University of Michigan, Ann Arbor, MI, USA.
University of South Carolina, Columbia, SC, USA.
Health Educ Behav. 2023 Apr;50(2):234-239. doi: 10.1177/10901981221116783. Epub 2022 Aug 16.
The prevalence of smoking is higher among sexual minority (SM) individuals compared with heterosexuals. The impact of televised anti-tobacco mass media campaigns on smoking outcomes among SMs is not known.
We examined whether televised anti-tobacco advertising was differentially associated with current smoking and smoking intensity for SM and heterosexual adults.
We combined county-level anti-tobacco advertising data (gross rating points) with restricted, geocoded individual-level National Health Interview Survey data on smoking (2013-2015). We estimated associations between advertising and smoking outcomes, including potential effect modification by SM status.
Greater anti-tobacco advertising exposure was associated with lower smoking prevalence (prevalence ratio [PR] = 0.97; 95% confidence interval [CI] = [0.94, 1.00]). Although the direction of the association differed for heterosexual and SM adults, differences were not statistically significant. No significant associations were observed with regard to smoking intensity.
Associations between anti-tobacco advertising and smoking were not significantly different for heterosexual and SM adults.
性少数群体（SM）个体的吸烟率高于异性恋者。电视反烟草大众媒体宣传活动对 SM 人群吸烟结果的影响尚不清楚。
我们研究了电视反烟草广告是否与 SM 和异性恋成年人的当前吸烟和吸烟强度存在差异关联。
我们将县级反烟草广告数据（总收视率点）与受限制的、地理编码的个人层面全国健康访谈调查吸烟数据（2013-2015 年）相结合。我们估计了广告与吸烟结果之间的关联，包括 SM 状态的潜在效应修饰。
反烟草广告的曝光度增加与吸烟率降低相关（患病率比 [PR] = 0.97；95%置信区间 [CI] = [0.94, 1.00]）。尽管异性恋和 SM 成年人的关联方向不同，但差异无统计学意义。吸烟强度方面未观察到显著关联。
对于异性恋和 SM 成年人，反烟草广告与吸烟之间的关联没有显著差异。
