Kierstead Elexis C, Dimaya Brenda, Palmerini Maureen, Bayacal Gabrielle C, Hair Elizabeth C
Truth Initiative Schroeder Institute, Washington, D.C., USA.
Crux Research, Honeoye Falls, NY, USA.
Nicotine Tob Res. 2024 Dec 4. doi: 10.1093/ntr/ntae286.
LGBT+ individuals in the U.S. use tobacco products more than their heterosexual and cisgender peers. Although existing literature identifies this trend, more research using recent, national data from a large sample is needed to better examine trends over time.
A repeat cross-sectional survey of approximately n=300 youth and young adults aged 15-24 was fielded weekly from October of 2022 to June of 2024, resulting in a total sample of N=25,675. This sample was used to examine cigarette and e-cigarette use over time among LGBT+ and non-LGBT+ youth and young adults. Cigarette and e-cigarette use was also examined by specific sexual orientation and gender identity, using the aggregated sample.
From October 2022 - June 2024, cigarette and e-cigarette use were consistently higher among LGBT+ youth and young adults, compared to their cisgender and heterosexual peers. Compared to heterosexual young people, gay/lesbian and bisexual young people reported higher cigarette and e-cigarette use. Male-identifying individuals reported the highest cigarette use while, female young people reported the highest e-cigarette use. Transgender and gender diverse individuals reported lower cigarette and e-cigarette use than cisgender young people.
Tobacco use disparities persist among LGBT+ youth and young adults. Sexual minority respondents showed elevated risk of tobacco use, while gender minority youth saw lower rates of tobacco use, although prevalence remains high. Future research should continue to investigate LGBT+ tobacco use using national surveillance methods. Effective programs for tobacco prevention and cessation are necessary to advance health equity among LGBT+ youth and young adults.
This study finds persistently elevated tobacco use among LGBT+ youth and young adults over a two-year period, highlighting the importance of continued tobacco use surveillance, as well as the development of programmatic interventions to reduce LGBT+ tobacco use. These analyses also inform future work further investigating differences in tobacco use by sexual orientation and gender identity among young people. This work provides a call to action to focus efforts on reducing tobacco use among LGBT+ youth, improving the long-term health of this population and increasing health equity.
美国的 LGBT+ 群体比异性恋和顺性别同龄人更多地使用烟草制品。尽管现有文献已确认了这一趋势，但仍需要更多使用近期来自大样本的全国性数据的研究，以便更好地考察随时间推移的趋势。
从 2022 年 10 月至 2024 年 6 月每周进行一次对约 n = 300 名 15 - 24 岁青少年和青年成年人的重复横断面调查，最终样本总量为 N = 25,675。该样本用于考察 LGBT+ 和非 LGBT+ 青少年及青年成年人随时间推移的卷烟和电子烟使用情况。还使用汇总样本按特定性取向和性别认同来考察卷烟和电子烟使用情况。
在 2022 年 10 月至 2024 年 6 月期间，与顺性别和异性恋同龄人相比，LGBT+ 青少年及青年成年人的卷烟和电子烟使用率一直更高。与异性恋年轻人相比，男同性恋/女同性恋和双性恋年轻人报告的卷烟和电子烟使用率更高。自我认同为男性的个体报告的卷烟使用率最高，而年轻女性报告的电子烟使用率最高。与顺性别年轻人相比，跨性别和性别多样化个体报告的卷烟和电子烟使用率较低。
LGBT+ 青少年及青年成年人中烟草使用差异持续存在。性少数群体受访者的烟草使用风险升高，而性别少数群体青少年的烟草使用率较低，尽管患病率仍然很高。未来的研究应继续使用全国监测方法调查 LGBT+ 群体的烟草使用情况。有必要制定有效的烟草预防和戒烟项目，以促进 LGBT+ 青少年及青年成年人中的健康公平。
本研究发现，在两年时间里，LGBT+ 青少年及青年成年人的烟草使用率持续升高，凸显了持续进行烟草使用监测以及制定减少 LGBT+ 群体烟草使用的项目干预措施的重要性。这些分析也为未来进一步研究年轻人中按性取向和性别认同划分的烟草使用差异的工作提供了参考。这项工作呼吁采取行动，集中精力减少 LGBT+ 青少年中的烟草使用情况，改善这一群体的长期健康状况并提高健康公平性。
