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Moderate-to-Severe Tobacco Use Disorder and Discrimination Among U.S. Sexual Minority Older Adults.
J Gerontol B Psychol Sci Soc Sci. 2021 08 13; 76(7):1400-1407.JG

Abstract

OBJECTIVES

The dearth of research on age-related differences in risk factors for tobacco use disorder (TUD) among sexual minorities, particularly among older adults, can obscure the differential needs of sexual minority age groups for tobacco prevention and cessation. We examined the association of cumulative ethnic/racial discrimination and sexual orientation discrimination with moderate-to-severe TUD among U.S. sexual minority adults aged 50 years and older.

METHOD

We analyzed cross-sectional data from the National Epidemiologic Survey of Alcohol and Related Conditions-III (n = 36,309 U.S. adults). Our sample consisted of 1,258 adults (lesbian/gay-, bisexual-, and heterosexual-identified adults with same-sex attraction/behavior) aged ≥50 years. Multivariable logistic regression analyses estimated the association of cumulative lifetime ethnic/racial discrimination and sexual orientation discrimination with past-year moderate-to-severe TUD and tested whether the association differed for adults aged 50-64 years versus those aged ≥65 years.

RESULTS

An estimated 8.1% of the sample met criteria for moderate-to-severe TUD. Lifetime ethnic/racial discrimination and sexual orientation discrimination was not significantly associated with moderate-to-severe TUD for adults aged ≥50 years. However, a significant 2-way interaction was found between discrimination and age. In age-stratified analyses, greater discrimination was significantly associated with greater risk for moderate-to-severe TUD for adults aged ≥65 years, but not adults aged 50-64 years.

DISCUSSION

Greater cumulative discrimination based on ethnicity/race and sexual orientation was associated with increased risk for moderate-to-severe TUD among sexual minority adults aged ≥65 years. Our findings underscore the importance of age considerations in understanding the role of discrimination in the assessment and treatment of TUD.

Authors+Show Affiliations

Center for the Study of Drugs, Alcohol, Smoking and Health, Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, USA.Center for the Study of Drugs, Alcohol, Smoking and Health, Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, USA.Institute for Social Research, University of Michigan, Ann Arbor, USA.Center for the Study of Drugs, Alcohol, Smoking and Health, Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, USA. Institute for Social Research, University of Michigan, Ann Arbor, USA. Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, USA.Center for the Study of Drugs, Alcohol, Smoking and Health, Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, USA. Institute for Research on Women and Gender, University of Michigan, Ann Arbor, USA. Addiction Center, Department of Psychiatry, Rachel Upjohn Building, University of Michigan, Ann Arbor, USA.Center for the Study of Drugs, Alcohol, Smoking and Health, Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, USA. Institute for Social Research, University of Michigan, Ann Arbor, USA. Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, USA. Institute for Research on Women and Gender, University of Michigan, Ann Arbor, USA. Rogel Cancer Center, University of Michigan, Ann Arbor, USA. Center for Sexuality and Health Disparities, School of Nursing, University of Michigan, Ann Arbor, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

33864063

Citation

Kcomt, Luisa, et al. "Moderate-to-Severe Tobacco Use Disorder and Discrimination Among U.S. Sexual Minority Older Adults." The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, vol. 76, no. 7, 2021, pp. 1400-1407.
Kcomt L, Evans-Polce RJ, Engstrom CW, et al. Moderate-to-Severe Tobacco Use Disorder and Discrimination Among U.S. Sexual Minority Older Adults. J Gerontol B Psychol Sci Soc Sci. 2021;76(7):1400-1407.
Kcomt, L., Evans-Polce, R. J., Engstrom, C. W., West, B. T., Boyd, C. J., & McCabe, S. E. (2021). Moderate-to-Severe Tobacco Use Disorder and Discrimination Among U.S. Sexual Minority Older Adults. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 76(7), 1400-1407. https://doi.org/10.1093/geronb/gbab067
Kcomt L, et al. Moderate-to-Severe Tobacco Use Disorder and Discrimination Among U.S. Sexual Minority Older Adults. J Gerontol B Psychol Sci Soc Sci. 2021 08 13;76(7):1400-1407. PubMed PMID: 33864063.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Moderate-to-Severe Tobacco Use Disorder and Discrimination Among U.S. Sexual Minority Older Adults. AU - Kcomt,Luisa, AU - Evans-Polce,Rebecca J, AU - Engstrom,Curtiss W, AU - West,Brady T, AU - Boyd,Carol J, AU - McCabe,Sean Esteban, PY - 2020/09/22/received PY - 2022/04/17/pmc-release PY - 2021/4/18/pubmed PY - 2021/11/11/medline PY - 2021/4/17/entrez KW - Age KW - Discrimination KW - Sexual minority KW - Tobacco KW - Tobacco use disorder SP - 1400 EP - 1407 JF - The journals of gerontology. Series B, Psychological sciences and social sciences JO - J Gerontol B Psychol Sci Soc Sci VL - 76 IS - 7 N2 - OBJECTIVES: The dearth of research on age-related differences in risk factors for tobacco use disorder (TUD) among sexual minorities, particularly among older adults, can obscure the differential needs of sexual minority age groups for tobacco prevention and cessation. We examined the association of cumulative ethnic/racial discrimination and sexual orientation discrimination with moderate-to-severe TUD among U.S. sexual minority adults aged 50 years and older. METHOD: We analyzed cross-sectional data from the National Epidemiologic Survey of Alcohol and Related Conditions-III (n = 36,309 U.S. adults). Our sample consisted of 1,258 adults (lesbian/gay-, bisexual-, and heterosexual-identified adults with same-sex attraction/behavior) aged ≥50 years. Multivariable logistic regression analyses estimated the association of cumulative lifetime ethnic/racial discrimination and sexual orientation discrimination with past-year moderate-to-severe TUD and tested whether the association differed for adults aged 50-64 years versus those aged ≥65 years. RESULTS: An estimated 8.1% of the sample met criteria for moderate-to-severe TUD. Lifetime ethnic/racial discrimination and sexual orientation discrimination was not significantly associated with moderate-to-severe TUD for adults aged ≥50 years. However, a significant 2-way interaction was found between discrimination and age. In age-stratified analyses, greater discrimination was significantly associated with greater risk for moderate-to-severe TUD for adults aged ≥65 years, but not adults aged 50-64 years. DISCUSSION: Greater cumulative discrimination based on ethnicity/race and sexual orientation was associated with increased risk for moderate-to-severe TUD among sexual minority adults aged ≥65 years. Our findings underscore the importance of age considerations in understanding the role of discrimination in the assessment and treatment of TUD. SN - 1758-5368 UR - https://www.unboundmedicine.com/medline/citation/33864063/Moderate_to_Severe_Tobacco_Use_Disorder_and_Discrimination_Among_U_S__Sexual_Minority_Older_Adults_ L2 - https://academic.oup.com/psychsocgerontology/article-lookup/doi/10.1093/geronb/gbab067 DB - PRIME DP - Unbound Medicine ER -