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Sex and sexual orientation in relation to tobacco use among young adult college students in the US: a cross-sectional study.
BMC Public Health. 2018 Nov 08; 18(1):1244.BP

Abstract

BACKGROUND

Sexual minority young adults represent a high-risk population for tobacco use. This study examined cigarette and alternative tobacco product (ATP) use prevalence across sexual orientation (heterosexual, gay/lesbian, and bisexual) among college-attending young adult men and women, respectively.

METHODS

Baseline data from a two-year longitudinal study of 3386 young adult college students aged 18-25 in Georgia were analyzed. Correlates examined included sociodemographics (age, sex, sexual orientation, race/ethnicity, college type, and parental education). Outcomes included past 30-day use of tobacco (cigarette, little cigars/cigarillos [LCCs], e-cigarettes, hookah, any tobacco product used, and number of tobacco products used, respectively). Two-group, multivariate multiple regression models were used to examine predictors of tobacco use among men and women, respectively.

RESULTS

Among men (N = 1207), 34.7% used any tobacco product; 18.6% cigarettes; 12.3% LCCs; 16.8% e-cigarettes; and 14.7% hookah. Controlling for sociodemographics, gay sexual orientation (OR = 1.62, p = 0.012) was associated with higher odds of cigarette use; no other significant associations were found between sexual orientation and tobacco use. Among women (N = 2179), 25.3% used any tobacco product; 10.4% cigarettes; 10.6% LCCs; 7.6% e-cigarettes; and 10.8% hookah. Being bisexual was associated with cigarette (p < 0.001), LCC (p < 0.001), and e-cigarette use (p = 0.006). Lesbian sexual orientation was associated with cigarette (p = 0.032) and LCC use (p < 0.001). Being bisexual predicted any tobacco product used (p = 0.002), as well as number of tobacco products used (p = 0.004). Group comparisons showed that the effect of sexual minority status on LCC use was significantly different for men versus women.

CONCLUSION

Sexual minority women, especially bisexual women, are at higher risk for using specific tobacco products compared to heterosexual women; homosexual men are at increased risk of cigarette use compared to heterosexual men. These nuances in tobacco use should inform interventions targeting sexual minorities.

Authors+Show Affiliations

Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Room 524, Atlanta, GA, 30322, USA.Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Room 524, Atlanta, GA, 30322, USA.Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Room 524, Atlanta, GA, 30322, USA.Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Room 524, Atlanta, GA, 30322, USA.Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Room 524, Atlanta, GA, 30322, USA. cjberg@emory.edu. Winship Cancer Institute, Emory University, Atlanta, USA. cjberg@emory.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30409179

Citation

Li, Jingjing, et al. "Sex and Sexual Orientation in Relation to Tobacco Use Among Young Adult College Students in the US: a Cross-sectional Study." BMC Public Health, vol. 18, no. 1, 2018, p. 1244.
Li J, Haardörfer R, Vu M, et al. Sex and sexual orientation in relation to tobacco use among young adult college students in the US: a cross-sectional study. BMC Public Health. 2018;18(1):1244.
Li, J., Haardörfer, R., Vu, M., Windle, M., & Berg, C. J. (2018). Sex and sexual orientation in relation to tobacco use among young adult college students in the US: a cross-sectional study. BMC Public Health, 18(1), 1244. https://doi.org/10.1186/s12889-018-6150-x
Li J, et al. Sex and Sexual Orientation in Relation to Tobacco Use Among Young Adult College Students in the US: a Cross-sectional Study. BMC Public Health. 2018 Nov 8;18(1):1244. PubMed PMID: 30409179.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sex and sexual orientation in relation to tobacco use among young adult college students in the US: a cross-sectional study. AU - Li,Jingjing, AU - Haardörfer,Regine, AU - Vu,Milkie, AU - Windle,Michael, AU - Berg,Carla J, Y1 - 2018/11/08/ PY - 2018/06/01/received PY - 2018/10/25/accepted PY - 2018/11/10/entrez PY - 2018/11/10/pubmed PY - 2018/11/16/medline KW - Alternative tobacco product KW - College students KW - Multivariate multiple regression KW - Sex differences KW - Sexual orientation KW - Tobacco use KW - Young adults SP - 1244 EP - 1244 JF - BMC public health JO - BMC Public Health VL - 18 IS - 1 N2 - BACKGROUND: Sexual minority young adults represent a high-risk population for tobacco use. This study examined cigarette and alternative tobacco product (ATP) use prevalence across sexual orientation (heterosexual, gay/lesbian, and bisexual) among college-attending young adult men and women, respectively. METHODS: Baseline data from a two-year longitudinal study of 3386 young adult college students aged 18-25 in Georgia were analyzed. Correlates examined included sociodemographics (age, sex, sexual orientation, race/ethnicity, college type, and parental education). Outcomes included past 30-day use of tobacco (cigarette, little cigars/cigarillos [LCCs], e-cigarettes, hookah, any tobacco product used, and number of tobacco products used, respectively). Two-group, multivariate multiple regression models were used to examine predictors of tobacco use among men and women, respectively. RESULTS: Among men (N = 1207), 34.7% used any tobacco product; 18.6% cigarettes; 12.3% LCCs; 16.8% e-cigarettes; and 14.7% hookah. Controlling for sociodemographics, gay sexual orientation (OR = 1.62, p = 0.012) was associated with higher odds of cigarette use; no other significant associations were found between sexual orientation and tobacco use. Among women (N = 2179), 25.3% used any tobacco product; 10.4% cigarettes; 10.6% LCCs; 7.6% e-cigarettes; and 10.8% hookah. Being bisexual was associated with cigarette (p < 0.001), LCC (p < 0.001), and e-cigarette use (p = 0.006). Lesbian sexual orientation was associated with cigarette (p = 0.032) and LCC use (p < 0.001). Being bisexual predicted any tobacco product used (p = 0.002), as well as number of tobacco products used (p = 0.004). Group comparisons showed that the effect of sexual minority status on LCC use was significantly different for men versus women. CONCLUSION: Sexual minority women, especially bisexual women, are at higher risk for using specific tobacco products compared to heterosexual women; homosexual men are at increased risk of cigarette use compared to heterosexual men. These nuances in tobacco use should inform interventions targeting sexual minorities. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/30409179/Sex_and_sexual_orientation_in_relation_to_tobacco_use_among_young_adult_college_students_in_the_US:_a_cross_sectional_study_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-6150-x DB - PRIME DP - Unbound Medicine ER -