Lee Juhan, Kong Grace, Krishnan-Sarin Suchitra, Morean Meghan E
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA.
Department of Epidemiology and Population Health, Montefiore Einstein Comprehensive Cancer Center, Bronx, New York, USA.
Subst Use Misuse. 2025;60(3):414-420. doi: 10.1080/10826084.2024.2434011. Epub 2024 Nov 28.
A risk factor for tobacco use among sexual and gender minority people is exposure to tobacco marketing. This study aimed to assess exposure to tobacco marketing by sexual and gender identity general venues (e.g., bars/clubs, newspapers/magazines), determine the frequency of targeted marketing LGBTQ venues, and examine how exposure to tobacco marketing in LGBTQ venues relates to tobacco use among sexual and gender minority young adults.
We conducted an online survey of US young adults (ages 18-30 years) between July and August 2023. We estimated exposure to tobacco marketing in general and LGBTQ venues. We conducted adjusted logistic regression analyses to examine the association between frequency ("0 times [never]," "1 time," "2 times," "3 times," "4 times," "5 times or more") of tobacco marketing exposure in general and LGBTQ venues and current (past-30-day) tobacco use among sexual and gender minority young adults. The models were adjusted for age, sex, race, alcohol and cannabis use.
Among respondents ( = 1378), = 682 (49.5%) identified as sexual and gender minority individuals. The top 3 LGBTQ venues for tobacco marketing were websites (15%), shows on streaming services (14%), and social media/apps (13%). More frequent exposure to LGBTQ marketing in LGBTQ stores (aOR = 1.58, 95% CI = 1.18, 2.11, = 0.002), newspapers/magazines (aOR = 2.07, 95% CI = 1.30, 3.30, = 0.002), and at events like Pride Festivals (aOR = 1.38, 95% CI = 1.11, 1.71, = 0.003), were associated with current tobacco use among LGBTQ young adults.
This study highlights implications for tobacco marketing regulation such as regulation of tobacco marketing presence in LGBTQ venues.
性少数群体和性别少数群体中烟草使用的一个风险因素是接触烟草营销。本研究旨在评估性少数群体和性别少数群体在一般场所（如酒吧/俱乐部、报纸/杂志）接触烟草营销的情况，确定针对 LGBTQ 场所的定向营销频率，并研究在 LGBTQ 场所接触烟草营销与性少数群体和性别少数群体年轻成年人中的烟草使用之间的关系。
我们在 2023 年 7 月至 8 月期间对美国年轻成年人（18 - 30 岁）进行了一项在线调查。我们估计了在一般场所和 LGBTQ 场所接触烟草营销的情况。我们进行了调整后的逻辑回归分析，以研究在一般场所和 LGBTQ 场所接触烟草营销的频率（“0 次[从不]”、“1 次”、“2 次”、“3 次”、“4 次”、“5 次或更多”）与性少数群体和性别少数群体年轻成年人当前（过去 30 天）烟草使用之间的关联。模型对年龄、性别、种族、酒精和大麻使用情况进行了调整。
在 1378 名受访者中，682 人（49.5%）被认定为性少数群体和性别少数群体个体。烟草营销最多的前三个 LGBTQ 场所是网站（15%）、流媒体服务上的节目（14%）和社交媒体/应用程序（13%）。在 LGBTQ 商店（调整后的比值比 = 1.58，95%置信区间 = 1.18，2.11，P = 0.002）、报纸/杂志（调整后的比值比 = 2.07，95%置信区间 = 1.30，3.30，P = 0.002）以及像骄傲节这样的活动中（调整后的比值比 = 1.38，95%置信区间 = 1.11，1.71，P = 0.003）更频繁地接触 LGBTQ 营销，与 LGBTQ 年轻成年人当前的烟草使用有关。
本研究强调了对烟草营销监管的影响，例如对 LGBTQ 场所中烟草营销存在的监管。
