Abstract

Sexual minority youth (SMY), especially those who are plurisexual (e.g. bisexual, pansexual, queer), are more likely to use nicotine or develop nicotine dependence than their heterosexual peers, and this disparity is often attributed to minority stress (e.g. discrimination). This study tested the association between minority stress and nicotine use and dependence among SMY and examined the moderating role of impulsivity. A sample of SMY (N = 85; aged 14–19; 80.6% White; 80% plurisexual) who were active nicotine users were recruited from the community. Results indicated that greater discrimination experiences were associated with more nicotine use days and higher nicotine dependence symptoms. However, impulsivity did not moderate the relationship between discrimination and nicotine use or dependence. These results highlight the potential importance of minority stress in understanding SMY’s risk for nicotine use and dependence. This research suggests the need for identifying factors that could place some SMY at greater risk for nicotine use and dependence and points to potential clinical implications for nicotine cessation interventions for SMY.

 抽象的

性少数青少年（SMY），尤其是多性恋者（例如双性恋、泛性恋、酷儿），比异性恋同龄人更有可能使用尼古丁或产生尼古丁依赖，而这种差异通常归因于少数群体压力（例如歧视）。这项研究测试了少数群体压力与 SMY 中尼古丁使用和依赖之间的关联，并检验了冲动的调节作用。从社区中招募了活跃尼古丁使用者的 SMY 样本（ N = 85；年龄 14-19；80.6% 白人；80% 多性恋）。结果表明，更多的歧视经历与更多的尼古丁使用天数和更高的尼古丁依赖症状相关。然而，冲动并没有缓和歧视与尼古丁使用或依赖之间的关系。这些结果强调了少数群体压力在了解 SMY 尼古丁使用和依赖风险方面的潜在重要性。这项研究表明，需要确定可能使某些 SMY 面临更大尼古丁使用和依赖风险的因素，并指出对 SMY 进行尼古丁戒烟干预的潜在临床意义。