Lee Juhan, Weinberger Andrea H, Parker Maria A
Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, New York; Department of Epidemiology and Population Health, Montefiore Einstein Comprehensive Cancer Center, Bronx, New York.
Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, New York; Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York; Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, New York.
Am J Prev Med. 2025 Aug 5;69(6):108013. doi: 10.1016/j.amepre.2025.108013.
Cannabis vaping has gained popularity, particularly among sexual minority individuals. Sexual minority individuals experience high levels of serious psychological distress, which might worsen cannabis vaping disparities. This study examined cannabis vaping prevalence by sexual identity and serious psychological distress.
Data were drawn from the U.S. 2022-2023 National Survey on Drug Use and Health (N=92,233). A weighted multivariable binomial logistic regression model assessed past-month cannabis vaping (no, yes) by sexual identity (heterosexual/straight, gay/lesbian, bisexual), past-month serious psychological distress (no, yes; assessed with Kessler-6), and their interaction. The model was adjusted for survey year and sociodemographic variables. The data analysis was conducted in May 2025.
Among respondents, 2.7% identified as gay/lesbian, 5.4% identified as bisexual, 5.6% reported past-month cannabis vaping, and 7.6% experienced serious psychological distress. More bisexual (18.4%) and gay/lesbian (11.3%) adults reported past-month cannabis vaping than heterosexual adults (4.6%). Gay/lesbian adults with serious psychological distress (AOR=2.07, 95% CI=1.20, 3.59) and bisexual adults with serious psychological distress (AOR=1.97; 95% CI=1.57, 2.47) were more likely to vape cannabis than heterosexual adults who did not experience serious psychological distress.
Serious psychological distress was a significant moderator of the association between sexual identity and cannabis vaping among U.S. adults. Findings provide important directions for future research, including the need to identify and examine specific sexual minority stressors and their interplay with cannabis vaping behaviors in this population.
吸食大麻电子烟已变得越来越普遍，尤其是在性少数群体中。性少数群体经历着高水平的严重心理困扰，这可能会加剧吸食大麻电子烟的差异。本研究按性取向和严重心理困扰情况调查了吸食大麻电子烟的流行率。
数据取自美国2022 - 2023年全国药物使用和健康调查（N = 92,233）。一个加权多变量二项逻辑回归模型按性取向（异性恋、同性恋、双性恋）、过去一个月的严重心理困扰情况（无、有；用凯斯勒6项量表评估）及其相互作用来评估过去一个月吸食大麻电子烟的情况（否、是）。该模型针对调查年份和社会人口统计学变量进行了调整。数据分析于2025年5月进行。
在受访者中，2.7%的人认定为同性恋，5.4%的人认定为双性恋，5.6%的人报告过去一个月吸食过大麻电子烟，7.6%的人经历过严重心理困扰。与异性恋成年人（4.6%）相比，更多双性恋成年人（18.4%）和同性恋成年人（11.3%）报告过去一个月吸食过大麻电子烟。有严重心理困扰的同性恋成年人（调整后比值比[AOR]=2.07，95%置信区间[CI]=1.20，3.59）和有严重心理困扰的双性恋成年人（AOR = 1.97；95% CI =
