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Prevalence of use and perceptions of risk of novel and other alternative tobacco products among sexual minority adults: Results from an online national survey, 2014-2015.
Prev Med. 2017 Nov; 104:71-78.PM

Abstract

Sexual minority (lesbian, gay, and bisexual [LGB]) populations experience disparities in cigarette use, but sparse evidence exists about novel and other alternative tobacco product use. In this study, we compared rates of novel and other alternative tobacco product use, risk perceptions, and worldview between LGB and heterosexual (HET) adults. An online survey administered in 2014-2015, using a weighted probability sample of 11,525 U.S. adults, assessed awareness of tobacco products; ever and current use of e-cigarettes, cigars, little cigars and cigarillos, and hookahs; perceptions of e-cigarettes; and worldview (individualism vs. communitarianism). Bivariate and adjusted multivariable analyses were performed to determine differences between LGB and HET groups. In the adjusted analyses, LGB adults were 1.5 times more likely to have ever used e-cigarettes (95% CI 1.2-1.9) and 1.9 times more likely to have ever used hookahs (95% CI 1.5-2.4) as compared to HET adults. A lower percentage of LGB adults, as compared to HET adults (16.7% vs. 19.2%), believed that exposure to vapors from e-cigarettes was "harmful" and reported that they "did not know" of any harm (35.1% vs. 39.8%). LGB were 20% less likely than were HET adults to endorse an individualistic worldview. These results suggest that a disparity exists, whereby LGB adults are more likely to have used e-cigarettes and hookahs. In addition, although vapor from e-cigarettes contains nicotine and other chemicals, LGB adults are less likely to perceive exposure to secondhand vapor as harmful. Tailored awareness campaigns and interventions are needed to convey the risks and curb use of these products.

Authors+Show Affiliations

Georgia State University's Tobacco Center of Regulatory Science, Atlanta, GA 30308, USA. Electronic address: pnayak@gsu.edu.Georgia State University's Tobacco Center of Regulatory Science, Atlanta, GA 30308, USA; Georgia State University, School of Public Health, Department of Health Promotion and Behavior, USA. Electronic address: Lsalazar1@gsu.edu.Georgia State University's Tobacco Center of Regulatory Science, Atlanta, GA 30308, USA; Georgia State University, School of Public Health, Department of Health Promotion and Behavior, USA. Electronic address: Kkota1@gsu.edu.Georgia State University's Tobacco Center of Regulatory Science, Atlanta, GA 30308, USA; Division of Health Management & Policy, Georgia State University, Atlanta, GA 30303, USA. Electronic address: tpechacek@gsu.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28579496

Citation

Nayak, Pratibha, et al. "Prevalence of Use and Perceptions of Risk of Novel and Other Alternative Tobacco Products Among Sexual Minority Adults: Results From an Online National Survey, 2014-2015." Preventive Medicine, vol. 104, 2017, pp. 71-78.
Nayak P, Salazar LF, Kota KK, et al. Prevalence of use and perceptions of risk of novel and other alternative tobacco products among sexual minority adults: Results from an online national survey, 2014-2015. Prev Med. 2017;104:71-78.
Nayak, P., Salazar, L. F., Kota, K. K., & Pechacek, T. F. (2017). Prevalence of use and perceptions of risk of novel and other alternative tobacco products among sexual minority adults: Results from an online national survey, 2014-2015. Preventive Medicine, 104, 71-78. https://doi.org/10.1016/j.ypmed.2017.05.024
Nayak P, et al. Prevalence of Use and Perceptions of Risk of Novel and Other Alternative Tobacco Products Among Sexual Minority Adults: Results From an Online National Survey, 2014-2015. Prev Med. 2017;104:71-78. PubMed PMID: 28579496.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of use and perceptions of risk of novel and other alternative tobacco products among sexual minority adults: Results from an online national survey, 2014-2015. AU - Nayak,Pratibha, AU - Salazar,Laura F, AU - Kota,Krishna K, AU - Pechacek,Terry F, Y1 - 2017/06/01/ PY - 2017/01/05/received PY - 2017/05/23/revised PY - 2017/05/27/accepted PY - 2017/6/6/pubmed PY - 2018/7/31/medline PY - 2017/6/6/entrez KW - Cigar KW - Dual use KW - E-cigarette KW - Hookah KW - Intentions KW - Lesbian, gay and bisexual KW - Pipe KW - Risk perception KW - Tobacco use SP - 71 EP - 78 JF - Preventive medicine JO - Prev Med VL - 104 N2 - Sexual minority (lesbian, gay, and bisexual [LGB]) populations experience disparities in cigarette use, but sparse evidence exists about novel and other alternative tobacco product use. In this study, we compared rates of novel and other alternative tobacco product use, risk perceptions, and worldview between LGB and heterosexual (HET) adults. An online survey administered in 2014-2015, using a weighted probability sample of 11,525 U.S. adults, assessed awareness of tobacco products; ever and current use of e-cigarettes, cigars, little cigars and cigarillos, and hookahs; perceptions of e-cigarettes; and worldview (individualism vs. communitarianism). Bivariate and adjusted multivariable analyses were performed to determine differences between LGB and HET groups. In the adjusted analyses, LGB adults were 1.5 times more likely to have ever used e-cigarettes (95% CI 1.2-1.9) and 1.9 times more likely to have ever used hookahs (95% CI 1.5-2.4) as compared to HET adults. A lower percentage of LGB adults, as compared to HET adults (16.7% vs. 19.2%), believed that exposure to vapors from e-cigarettes was "harmful" and reported that they "did not know" of any harm (35.1% vs. 39.8%). LGB were 20% less likely than were HET adults to endorse an individualistic worldview. These results suggest that a disparity exists, whereby LGB adults are more likely to have used e-cigarettes and hookahs. In addition, although vapor from e-cigarettes contains nicotine and other chemicals, LGB adults are less likely to perceive exposure to secondhand vapor as harmful. Tailored awareness campaigns and interventions are needed to convey the risks and curb use of these products. SN - 1096-0260 UR - https://www.unboundmedicine.com/medline/citation/28579496/Prevalence_of_use_and_perceptions_of_risk_of_novel_and_other_alternative_tobacco_products_among_sexual_minority_adults:_Results_from_an_online_national_survey_2014_2015_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0091-7435(17)30189-5 DB - PRIME DP - Unbound Medicine ER -