Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA; Center for Gender Surgery, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA.
Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA; Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA.
J Pediatr. 2021 Jun;233:241-248. doi: 10.1016/j.jpeds.2021.02.011. Epub 2021 Feb 9.
To assess differences in the relationship between violence factor exposure and tobacco product pattern use (exclusive and poly), we hypothesized that compared with heterosexuals, sexual minority youth would be more likely to report exclusive-tobacco and poly-tobacco use patterns, and controlling for violence factors would attenuate these associations.
Data from 27 513 US high-school youth were analyzed from the Centers for Disease Control and Prevention's Youth Risk Factor Surveillance System from 2015 and 2017. We fit sex-stratified, weighted, adjusted log-Poisson models to compare past 30-day exclusive combustible, exclusive e-cigarette, and poly-tobacco use in across sexual orientation. Then, models were adjusted for past-year experiences of physical fighting, bullying, attempting suicide, and physical and sexual dating violence.
Compared with heterosexual girls with other-sex partners, sexual minority girls were more likely to use exclusive combustible, exclusive e-cigarette, or poly-tobacco products. When adjusting for violence factors, most tobacco use associations were partially attenuated for all sexual minority girls, and completely attenuated for exclusive e-cigarette use among all sexual minority girls.
Sexual minority girls have greater exclusive- and poly-tobacco use compared with heterosexual girls. Tobacco interventions for sexual minority youth should address the risks of poly-tobacco use as well as violence-based risk factors.
评估暴力因素暴露与烟草制品使用模式（单一和多种）之间关系的差异。我们假设，与异性恋青年相比，性少数青年更有可能报告单一烟草制品和多种烟草制品的使用模式，并且控制暴力因素会减弱这些关联。
对 2015 年和 2017 年美国疾病控制与预防中心的青少年风险因素监测系统中 27513 名美国高中生的数据进行了分析。我们对不同性取向的青少年进行了分层、加权、调整后的对数泊松模型分析，以比较过去 30 天内单一可燃烟草制品、单一电子烟和多种烟草制品的使用情况。然后，根据过去一年的身体打架、欺凌、自杀企图、身体和性约会暴力经历调整了模型。
与与异性恋男孩发生性关系的女孩相比，性少数女孩更有可能使用单一可燃烟草制品、单一电子烟或多种烟草制品。当调整暴力因素时，大多数烟草使用关联在所有性少数女孩中都部分减弱，而在所有性少数女孩中，单一电子烟使用的关联完全减弱。
性少数女孩比异性恋女孩更有可能使用单一和多种烟草制品。针对性少数青年的烟草干预措施应解决多种烟草制品使用的风险以及基于暴力的风险因素。
