Mozo Eduardo Hernandez, Siegel Jaclyn A, Douglas Valerie, Flores Justino J, Jones Isaiah J, Rivera David B, Blashill Aaron J
San Diego State University.
SDSU/UCSD Joint Doctoral Program in Clinical Psychology.
Stigma Health. 2025 Mar 10. doi: 10.1037/sah0000625.
Latino and Black sexual minority men are at elevated risk of cigarette use compared to their heterosexual and White SMM counterparts. Internalized homophobia may affect substance use disparities. However, the research linking internalized homophobia and substance use has been inconsistent. The purpose of the present study was to clarify the association between internalized homophobia and daily cigarette use by testing the roles of internalized racism and ethnic identity acceptance as potential moderators of this link. This study collected data from 165 Black and/or Latino SMMs across the United States ( age = 23.72, = 3.85) as part of a larger study. Data were collected from December 2020 to February 2021 via Qualtrics Panels. Zero-inflated Poisson regression was conducted to examine the association between internalized homophobia and daily cigarette use and whether internalized racism and/or ethnic identity acceptance would moderate the association between internalized homophobia and daily cigarette use. Internalized homophobia was negatively associated with daily cigarette use; however, this association was significantly moderated by internalized racism and ethnic identity acceptance. Simple slope analyses revealed that low levels of internalized racism and high levels of ethnic identity acceptance attenuated the positive association between internalized homophobia and daily cigarette use. At low levels of ethnic identity acceptance, the positive association between internalized homophobia and daily cigarette use was strengthened. This research aids in contextualizing the association between internalized homophobia and daily cigarette use among Latino and Black SMM. Implications for smoking treatment and prevention programs are discussed.
与异性恋和白人男同性恋、双性恋及跨性别者(SMM)相比,拉丁裔和黑人男同性恋、双性恋及跨性别者吸烟风险更高。内化的恐同心理可能会影响物质使用方面的差异。然而,将内化的恐同心理与物质使用联系起来的研究结果并不一致。本研究的目的是通过检验内化的种族主义和族群认同接纳作为这一联系的潜在调节因素的作用,来阐明内化的恐同心理与每日吸烟之间的关联。作为一项更大规模研究的一部分,本研究收集了美国165名黑人及/或拉丁裔男同性恋、双性恋及跨性别者的数据(年龄 = 23.72,标准差 = 3.85)。数据于2020年12月至2021年2月通过Qualtrics面板收集。进行零膨胀泊松回归以检验内化的恐同心理与每日吸烟之间的关联,以及内化的种族主义和/或族群认同接纳是否会调节内化的恐同心理与每日吸烟之间的关联。内化的恐同心理与每日吸烟呈负相关;然而,这种关联受到内化的种族主义和族群认同接纳的显著调节。简单斜率分析表明,低水平的内化种族主义和高水平的族群认同接纳减弱了内化的恐同心理与每日吸烟之间的正相关。在族群认同接纳水平较低时,内化的恐同心理与每日吸烟之间的正相关得到加强。本研究有助于将内化的恐同心理与拉丁裔和黑人男同性恋、双性恋及跨性别者每日吸烟之间的关联置于具体情境中。文中还讨论了对吸烟治疗和预防项目的启示。
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