Discrimination and Tobacco Use in LGBTQ Young Adults

Tobacco Control is an international journal aimed at studying the nature and consequences of tobacco use worldwide, including its impact on population health, the economy, the environment, and society. The journal seeks to prevent and control the widespread use of tobacco through promoting public knowledge of tobacco, industry ethics, policy-making, and social activism by the tobacco industry and its allies, playing a positive role in these areas. On December 7, 2022, the journal published a paper entitled "Discrimination, Identity Connectedness and Tobacco Use in a Sample of Sexual and Gender Minority Young Adults".

Source of image: The front page of the December 2022 issue of "Tobacco Control" journal, featuring an article on discrimination, identity affiliation, and smoking behavior among young adults in the LGBTQ community.

The summary of this paper can be translated into standard journalistic English as follows:

Title: Higher Tobacco Use Among Sexual and Gender Minority Populations According to previous research in academia, a widely accepted viewpoint is that sexual and gender minority (SGM) populations have higher smoking rates than heterosexual or cisgender populations. However, there is little research exploring the smoking habits of different racial/ethnic SGM subgroups or the association between SGM-specific discrimination and identity with smoking behavior. A new study in the United States has shown that SGM populations have higher tobacco use rates compared to heterosexual populations. The study also found differences in tobacco use rates among SGM subgroups based on ethnicity and identity.

The research team includes experts and scholars Alex Budenz, Jennifer Gaber, Erik Crankshaw, Andie Malterud, Emily B Peterson, Dana E Wagner, and Emily C Sanders. These individuals come from various organizations, including the Center for Tobacco Products in the Office of Health Communication and Education at the U.S. Food and Drug Administration, the Center for Health Analytics, Media and Policy at RTI International, and the Research Department at Rescue Agency.

Research methodology: This study surveyed 11,313 young American sexual and gender minority (SGM) adults to investigate the associations between different tobacco use methods (including traditional cigarettes, e-cigarettes, cigars, and tobacco powder) and SGM sub-populations, race/ethnicity, SGM-specific discrimination, and identity. Data analysis was conducted using multiple logistic regression models to predict the relationships between SGM sub-populations, race/ethnicity, SGM-specific discrimination, identity, and various tobacco use methods.

Investigation Results: The study revealed that there are differences in tobacco use among sub-groups of the sexual minority population and between different races/ethnicities. Female homosexuals (especially black female homosexuals) are more likely than average to use multiple tobacco products. White bisexuals and female homosexuals have a higher likelihood of smoking cigarettes and e-cigarettes than the average. Severe discrimination is associated with the use of multiple tobacco products, and the more likely SGM groups are to identify with discrimination and tobacco use being positively correlated, the more likely they are to defend their smoking behavior as being reasonable.

Conclusion: This study found differences in tobacco use among SGM subgroups and among different races/ethnicities. Experiencing discrimination may be a risk factor for tobacco use behavior, while a strong sense of SGM identity may provide an explanatory role for certain tobacco use behaviors among gender and sexual minorities and those experiencing specific SGM discrimination. These findings can guide targeted approaches to reach SGM subgroups at higher risk for tobacco use. The researchers call for the development of more comprehensive and precise policies and interventions to eliminate the inequality surrounding this public health issue.

Reference:

Discrimination, Identity Connections, and Tobacco Use Among Sexual and Gender Minority Young Adults: A Study

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