College of Pharmacy, Department of Pharmaceutical Outcomes and Policy, University of Florida, Gainesville, Florida, USA.
College of Medicine, Department of Community and Family Medicine, University of Kentucky, Lexington, Kentucky, USA.
Public Health Nurs. 2022 May;39(3):659-663. doi: 10.1111/phn.12997. Epub 2021 Oct 20.
In 2019, the Youth Risk Behavioral Survey (YRBS) collected sexual orientation data for the first time in Kentucky. Tobacco use behaviors and mental health status among Lesbian, Gay, and Bisexual (LGB) youth is infrequently documented in southern states such as Kentucky. This study aimed to analyze self-reported tobacco use and mental health in youth by sexual orientation.
Cross-sectional survey.
All participants, aged 12-19, of the 2019 Kentucky YRBS that indicated a sexual orientation.
Differences in response distributions for tobacco use and mental health measures were analyzed via chi square by sexual orientation, with additional stratification by sex.
A total of n = 1996 respondents were 12.8% LGB-identified and 82.1% heterosexual-identified. No disparities between LGB and heterosexual youth were observed in tobacco-related behaviors for male students, but disparities were persistent for female students (p = .005 for "tried tobacco before age 13"; p = .007 for "current smoking", p = .012 for "ever smoked"). Mental health disparities between LGB and heterosexual youth were significant for males and females (p < .05, all mental health measures).
Findings suggest that tobacco disparities in this most recent data are narrower than in previous years; however, mental health disparities persist between LGB and heterosexual youth in Kentucky.
2019 年，青少年风险行为调查（YRBS）首次在肯塔基州收集性取向数据。在肯塔基州等南部各州，关于女同性恋、男同性恋和双性恋（LGB）青年的烟草使用行为和心理健康状况的资料很少。本研究旨在分析性取向不同的青少年的自我报告的烟草使用和心理健康情况。
横断面调查。
2019 年肯塔基州 YRBS 中所有报告性取向的年龄在 12-19 岁的参与者。
通过性取向对烟草使用和心理健康测量的反应分布进行卡方检验，根据性别进行额外分层。
共有 n = 1996 名受访者，其中 12.8%为 LGB 认同者，82.1%为异性恋认同者。在男学生中，LGB 和异性恋青年在与烟草相关的行为方面没有差异，但在女学生中仍然存在差异（p = 0.005，“13 岁前尝试过烟草”；p = 0.007，“目前吸烟”，p = 0.012，“曾吸烟”）。LGB 和异性恋青年的心理健康差异在男性和女性中均具有统计学意义（p < 0.05，所有心理健康指标）。
研究结果表明，在最新数据中，烟草方面的差异比以往几年有所缩小；然而，肯塔基州的 LGB 和异性恋青年之间的心理健康差异仍然存在。
