性少数群体女性和男性的烟草和大麻使用模式：社会人口学和心理社会相关因素的作用。
Patterns of Tobacco and Cannabis Use Among Sexual Minority Females and Males From PATH Wave 5: The Role of Sociodemographic and Psychosocial Correlates.
机构信息
TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
出版信息
Subst Use Addctn J. 2024 Jul;45(3):397-407. doi: 10.1177/29767342231222245. Epub 2024 Jan 28.
INTRODUCTION
Although sexual minority (SM; vs heterosexual) individuals display higher rates of tobacco and cannabis use, limited research has examined sociodemographic and psychosocial correlates of single and co-use among this population.
METHODS
Participants were SM-identifying female (N = 2419; = 27.80; 50.0% racial/ethnic minority) and male (N = 1142; = 30.34; 46.1% racial/ethnic minority) adults from Wave 5 of the Population Assessment of Tobacco and Health study. Multinomial logistic regressions examined sociodemographic (ie, sexual identity, age, race/ethnicity, education, income) and psychosocial (ie, alcohol use, mental health, substance use) correlates of single and co-use (ie, no use [referent], tobacco-only, cannabis-only, co-use), controlling for state cannabis legalization, among SM females and males, separately.
RESULTS
The proportions of SM females reporting no use, tobacco-only, cannabis-only, and co-use were 37.9%, 24.0%, 10.5%, and 27.6%, respectively. Among males, 40.6%, 27.8%, 10.1%, and 21.5% reported no use, tobacco-only, cannabis-only, and co-use, respectively. Among females and males, substance use problems were associated with all 3 use groups (vs no use); past-month alcohol use was associated with cannabis-only and co-use; and mental health symptoms were associated with co-use (and cannabis-only in males). Sociodemographic correlates among females were: tobacco-only-identifying as bisexual (vs lesbian), White (vs Black), older, lower education, and lower income; cannabis-only-bisexual, other race (vs White); and co-use-White (vs Hispanic), lower education, and lower income. Among males, sociodemographic correlates were: tobacco-only-older, lower education, and lower income; cannabis-only-Black (vs White) and higher income.
CONCLUSIONS
Public health efforts to reduce tobacco and cannabis use among SM adults should target single versus co-use patterns and their corresponding sociodemographic, mental health, and substance use profiles.
介绍
尽管性少数群体（SM；与异性恋相比）的烟草和大麻使用率较高，但很少有研究调查过该人群中单用和共同使用的社会人口学和心理社会相关因素。
方法
参与者为来自人口烟草与健康评估研究第五波的性少数群体认同的女性（N=2419；均值=27.80；50.0%为少数民族/族裔）和男性（N=1142；均值=30.34；46.1%为少数民族/族裔）成年人。多项逻辑回归分析了社会人口学（即性认同、年龄、种族/族裔、教育、收入）和心理社会（即酒精使用、心理健康、物质使用）因素与女性和男性SM 中的单一和共同使用（即无使用[参照]、仅烟草、仅大麻、共同使用）的相关性，同时控制了各州的大麻合法化情况。
结果
报告无使用、仅烟草、仅大麻和共同使用的 SM 女性比例分别为 37.9%、24.0%、10.5%和 27.6%。男性分别为 40.6%、27.8%、10.1%和 21.5%。在女性和男性中，物质使用问题与所有 3 个使用群体（与无使用相比）相关；过去一个月的酒精使用与仅大麻和共同使用相关；心理健康症状与共同使用（男性中与仅大麻相关）相关。女性中的社会人口学相关性为：仅烟草-双性恋（与女同性恋相比）、白种人（与黑种人相比）、年龄较大、教育程度较低、收入较低；仅大麻-双性恋、其他种族（与白种人相比）；共同使用-白种人（与西班牙裔相比）、教育程度较低、收入较低。对于男性，社会人口学相关性为：仅烟草-年龄较大、教育程度较低、收入较低；仅大麻-黑种人（与白种人相比）和较高收入。
结论
针对 SM 成年人减少烟草和大麻使用的公共卫生工作应针对单一与共同使用模式及其相应的社会人口学、心理健康和物质使用特征。
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