美国异性恋和性少数群体成年人中的电视反烟草媒体与吸烟结果
Televised Anti-Tobacco Media and Smoking Outcomes Among Heterosexual and Sexual Minority Adults in the United States.
机构信息
University of Michigan, Ann Arbor, MI, USA.
University of South Carolina, Columbia, SC, USA.
出版信息
Health Educ Behav. 2023 Apr;50(2):234-239. doi: 10.1177/10901981221116783. Epub 2022 Aug 16.
BACKGROUND
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.
AIMS
We examined whether televised anti-tobacco advertising was differentially associated with current smoking and smoking intensity for SM and heterosexual adults.
METHOD
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.
RESULTS
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.
CONCLUSION
Associations between anti-tobacco advertising and smoking were not significantly different for heterosexual and SM adults.
背景
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。
目的
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。
方法
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。
结果
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。
结论
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。
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