Azagba Sunday, Ebling Todd, Shan Lingpeng
Ross and Carol Nese College of Nursing.
Consortium for Substance Use and Addiction.
Pediatrics. 2023 Mar 1;151(3). doi: 10.1542/peds.2022-058414.
There is consistent evidence that sexual minority youth (SMY) use more traditional cigarettes than their non-SMY counterparts. However, there is relatively less information on e-cigarettes and, importantly, differences between and within SMY populations by race and ethnicity and sex. This study examines e-cigarette use by sexual orientation status and the intersection of race and ethnicity and sex.
Data come from high school students in the 2020 and 2021 National Youth Tobacco Surveys (N = 16 633). Current e-cigarette use prevalence by sexual identity categories was calculated for racial and ethnic subgroups. Multivariable logistic regression analysis examined the association between sexual identity and e-cigarette use by race and ethnicity groups and sex.
E-cigarette use prevalence was higher for most SMY racial and ethnic groups than their non-SMY counterparts. However, multivariable logistic analysis showed varied results by race and ethnic groups, with higher e-cigarette use odds for SMY populations, although not statistically significant for some race and ethnic groups. Black gay or lesbian (adjusted odds ratio: 3.86, 95% confidence interval, 1.61-9.24) and bisexual (adjusted odds ratio: 3.31, 95% confidence interval, 1.32-8.30) high school students had significantly higher e-cigarette use odds than Black heterosexuals. Non-Hispanic Black females e-cigarettes use odds are 0.45 times that of non-Hispanic white males, and non-Hispanic other gay or lesbian had 3.15 times higher e-cigarette use odds than non-Hispanic white heterosexuals.
E-cigarette use is more prevalent among SMY populations. Disparities in e-cigarette use vary depending on race and ethnicity and sex.
有一致的证据表明，性少数群体青少年（SMY）比非性少数群体青少年更多地使用传统香烟。然而，关于电子烟的信息相对较少，重要的是，关于按种族、民族和性别划分的性少数群体内部及之间的差异的信息较少。本研究考察了按性取向状况以及种族、民族和性别交叉情况划分的电子烟使用情况。
数据来自2020年和2021年全国青少年烟草调查中的高中生（N = 16633）。计算了按种族和民族亚组划分的不同性取向类别当前电子烟使用流行率。多变量逻辑回归分析考察了按种族、民族群体和性别划分的性取向与电子烟使用之间的关联。
大多数性少数群体种族和民族群体的电子烟使用流行率高于非性少数群体。然而，多变量逻辑分析显示，不同种族和民族群体的结果各不相同，性少数群体人群使用电子烟的几率较高，尽管对某些种族和民族群体而言无统计学显著性。黑人同性恋或双性恋高中生（调整优势比：3.86，95%置信区间，1.61 - 9.24）和双性恋高中生（调整优势比：3.31，95%置信区间，1.32 - 8.30）使用电子烟 的几率显著高于黑人异性恋高中生。非西班牙裔黑人女性使用电子烟的几率是非西班牙裔白人男性的0.45倍，非西班牙裔其他同性恋或双性恋者使用电子烟的几率比非西班牙裔白人异性恋者高3.15倍。
电子烟在性少数群体人群中使用更为普遍。电子烟使用方面的差异因种族、民族和性别而异。
