Health Services & Outcomes Research, Children's Mercy Hospital, Kansas City, Missouri; and Departments of Biomedical & Health Informatics, and Pediatrics, University of Missouri-Kansas City, Kansas City, Missouri
Pediatrics. 2017 Apr;139(4). doi: 10.1542/peds.2016-3276.
Sexual minority youth face health disparities and a high risk of substance abuse. This study sought to fully characterize the disparity of tobacco use and risk factors in this high-risk subpopulation.
Using data from the 2015 Youth Risk Behavior Survey, the current use of various tobacco products (cigarettes, smokeless tobacco, cigars, and e-cigarettes) was compared according to sex and distinct sexual identities (lesbian, gay, bisexual, and unsure). Heterosexual/straight adolescents served as the control group.
Of 14 703 respondents, 88.8% were heterosexual/straight, 2.0% were lesbian or gay, 6.0% were bisexual, and 3.2% were unsure about their sexual identity. Sexual minorities had a higher prevalence of tobacco product use than their heterosexual/straight counterparts. Sex had a significant effect on the disparities of tobacco use. Lesbian and bisexual girls had higher odds of reporting current use of any tobacco product, cigarettes, cigars, and e-cigarettes than did straight girls, whereas sexual minority boys had similar smoking behaviors compared with straight boys. Substance use, including marijuana use, drinking, and binge drinking, was significantly associated with any tobacco use.
Tobacco use differs among subgroups of sexual minority youth, with lesbians and bisexual girls having a higher prevalence of tobacco use than their straight peers. Heterogeneity of tobacco use across distinct sexual identity groups underscores the need to develop evidence-based tobacco control strategies for sexual minority youth.
性少数群体青年面临健康差距和滥用药物的高风险。本研究旨在全面描述这一高风险亚群体中烟草使用和风险因素的差异。
使用 2015 年青少年风险行为调查的数据，根据性别和不同的性身份（女同性恋、男同性恋、双性恋和不确定）比较各种烟草制品（香烟、无烟烟草、雪茄和电子烟）的当前使用情况。异性恋/直青少年作为对照组。
在 14703 名受访者中，88.8%为异性恋/直，2.0%为女同性恋或男同性恋，6.0%为双性恋，3.2%对自己的性身份不确定。性少数群体的烟草制品使用比例高于其异性恋/直对应群体。性别对烟草使用的差异有显著影响。女同性恋和双性恋女孩报告当前使用任何烟草制品、香烟、雪茄和电子烟的比例高于直女，而性少数男孩的吸烟行为与直男相似。药物使用，包括大麻使用、饮酒和狂饮，与任何烟草使用显著相关。
性少数群体青年的烟草使用情况存在差异，女同性恋和双性恋女孩的烟草使用比例高于直女。不同性身份群体之间烟草使用的异质性突出表明，需要为性少数青年制定基于证据的烟草控制策略。
