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Associations of discrimination and violence with smoking among emerging adults: differences by gender and sexual orientation.
Nicotine Tob Res. 2011 Dec; 13(12):1284-95.NT

Abstract

INTRODUCTION

Lesbian, gay, and bisexual (i.e., sexual minority) populations have higher smoking prevalence than their heterosexual peers, but there is a lack of empirical study into why such disparities exist. This secondary analysis of data sought to examine associations of discrimination and violence victimization with cigarette smoking within sexual orientation groups.

METHODS

Data from the Fall 2008 and Spring 2009 National College Health Assessments were truncated to respondents of 18-24 years of age (n = 92,470). Since heterosexuals comprised over 90% of respondents, a random 5% subsample of heterosexuals was drawn, creating a total analytic sample of 11,046. Smoking status (i.e., never-, ever-, and current smoker) was regressed on general (e.g., not sexual orientation-specific) measures of past-year victimization and discrimination. To examine within-group differences, two sets of multivariate ordered logistic regression analyses were conducted: one set of models stratified by sexual orientation and another set stratified by gender-by-sexual-orientation groups.

RESULTS

Sexual minorities indicated more experiences of violence victimization and discrimination when compared with their heterosexual counterparts and had nearly twice the current smoking prevalence of heterosexuals. After adjusting for age and race, lesbians/gays who were in physical fights or were physically assaulted had higher proportional odds of being current smokers when compared with their lesbian/gay counterparts who did not experience those stressors.

CONCLUSIONS

When possible, lesbian/gay and bisexual groups should be analyzed separately, as analyses revealed that bisexuals had a higher risk profile than lesbians/gays. Further research is needed with more nuanced measures of smoking (e.g., intensity), as well as examining if victimization may interact with smoking cessation.

Authors+Show Affiliations

Translational Tobacco Reduction Research Program, Mary Babb Randolph Cancer Center and Prevention Research Center, Department of Community Medicine, West Virginia University, PO Box 9190, Morgantown, WV 26506, USA. jblosnich@hsc.wvu.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21994344

Citation

Blosnich, John R., and Kimberly Horn. "Associations of Discrimination and Violence With Smoking Among Emerging Adults: Differences By Gender and Sexual Orientation." Nicotine & Tobacco Research : Official Journal of the Society for Research On Nicotine and Tobacco, vol. 13, no. 12, 2011, pp. 1284-95.
Blosnich JR, Horn K. Associations of discrimination and violence with smoking among emerging adults: differences by gender and sexual orientation. Nicotine Tob Res. 2011;13(12):1284-95.
Blosnich, J. R., & Horn, K. (2011). Associations of discrimination and violence with smoking among emerging adults: differences by gender and sexual orientation. Nicotine & Tobacco Research : Official Journal of the Society for Research On Nicotine and Tobacco, 13(12), 1284-95. https://doi.org/10.1093/ntr/ntr183
Blosnich JR, Horn K. Associations of Discrimination and Violence With Smoking Among Emerging Adults: Differences By Gender and Sexual Orientation. Nicotine Tob Res. 2011;13(12):1284-95. PubMed PMID: 21994344.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associations of discrimination and violence with smoking among emerging adults: differences by gender and sexual orientation. AU - Blosnich,John R, AU - Horn,Kimberly, Y1 - 2011/10/12/ PY - 2011/10/14/entrez PY - 2011/10/14/pubmed PY - 2014/5/16/medline SP - 1284 EP - 95 JF - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco JO - Nicotine Tob Res VL - 13 IS - 12 N2 - INTRODUCTION: Lesbian, gay, and bisexual (i.e., sexual minority) populations have higher smoking prevalence than their heterosexual peers, but there is a lack of empirical study into why such disparities exist. This secondary analysis of data sought to examine associations of discrimination and violence victimization with cigarette smoking within sexual orientation groups. METHODS: Data from the Fall 2008 and Spring 2009 National College Health Assessments were truncated to respondents of 18-24 years of age (n = 92,470). Since heterosexuals comprised over 90% of respondents, a random 5% subsample of heterosexuals was drawn, creating a total analytic sample of 11,046. Smoking status (i.e., never-, ever-, and current smoker) was regressed on general (e.g., not sexual orientation-specific) measures of past-year victimization and discrimination. To examine within-group differences, two sets of multivariate ordered logistic regression analyses were conducted: one set of models stratified by sexual orientation and another set stratified by gender-by-sexual-orientation groups. RESULTS: Sexual minorities indicated more experiences of violence victimization and discrimination when compared with their heterosexual counterparts and had nearly twice the current smoking prevalence of heterosexuals. After adjusting for age and race, lesbians/gays who were in physical fights or were physically assaulted had higher proportional odds of being current smokers when compared with their lesbian/gay counterparts who did not experience those stressors. CONCLUSIONS: When possible, lesbian/gay and bisexual groups should be analyzed separately, as analyses revealed that bisexuals had a higher risk profile than lesbians/gays. Further research is needed with more nuanced measures of smoking (e.g., intensity), as well as examining if victimization may interact with smoking cessation. SN - 1469-994X UR - https://www.unboundmedicine.com/medline/citation/21994344/Associations_of_discrimination_and_violence_with_smoking_among_emerging_adults:_differences_by_gender_and_sexual_orientation_ L2 - https://academic.oup.com/ntr/article-lookup/doi/10.1093/ntr/ntr183 DB - PRIME DP - Unbound Medicine ER -