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Sexual orientation disparities in adolescent cigarette smoking: Intersections with race/ethnicity, gender, and age

Author

Listed:
  • Corliss, H.L.
  • Rosario, M.
  • Birkett, M.A.
  • Newcomb, M.E.
  • Buchting, F.O.
  • Matthews, A.K.

Abstract

Objectives. We examined sexual orientation differences in adolescent smoking and intersections with race/ethnicity, gender, and age. Methods. We pooled Youth Risk Behavior Survey data collected in 2005 and 2007 from 14 jurisdictions; the analytic sample comprised observations from 13 of those jurisdictions (n = 64 397). We compared smoking behaviors of sexual minorities and heterosexuals on 2 dimensions of sexual orientation: identity (heterosexual, gay-lesbian, bisexual, unsure) and gender of lifetime sexual partners (only opposite sex, only same sex, or both sexes). Multivariable regressions examined whether race/ethnicity, gender, and age modified sexual orientation differences in smoking. Results. Sexual minorities smoked more than heterosexuals. Disparities varied by sexual orientation dimension: they were larger when we compared adolescents by identity rather than gender of sexual partners. In some instances race/ethnicity, gender, and age modified smoking disparities: Black lesbians- gays, Asian American and Pacific Islander lesbians-gays and bisexuals, younger bisexuals, and bisexual girls had greater risk. Conclusions. Sexual orientation, race/ethnicity, gender, and age should be considered in research and practice to better understand and reduce disparities in adolescent smoking.

Suggested Citation

  • Corliss, H.L. & Rosario, M. & Birkett, M.A. & Newcomb, M.E. & Buchting, F.O. & Matthews, A.K., 2014. "Sexual orientation disparities in adolescent cigarette smoking: Intersections with race/ethnicity, gender, and age," American Journal of Public Health, American Public Health Association, vol. 104(6), pages 1137-1147.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301819_5
    DOI: 10.2105/AJPH.2013.301819
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    Cited by:

    1. András Költő & Alina Cosma & Honor Young & Nathalie Moreau & Daryna Pavlova & Riki Tesler & Einar B. Thorsteinsson & Alessio Vieno & Elizabeth M. Saewyc & Saoirse Nic Gabhainn, 2019. "Romantic Attraction and Substance Use in 15-Year-Old Adolescents from Eight European Countries," IJERPH, MDPI, vol. 16(17), pages 1-21, August.
    2. András Költő & Aoife Gavin & Elena Vaughan & Colette Kelly & Michal Molcho & Saoirse Nic Gabhainn, 2021. "Connected, Respected and Contributing to Their World: The Case of Sexual Minority and Non-Minority Young People in Ireland," IJERPH, MDPI, vol. 18(3), pages 1-27, January.

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