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Sexual Orientation Discrimination and Exclusive, Dual, and Polytobacco Use among Sexual Minority Adults in the United States

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Listed:
  • Delvon T. Mattingly

    (Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

  • Andrea R. Titus

    (Department of Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA)

  • Jana L. Hirschtick

    (Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

  • Nancy L. Fleischer

    (Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

Abstract

Research on whether sexual orientation discrimination is associated with multiple tobacco product use among sexual minority (SM) adults is limited. Thus, we explored the associations between sexual orientation discrimination and exclusive, dual, and polyuse among a subset of SM adults (18+) ( n = 3453) using the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions-III. We evaluated six indicators of prior-to-past-year sexual orientation discrimination separately and as a summary scale and defined past-year exclusive, dual, and polyuse based on cigarette, electronic nicotine delivery systems, other combustible (cigars and traditional pipe), and smokeless tobacco products. Using multinomial logistic regression, we estimated adjusted associations between sexual orientation discrimination and exclusive, dual, and polyuse. Experiencing discrimination in public places, being called names, and being bullied, assaulted, or threatened were associated with dual use, while experiencing discrimination when obtaining health care or insurance and when receiving health care were associated with polyuse. Each one-unit increase in the sexual orientation discrimination summary scale was associated with 5% and 10% higher odds of dual (95% CI: 1.01–1.10) and polyuse (95% CI: 1.02–1.18), respectively. To conclude, we advise health professionals to consider the salience of discrimination against SM adults and how these experiences lead to dual/polyuse.

Suggested Citation

  • Delvon T. Mattingly & Andrea R. Titus & Jana L. Hirschtick & Nancy L. Fleischer, 2022. "Sexual Orientation Discrimination and Exclusive, Dual, and Polytobacco Use among Sexual Minority Adults in the United States," IJERPH, MDPI, vol. 19(10), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6305-:d:821491
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    References listed on IDEAS

    as
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    2. McCabe, S.E. & Bostwick, W.B. & Hughes, T.L. & West, B.T. & Boyd, C.J., 2010. "The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1946-1952.
    3. Gamarel, K.E. & Reisner, S.L. & Parsons, J.T. & Golub, S.A., 2012. "Association between socioeconomic position discrimination and psychological distress: Findings from a community-based sample of gay and bisexual men in New York City," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2094-2101.
    4. Theo Beltran & Amani M. Allen & Jess Lin & Caitlin Turner & Emily J. Ozer & Erin C. Wilson, 2019. "Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area," IJERPH, MDPI, vol. 16(22), pages 1-11, November.
    5. Krieger, Nancy & Smith, Kevin & Naishadham, Deepa & Hartman, Cathy & Barbeau, Elizabeth M., 2005. "Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health," Social Science & Medicine, Elsevier, vol. 61(7), pages 1576-1596, October.
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