescent cigarette smoking: intersections with race/ethnicity, gender, and age.

Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE

Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.]

Health Status Disparities*; Ethnicity/*statistics & numerical data ; Racial Groups/*statistics & numerical data ; Sexual Behavior/*statistics & numerical data ; Smoking/*epidemiology; Adolescent ; Age Factors ; Bisexuality/psychology ; Bisexuality/statistics & numerical data ; Female ; Homosexuality, Female/psychology ; Homosexuality, Female/statistics & numerical data ; Homosexuality, Male/psychology ; Homosexuality, Male/statistics & numerical data ; Humans ; Male ; Sex Factors ; Sexual Behavior/psychology ; United States/epidemiology

Objectives: We examined sexual orientation differences in adolescent smoking and intersections with race/ethnicity, gender, and age.
Methods: We pooled Youth Risk Behavior Survey data collected in 2005 and 2007 from 14 jurisdictions; the analytic sample comprised observations from 13 of those jurisdictions (n = 64,397). We compared smoking behaviors of sexual minorities and heterosexuals on 2 dimensions of sexual orientation: identity (heterosexual, gay-lesbian, bisexual, unsure) and gender of lifetime sexual partners (only opposite sex, only same sex, or both sexes). Multivariable regressions examined whether race/ethnicity, gender, and age modified sexual orientation differences in smoking.
Results: Sexual minorities smoked more than heterosexuals. Disparities varied by sexual orientation dimension: they were larger when we compared adolescents by identity rather than gender of sexual partners. In some instances race/ethnicity, gender, and age modified smoking disparities: Black lesbians-gays, Asian American and Pacific Islander lesbians-gays and bisexuals, younger bisexuals, and bisexual girls had greater risk.
Conclusions: Sexual orientation, race/ethnicity, gender, and age should be considered in research and practice to better understand and reduce disparities in adolescent smoking.

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K01 DA023610 United States DA NIDA NIH HHS; R21 HD051178 United States HD NICHD NIH HHS; R21HD051178 United States HD NICHD NIH HHS

Date Created: 20140515 Date Completed: 20140725 Latest Revision: 20211203

20221213

PMC4062037

10.2105/AJPH.2013.301819

24825218