Figueroa Wilson, Jankowski Emma, Curran Hayley, Ennis Alysha C, Poteat Tonia, Morgan Ethan, Klein Elizabeth, Reczek Rin, Patterson Joanne G
Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, 381 Cunz Hall, 1841 Neil Ave, Columbus, OH 43210, USA.
Division of Health Behavior and Health Promotion, Ohio State University College of Public Health, 353 Cunz Hall, 1841 Neil Ave, Columbus, OH, USA.
Drug Alcohol Depend. 2024 Aug 1;261:111356. doi: 10.1016/j.drugalcdep.2024.111356. Epub 2024 Jun 6.
Young adults who are sexual and gender minorities (SGM) are at the highest risk for tobacco initiation in young adulthood. Minority stress theory suggests that sexual orientation and gender identity (SOGI)-based discrimination may contribute to nicotine and tobacco use disparities. Our study aimed to quantify the association between SOGI-based distal minority stressors and current tobacco use among SGM young adults living in the United States (US).
Eligible participants-including young adults (aged 18-35 years old), who identified as SGM, and were currently residing in the US (N=1116) -were recruited via Prolific into an online survey. We applied stepwise binary regressions with backward selection to model the association between average past 30-day distal minority stress and current tobacco use (i.e., combustible cigarettes or e-cigarettes), controlling for perceived stress and sociodemographic covariates. We also tested interactions between minority stress and SGM status. Exploratory analyses assessed associations between minority stress and current tobacco use among YA, stratified by SGM subgroup.
A 1-unit increase in experiencing minority stress in the past 30-days was associated with 1.02 greater odds of current tobacco use among SGM young adults. No difference between SGM subgroups in this association was found. Examining stratified SGM subgroups, a 1-unit increase in minority stress was associated with 1.11 greater odds of current tobacco among transgender adults only.
Distal minority stress is differentially associated with current tobacco use for transgender young adults, which suggests that tobacco prevention and cessation interventions may need tailoring for subgroups.
This study details the influence of minority stress on current tobacco use among sexual and gender minority (SGM) young adults. Findings underscore the need for targeted and tailored approaches to tobacco control, wherein SGM young adults most at-risk are engaged in cessation interventions that address minority stress as a contributing factor to tobacco use and which support their resilience. To promote health equity, tobacco control must address the contexts that engender minority stress. Assessment of policy impacts on SGM tobacco use and the effectiveness of interventions disseminated within SGM-supportive and discriminatory policy environments are important next steps.
性取向和性别少数群体（SGM）的年轻人在青年时期开始吸烟的风险最高。少数群体压力理论表明，基于性取向和性别认同（SOGI）的歧视可能导致尼古丁和烟草使用方面的差异。我们的研究旨在量化在美国生活的SGM青年中，基于SOGI的远端少数群体压力源与当前烟草使用之间的关联。
符合条件的参与者——包括18至35岁、自我认同为SGM且目前居住在美国的年轻人（N = 1116）——通过Prolific平台招募参加在线调查。我们应用逐步二元回归和向后选择来建立过去30天平均远端少数群体压力与当前烟草使用（即可燃香烟或电子烟）之间的关联模型，同时控制感知压力和社会人口统计学协变量。我们还测试了少数群体压力与SGM身份之间的相互作用。探索性分析评估了按SGM亚组分层的青年中少数群体压力与当前烟草使用之间的关联。
在过去30天内，经历的少数群体压力每增加1个单位，SGM青年当前使用烟草的几率就会增加1.02倍。在这种关联中未发现SGM亚组之间存在差异。在对SGM亚组进行分层分析时，少数群体压力每增加1个单位，仅与跨性别成年人当前使用烟草的几率增加1.11倍相关。
远端少数群体压力与跨性别青年当前的烟草使用存在差异关联，这表明烟草预防和戒烟干预措施可能需要针对不同亚组进行调整。
本研究详细阐述了少数群体压力对性取向和性别少数群体（SGM）青年当前烟草使用的影响。研究结果强调了采取有针对性和量身定制的烟草控制方法的必要性，即让风险最高的SGM青年参与戒烟干预措施，这些措施要将少数群体压力作为烟草使用的一个促成因素加以解决，并支持他们的恢复力。为促进健康公平，烟草控制必须解决产生少数群体压力的环境问题。评估政策对SGM烟草使用的影响以及在支持SGM和歧视性政策环境中传播的干预措施的有效性是接下来的重要步骤。
