Keller-Hamilton Brittney, Stevens Elise M, Wedel Amelia V, LaPolt Devin T, Miranda Alexis, Wagener Theodore L, Patterson Joanne G
Division of Medical Oncology, Department of Internal Medicine, The Ohio State University College of Medicine, Columbus, OH, USA.
Center for Tobacco Research, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Prev Med Rep. 2021 Dec 9;25:101657. doi: 10.1016/j.pmedr.2021.101657. eCollection 2022 Feb.
Within the lesbian and bisexual community, bisexual women have the highest prevalence of tobacco use, and Black and Latina women are much more likely to use tobacco than their heterosexual peers. Research on tobacco use among bisexual women is limited to descriptions of prevalence in this population. We evaluated associations between race/ethnicity, exposure to pro- and anti-tobacco messages, and tobacco use outcomes among bisexual and pansexual women. We recruited a sample of N = 382 bisexual and pansexual women in the United States using the online survey platform, Prolific. Participants reported sociodemographics, exposure to pro- and anti-tobacco messaging, receipt of coupons, and ever and current use of cigarettes, e-cigarettes, and other tobacco products. We modeled associations between race/ethnicity, pro- and anti-tobacco messaging exposures, and tobacco use outcomes. Unadjusted results indicated differences in prevalence of tobacco use by race/ethnicity, with White women having the highest prevalence of ever using each product, but Black women having the highest prevalence of current cigar smoking and any tobacco use. Associations between race and tobacco use were attenuated in adjusted analyses. Receiving coupons was strongly associated with current use of cigarettes (aOR = 8.02; 95% CI [3.55, 18.1]), e-cigarettes (aOR = 7.26; 95% CI [3.55, 14.9]), and any tobacco (aOR = 5.04; 95% CI [2.44, 10.4]). In conclusion, unadjusted differences in prevalence of tobacco use across race/ethnic groups were attenuated after controlling for pro- and anti-tobacco messaging exposures. Receiving tobacco coupons was consistently associated with current tobacco use among bisexual and pansexual women. Restrictions on coupons could promote health equity.
在女同性恋和双性恋群体中，双性恋女性的烟草使用率最高，而且黑人女性和拉丁裔女性比异性恋同龄人更有可能使用烟草。关于双性恋女性烟草使用情况的研究仅限于对该人群患病率的描述。我们评估了种族/族裔、接触支持和反对烟草信息与双性恋和泛性恋女性烟草使用结果之间的关联。我们使用在线调查平台Prolific在美国招募了382名双性恋和泛性恋女性样本。参与者报告了社会人口统计学信息、接触支持和反对烟草信息的情况、是否收到优惠券以及曾经和目前使用香烟、电子烟及其他烟草制品的情况。我们对种族/族裔、支持和反对烟草信息接触情况与烟草使用结果之间的关联进行了建模。未经调整的结果表明，不同种族/族裔的烟草使用率存在差异，白人女性使用每种产品的既往患病率最高，但黑人女性目前吸食雪茄和任何烟草的患病率最高。在调整分析中，种族与烟草使用之间的关联减弱。收到优惠券与目前使用香烟（调整后比值比[aOR]=8.02；95%置信区间[CI][3.55, 18.1]）、电子烟（aOR=7.26；95%CI[3.55, 14.9]）和任何烟草（aOR=5.04；95%CI[2.44, 10.4]）密切相关。总之，在控制了支持和反对烟草信息接触情况后，不同种族/族裔群体间未经调整的烟草使用率差异减弱。收到烟草优惠券与双性恋和泛性恋女性目前的烟草使用一直相关。对优惠券的限制可能会促进健康公平。
