Oregon Research Institute, 1776 Millrace Dr., Eugene, OR, 97403, USA.
Oregon State University, College of Public Health and Human Sciences, School of Social and Behavioral Health Sciences, Corvallis, OR, USA.
BMC Public Health. 2022 Mar 18;22(1):537. doi: 10.1186/s12889-022-12891-w.
Increasing the proportion of adults living in smoke-free homes is a US Healthy People 2020 objective. Complete home smoking bans are associated with higher odds of smoking cessation attempts and cessation duration. Sexual minority adults have disproportionality higher rates of smoking. This study investigates correlates of having a complete home smoking ban among sexual minority adults in California.
Secondary data analyses of the California Behavioral Risk Factor Surveillance System (CA BRFSS), 2014-2016. The CA BRFSS telephone survey of adults was conducted in English and Spanish and used random digit dial for landline and cell numbers. Weighted descriptives were stratified by sexual orientation and biological sex. Weighted bivariate and multivariable logistic regression analyses included only sexual minorities (i.e., lesbian, gay, bisexual) and were analyzed as a group and separately by biological sex to account for intragroup variances. The final weighted total of sexual minority adults (N = 359,236) included sexual minority adult females (N = 163,490) and sexual minority adult males (N = 195,746).
Sexual minority adults in California had a lower prevalence of complete home smoking bans (Female 76.2%; Male 75.7%), higher prevalence of current cigarette smoking (Female 23.3%; Male 17.4%) and of e-cigarette use (Female 5.8%; Male 6.4%) than their straight counterparts. Sexual minorities that smoke everyday (Female Adjusted Odds Ratio (AOR) 0.26, 95% Confidence Interval (CI) 0.11-0.63; Male AOR 0.24, 95% CI 0.01-0.56) or some days (Female AOR 0.28, 95% CI 0.09-0.90) had lower adjusted odds of having a complete home smoking ban compared to those who never smoked.
Smoking everyday was the only consistent predictor of not having a complete home smoking ban among sexual minority adults. Focused efforts to increase prevalence of complete home smoking bans should address smoking status to improve health equity among sexual minority adults.
提高居住在无烟家庭中的成年人比例是美国 2020 年健康人群目标之一。全面的家庭禁烟令与更高的戒烟尝试率和戒烟持续时间相关。性少数群体成年人的吸烟率不成比例地更高。本研究调查了加利福尼亚州性少数群体成年人拥有全面家庭禁烟令的相关因素。
对加利福尼亚州行为风险因素监测系统（CA BRFSS）2014-2016 年的二次数据进行分析。CA BRFSS 通过英语和西班牙语对成年人进行电话调查，并对固定电话和移动电话使用随机数字拨号。按性取向和生物性别对加权描述进行分层。仅对性少数群体（即女同性恋、男同性恋、双性恋）进行加权双变量和多变量逻辑回归分析，并作为一个群体进行分析，同时按生物性别进行分析，以解释群体内差异。最终包括性少数群体成年人（N=359236 人）的加权总数包括性少数群体成年女性（N=163490 人）和性少数群体成年男性（N=195746 人）。
加利福尼亚州的性少数群体成年人全面家庭禁烟令的流行率较低（女性 76.2%；男性 75.7%），当前吸烟率较高（女性 23.3%；男性 17.4%），电子烟使用率较高（女性 5.8%；男性 6.4%）与他们的异性恋同龄人相比。每天吸烟（女性调整后的优势比（AOR）0.26，95%置信区间（CI）0.11-0.63；男性 AOR 0.24，95% CI 0.01-0.56）或有时吸烟（女性 AOR 0.28，95% CI 0.09-0.90）的性少数群体与从不吸烟的性少数群体相比，调整后的优势比更低。
每天吸烟是性少数群体成年人没有全面家庭禁烟令的唯一一致预测因素。为提高全面家庭禁烟令的流行率而进行的有针对性的努力应针对吸烟状况，以改善性少数群体成年人的健康公平。
