Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan; Institute for Research on Women and Gender, University of Michigan, Ann Arbor, Michigan.
College of Nursing, Department of Health Systems Science, University of Illinois at Chicago, Chicago, Illinois.
Am J Prev Med. 2018 Jun;54(6):736-745. doi: 10.1016/j.amepre.2018.03.009. Epub 2018 Apr 12.
The purpose of this study is to determine the past-year prevalence estimates of any nicotine/tobacco use, cigarette smoking, and DSM-5 tobacco use disorder based on sexual identity among U.S. adults, and to examine potential variations in these estimates by age, race/ethnicity, and sexual identity-attraction concordance/discordance.
The 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions collected data via in-person interviews with a cross-sectional nationally representative sample of non-institutionalized adults (response rate=60.1%) and analyses for the present study were conducted in 2017.
Any past-year nicotine/tobacco use, cigarette smoking, and DSM-5 tobacco use disorder were most prevalent among sexual minority-identified adults compared with heterosexual-identified adults, with notable variations based on sex, age, race/ethnicity, and sexual identity-attraction discordance. Elevated rates of any nicotine/tobacco use, cigarette smoking, and DSM-5 tobacco use disorder among sexual minorities were most prevalent among younger lesbian women and gay men, and all age groups of bisexual men and women. The odds of any nicotine/tobacco use, cigarette smoking, and DSM-5 tobacco use disorder were significantly greater among sexual identity-attraction discordant women and significantly lower among sexual identity-attraction discordant men.
These findings provide valuable new information about sexual minority subgroups, such as self-identified bisexual older adults and sexual identity-attraction discordant women, that appear to be at higher risk for adverse smoking-related health consequences as a result of their elevated rates of cigarette smoking. Additional attention is warranted to examine these high-risk subpopulations prospectively and, if the results are replicated with larger samples, this information can be used to target smoking-cessation and lung cancer screening efforts.
本研究旨在确定美国成年人中基于性取向的过去一年任何尼古丁/烟草使用、吸烟和 DSM-5 烟草使用障碍的流行率估计值，并通过年龄、种族/族裔和性取向吸引力一致/不一致来检验这些估计值的潜在差异。
2012-2013 年全国酒精和相关条件流行病学调查通过面对面访谈收集了非机构化成年人的横截面全国代表性样本数据（响应率为 60.1%），并于 2017 年进行了本研究的分析。
与异性恋成年人相比，性少数群体认同的成年人中任何过去一年的尼古丁/烟草使用、吸烟和 DSM-5 烟草使用障碍最为普遍，性别、年龄、种族/族裔和性取向吸引力不一致方面存在显著差异。性少数群体中，任何尼古丁/烟草使用、吸烟和 DSM-5 烟草使用障碍的发生率较高，最常见于年轻的女同性恋者和男同性恋者，以及所有年龄段的双性恋男女。性取向吸引力不一致的女性中，任何尼古丁/烟草使用、吸烟和 DSM-5 烟草使用障碍的可能性明显更高，而性取向吸引力不一致的男性中，这些障碍的可能性明显更低。
这些发现为性少数群体亚群提供了有价值的新信息，例如自我认同的年长双性恋者和性取向吸引力不一致的女性，由于吸烟率较高，这些亚群似乎面临更高的与吸烟相关的不良健康后果风险。需要进一步关注这些高风险亚群的前瞻性研究，如果结果在更大的样本中得到复制，这些信息可以用于针对戒烟和肺癌筛查工作。
