Background

Largely absent from the literature are studies examining differences in tobacco use frequency among sexual minority populations versus heterosexuals. The current study examined the frequency of tobacco product use (i.e., cigarette, e-cigarettes and cigars, smokeless tobacco, hookah, and heated tobacco products) among sexual minority students versus heterosexuals (straight).

Methods

Data from the 2020 National Youth Tobacco Survey (n = 14,531) were analyzed to examine the association between sexual identity (lesbian or gay, bisexual, not sure, and heterosexual or straight) and tobacco use frequency. Negative binomial regression and zero-inflated negative binomial models were used to assess the association between sexual identity and each tobacco use frequency among current and ever users.

Results

Current e-cigarettes users who identified as gay or lesbian used e-cigarette more frequently than heterosexual students. Multivariable count regression analysis showed that the e-cigarette use frequency in the past 30 days was significantly higher for gays or lesbians (IRR 1.45, 95% CI, 1.19–1.76) compared to heterosexuals. Similarly, gay or lesbian students who were current hookah users on average reported 81% more days of hookah use (IRR, 1.81, 95% CI, 1.08–3.03). The frequency of cigarette smoking was also significantly higher among bisexual cigarette smokers. No significant differences were found in other tobacco product use frequencies between sexual minority and heterosexual youths.

Conclusion

Sexual identity was associated with tobacco use frequency, especially for e-cigarettes and hookah. Elevated tobacco use among sexual minority groups deserves special consideration among a population group that is highly vulnerable to marketing and advertisement targeting.

中文翻译：

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不同性别身份的烟草制品使用频率差异

背景

文献中基本上没有关于性少数人群与异性恋者之间烟草使用频率差异的研究。当前的研究检查了性少数学生与异性恋者（直）之间烟草产品的使用频率（即香烟、电子烟和雪茄、无烟烟草、水烟和加热烟草制品）。

方法

分析了 2020 年全国青年烟草调查（n = 14,531）的数据，以检查性身份（女同性恋或男同性恋、双性恋、不确定、异性恋或异性恋）与烟草使用频率之间的关联。使用负二项式回归和零膨胀负二项式模型来评估性别认同与当前和曾经使用者中每种烟草使用频率之间的关联。

结果

当前确定为男同性恋或女同性恋的电子烟用户比异性恋学生更频繁地使用电子烟。多变量计数回归分析显示，与异性恋者相比，男同性恋者或女同性恋者在过去 30 天内的电子烟使用频率显着更高（IRR 1.45，95% CI，1.19-1.76）。同样，目前使用水烟的男同性恋或女同性恋学生报告的水烟使用天数平均增加了 81%（IRR，1.81，95% CI，1.08-3.03）。双性恋吸烟者的吸烟频率也显着更高。性少数和异性恋青年之间在其他烟草制品使用频率上没有发现显着差异。

结论

性别认同与烟草使用频率有关，尤其是电子烟和水烟。在极易受到营销和广告定向攻击的人群中，性少数群体中烟草使用量的增加值得特别考虑。