Brown Nichelle, Shin Heesung, Smiley Sabrina L
Division of Health Promotion and Behavioral Science, School of Public Health, College of Health and Human Services, San Diego State University, 5500 Campanile Dr., San Diego, CA 92182, USA.
Int J Environ Res Public Health. 2024 Dec 3;21(12):1618. doi: 10.3390/ijerph21121618.
Sexual and gender minority (SGM) individuals in the United States are at greater risk for combustible tobacco use and mental health problems compared to heterosexual and cisgender individuals. National data comparing associations of menthol cigarette use and mental health among transgender and cisgender individuals in the United States are lacking. The goals of the current study were to (1) characterize transgender and cisgender individuals who smoke menthol cigarettes, and (2) investigate cross-sectional associations between gender identity, harm perceptions of cigarettes, mental health experiences, and quality of life. Data were drawn from Wave 5 of the Population Assessment of Tobacco and Health (PATH) Study (2018-2019). A total of 3989 cisgender (mean [SD] age, 40.47 [0.32] years) and transgender (mean [SD] age, 38.36 [0.09] years) participants who reported current (past 30-day) menthol cigarette use were included in the analysis. Comparing transgender to cisgender groups, significant differences were found in associations between harm perceptions of cigarettes (adjusted odds ratio [AOR] 0.07; 95% CI: 0.02-0.28) and reported depression (AOR 4.57; 95% CI: 1.36-15.33). Collectively, these findings provide evidence that transgender adults who smoke menthol cigarettes are less likely than cisgender adults who smoke menthol cigarettes to perceive smoking as harmful to health and more likely to report recent experiences of depression.
与异性恋和顺性别者相比，美国的性取向和性别少数群体（SGM）使用可燃烟草及出现心理健康问题的风险更高。目前缺乏关于美国跨性别者和顺性别者中薄荷醇香烟使用与心理健康之间关联的全国性数据。本研究的目的是：（1）描述吸食薄荷醇香烟的跨性别者和顺性别者的特征；（2）调查性别认同、对香烟危害的认知、心理健康经历和生活质量之间的横断面关联。数据取自烟草与健康人口评估（PATH）研究的第5波（2018 - 2019年）。共有3989名报告当前（过去30天）吸食薄荷醇香烟的顺性别参与者（平均[标准差]年龄，40.47[0.32]岁）和跨性别参与者（平均[标准差]年龄，38.36[0.09]岁）纳入分析。比较跨性别组和顺性别组发现，在对香烟危害的认知（调整优势比[AOR]0.07；95%置信区间：0.02 - 0.28）和报告的抑郁情况（AOR 4.57；95%置信区间：1.36 - 15.33）之间的关联存在显著差异。总体而言，这些发现表明，吸食薄荷醇香烟的跨性别成年人比吸食薄荷醇香烟的顺性别成年人更不容易将吸烟视为对健康有害，且更有可能报告近期的抑郁经历。
