1 Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School , Boston, Massachusetts.
2 The Fenway Institute , Fenway Health, Boston, Massachusetts.
LGBT Health. 2018 Apr;5(3):197-202. doi: 10.1089/lgbt.2016.0157. Epub 2018 Mar 14.
Tobacco use is the single most preventable cause of disease, death, and disability in the United States. Research suggests that sexual minorities have an increased risk for smoking and tobacco use. This study aimed to identify characteristics of patients affected by tobacco use disparities and examined demographic and substance use differences between tobacco users and nonusers in a sample of sexual minorities.
Patients at an urban community health center (specializing in the needs of sexual and gender minorities) were invited to complete a cross-sectional 25-item questionnaire.
Of the 3068 questionnaire respondents, 1543 identified as gay, lesbian, or bisexual. Of these sexual minority respondents, most identified as White (84.4%), 67.3% identified as male and 32.7% as female, with a mean age of 37.7 (SD = 9.44). More than a quarter of sexual minority men (26.7%) and women (28.3%) reported current tobacco use. Among men, younger age (OR = 0.97, CI: 0.95-0.98, P < 0.001), less education (OR = 0.58, CI: 0.35-0.96, P < 0.01), heroin use (OR = 3.3, CI: 1.18-9.39, P < 0.05), and alcohol use (OR = 3.0, CI: 1.86-4.80, P < 0.001) were associated with increased odds of current tobacco use. Among women, younger age (OR = 0.97, CI: 0.95-0.99, P = 0.004), less education (OR = 0.45, CI: 0.22-0.91, P < 0.001), and alcohol use (OR = 3.78, CI: 1.87-7.65, P < 0.001) were associated with current tobacco use.
Cessation programs placed within the context of co-occurring substance and alcohol use for young sexual minority tobacco users from lower socioeconomic backgrounds may be particularly effective.
在美国，吸烟是导致疾病、死亡和残疾的唯一可预防的主要原因。研究表明，性少数群体吸烟和使用烟草的风险增加。本研究旨在确定受烟草使用差异影响的患者特征，并在性少数群体样本中检查烟草使用者和非使用者之间的人口统计学和物质使用差异。
邀请城市社区卫生中心（专门满足性和性别少数群体的需求）的患者完成一份 25 项的横断面问卷。
在 3068 份问卷回答者中，有 1543 人自认为是同性恋、双性恋或异性恋。在这些性少数群体回答者中，大多数人认为自己是白人（84.4%），67.3%的人认为自己是男性，32.7%的人认为自己是女性，平均年龄为 37.7 岁（SD=9.44）。超过四分之一的男同性恋者（26.7%）和女同性恋者（28.3%）报告目前吸烟。在男性中，年龄较小（OR=0.97，CI：0.95-0.98，P<0.001）、教育程度较低（OR=0.58，CI：0.35-0.96，P<0.01）、使用海洛因（OR=3.3，CI：1.18-9.39，P<0.05）和饮酒（OR=3.0，CI：1.86-4.80，P<0.001）与目前吸烟的可能性增加相关。在女性中，年龄较小（OR=0.97，CI：0.95-0.99，P=0.004）、教育程度较低（OR=0.45，CI：0.22-0.91，P<0.001）和饮酒（OR=3.78，CI：1.87-7.65，P<0.001）与目前吸烟有关。
对于来自较低社会经济背景的年轻性少数群体烟草使用者，将戒烟计划置于同时存在的物质和酒精使用的背景下，可能特别有效。
