Antin Tamar M J, Lipperman-Kreda Sharon, Hunt Geoffrey
Tamar M. J. Antin is with the Prevention Research Center of the Pacific Institute for Research and Evaluation, Oakland, CA, and the Institute for Scientific Analysis, Alameda, CA. Sharon Lipperman-Kreda is with the Prevention Research Center of the Pacific Institute for Research and Evaluation. Geoffrey Hunt is with the Institute for Scientific Analysis, Alameda.
Am J Public Health. 2015 Dec;105(12):2426-9. doi: 10.2105/AJPH.2015.302806. Epub 2015 Oct 15.
Although the population-level success of tobacco denormalization is widely accepted, it remains unclear whether these strategies alleviate health inequities for sexual and gender minorities. The high risk of smoking among sexual and gender minorities together with research that documents a relationship between stigma-related processes and smoking prevalence for these groups raises questions about whether tobacco-related stigma intensifies the disadvantages associated with the stigmas of other social identities. We have not adequately considered how tobacco-related stigma overlaps with other social identity stigmas. Given concerns about the intensification of inequality, this type of inquiry has important implications for understanding both the effectiveness and limitations of tobacco denormalization strategies for sexual and gender minorities and identifying those tobacco prevention, treatment, and public health policies that work to ameliorate health inequities.
尽管烟草去常态化在人群层面取得的成功已被广泛认可，但这些策略是否能减轻性少数群体和性别少数群体的健康不平等状况仍不明确。性少数群体和性别少数群体吸烟风险高，且有研究记录了与污名相关的过程与这些群体吸烟率之间的关系，这引发了关于烟草相关污名是否会加剧与其他社会身份污名相关的不利因素的疑问。我们尚未充分考虑烟草相关污名如何与其他社会身份污名相互重叠。鉴于对不平等加剧的担忧，此类探究对于理解烟草去常态化策略对性少数群体和性别少数群体的有效性及局限性，以及确定那些有助于改善健康不平等状况的烟草预防、治疗和公共卫生政策具有重要意义。
