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LGB Tobacco Control: Do Health Belief Model Constructs Predict Tobacco Use Intentions Differently between LGB and Heterosexual Individuals?

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  • Yachao Li

    (Department of Communication Studies, The College of New Jersey, Ewing, NJ 08628, USA
    Department of Public Health, The College of New Jersey, Ewing, NJ 08628, USA)

  • Bo Yang

    (Department of Communication, University of Arizona, Tucson, AZ 85721, USA)

  • Bryan Chen

    (Department of Public Health, The College of New Jersey, Ewing, NJ 08628, USA)

Abstract

This research includes two studies testing whether the Health Belief Model (HBM) constructs predict tobacco use intentions differently between heterosexual and lesbian, gay, and bisexual (LGB) people. Focusing on cigarette smoking, Study 1 ( n = 1808 U.S. adult current smokers) found that the perceived health threat and perceived benefits of smoking differently predicted intentions to continue smoking between heterosexual and LGB smokers. The perceived health threat of smoking had a weaker negative relationship and perceived benefits of smoking had a stronger positive relationship with smoking intentions among LGB smokers than heterosexual smokers. Focusing on vaping, Study 2 ( n = 2801 U.S. adults) found that the perceived health threat and perceived barriers of vaping differentially predicted vaping intentions between heterosexual and LGB individuals. The perceived health threat of vaping only negatively predicted vaping intentions among heterosexual people. Perceived barriers to vaping had a stronger negative relationship with intentions to vape among LGB people than among heterosexual people. Our finding suggests that compared to perceptions of tobacco-related health consequences (perceived heath threat), behavioral perceptions (perceived benefits and barriers) may have stronger impacts on tobacco use intentions among LGB people. Thus, efforts focusing on reducing tobacco-related disparities among the LGB community should address perceived benefits and barriers of tobacco use.

Suggested Citation

  • Yachao Li & Bo Yang & Bryan Chen, 2021. "LGB Tobacco Control: Do Health Belief Model Constructs Predict Tobacco Use Intentions Differently between LGB and Heterosexual Individuals?," IJERPH, MDPI, vol. 18(13), pages 1-12, June.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:7008-:d:585711
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    References listed on IDEAS

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    5. Caceres, B.A. & Brody, A. & Luscombe, R.E. & Primiano, J.E. & Marusca, P. & Sitts, E.M. & Chyun, D., 2017. "A systematic review of cardiovascular disease in sexual minorities," American Journal of Public Health, American Public Health Association, vol. 107(4), pages 13-21.
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