National Cancer Institute, Tobacco Control Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, 9609 Medical Center Dr, Rockville, MD 20850. Email:
National Cancer Institute, Tobacco Control Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, Rockville, Maryland.
Prev Chronic Dis. 2021 Oct 28;18:E94. doi: 10.5888/pcd18.210160.
Lesbian, gay, and bisexual (LGB) populations have higher cigarette smoking rates than heterosexual populations. The tobacco industry has leveraged LGB, gender, and racial or ethnic identities to establish cigarette brand preference. We examined cigarette brand use among smokers by sexual orientation and the implications of gender and race or ethnicity for brand use.
We used the National Survey on Drug Use and Health (NSDUH; 2015-2017) to conduct weighted bivariate analyses in 2019-2020 of the prevalence of 5 commonly used cigarette brands among adult smokers (N = 24,310) by sexual orientation. We conducted weighted regressions to test relationships between sexual orientation and brand use and interactions between sexual orientation, gender (defined in NSDUH as male or female), and race or ethnicity.
LGB smokers were more likely to use Camel (lesbian/gay, OR = 1.7 [95% CI, 1.2-2.3], bisexual, OR = 1.8 [95% CI, 1.5-2.2]) and American Spirit cigarettes (lesbian/gay, OR = 2.8 [95% CI, 1.9-4.1], bisexual, OR = 3.2 [95% CI, 2.5-4.1]) than heterosexual smokers. Lesbian/gay smokers had higher odds of Marlboro cigarette use (OR = 1.2; 95% CI, 1.0-1.4) than heterosexual smokers. Bisexual smokers were more likely to smoke Newport cigarettes (OR = 1.7; 95% CI, 1.4-2.1) than heterosexual smokers. Interactions between LGB and female identities (vs gay or bisexual male) were positively associated with Camel, Marlboro, and Newport use. The interaction between lesbian/gay and Hispanic/Latino ethnicity (vs lesbian/gay White) was also positively associated with Newport use.
LGB smokers may be more likely to smoke some commonly used cigarette brands than heterosexual smokers, and gender and race or ethnicity may have implications for brand preference. Future research could examine specific contributors to brand use among LGB smokers (eg, tobacco marketing).
女同性恋、男同性恋和双性恋（LGB）人群的吸烟率高于异性恋人群。烟草业利用 LGB、性别以及种族或民族特征来建立香烟品牌偏好。我们研究了性取向对吸烟者香烟品牌使用的影响，以及性别和种族或民族特征对品牌使用的影响。
我们利用 2015-2017 年全国毒品使用与健康调查（NSDUH）的数据，于 2019-2020 年对 24310 名成年吸烟者进行了加权双变量分析，以了解他们对五种常用香烟品牌的使用情况。我们进行了加权回归，以检验性取向与品牌使用之间的关系以及性取向、性别（NSDUH 定义为男性或女性）和种族或民族之间的相互作用。
LGB 吸烟者更有可能使用骆驼牌（女同性恋/男同性恋，比值比[OR] = 1.7[95%置信区间[CI]，1.2-2.3]；双性恋，OR = 1.8[95% CI，1.5-2.2]）和美国精神牌香烟（女同性恋/男同性恋，OR = 2.8[95% CI，1.9-4.1]；双性恋，OR = 3.2[95% CI，2.5-4.1]），而非异性恋吸烟者。女同性恋/男同性恋吸烟者使用万宝路香烟的几率高于异性恋吸烟者（OR = 1.2；95% CI，1.0-1.4）。双性恋吸烟者更有可能吸食新港香烟（OR = 1.7；95% CI，1.4-2.1），而非异性恋吸烟者。LGB 和女性身份（而非同性恋或双性恋男性）之间的相互作用与骆驼牌、万宝路和新港的使用呈正相关。女同性恋/男同性恋和西班牙裔/拉丁裔种族（而非女同性恋/男同性恋白人）之间的相互作用也与新港的使用呈正相关。
LGB 吸烟者可能比异性恋吸烟者更有可能使用一些常用香烟品牌，而性别和种族或民族特征可能对品牌偏好产生影响。未来的研究可以考察 LGB 吸烟者中品牌使用的具体原因（例如，烟草营销）。
