Social Ecological Influences on Nicotine/Tobacco Use Among Gender-Varying and Gender-Stable Adolescents and Adults in the USA.

IF 3.6 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Annals of Behavioral Medicine Pub Date : 2024-01-01 DOI:10.1093/abm/kaad066

Luisa Kcomt, Rebecca J Evans-Polce, Curtiss W Engstrom, Jodene Takahashi, Phoenix A Matthews, Phil T Veliz, Brady T West, Sean Esteban McCabe

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引用次数: 0

Abstract

Background and purpose: Our study examined individual-, interpersonal-, community-, and policy-level associations with nicotine/tobacco use among gender-varying and gender-stable U.S. individuals.

Methods: Data from Waves 2-4 (2014/15-2016/18) of the Population Assessment of Tobacco and Health (n = 33,197 U.S. adolescents and adults aged ≥14 years) and state-level gender minority policy data were used. Using multivariable logistic regression, the odds of past-30-day nicotine/tobacco use at W4 were estimated as a function of gender stability/variability, psychological distress, number of tobacco products used by family/friends, anti-tobacco marketing exposure, and change in gender minority-related policies from 2015 to 2017.

Results: Gender-varying individuals had higher odds of nicotine/tobacco use compared with gender-stable individuals (AOR range = 1.7-2.3, p < .01). In the overall sample, positive change in gender minority policy protections (tallied from medium to high) was associated with lower odds of any nicotine/tobacco, other tobacco, and poly-tobacco use (AOR = 0.8, p < .05) compared to states with no change in their negative policies. Anti-tobacco marketing exposure was associated with lower odds of any tobacco, cigarette, e-cigarette, and poly-tobacco use compared with those who had no anti-tobacco marketing exposure (AOR = 0.9, p < .05). Higher psychological distress (AOR range = 1.7-2.4, p < .001) and an increasing number of tobacco products used by family/friends (AOR range = 1.1-1.3, p < .001) were associated with increased odds of nicotine/tobacco use.

Conclusions: Multilevel prevention and intervention strategies are needed to reduce the risk of nicotine/tobacco use among gender-varying and gender-stable individuals.

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美国性别变化和性别稳定的青少年和成年人对尼古丁/烟草使用的社会生态影响

背景和目的:本研究在性别变化和性别稳定的美国个体中调查了个体、人际、社区和政策层面与尼古丁/烟草使用的关联。方法:使用烟草与健康人口评估第2-4波(2014/15-2016/18)(n = 33197名美国≥14岁的青少年和成年人)数据和国家级性别少数民族政策数据。使用多变量logistic回归，估计了W4时过去30天尼古丁/烟草使用的几率，作为性别稳定性/可变性、心理困扰、家庭/朋友使用烟草产品数量、反烟草营销暴露以及2015年至2017年性别少数民族相关政策变化的函数。结果:与性别稳定的个体相比，性别变化个体的尼古丁/烟草使用几率更高(AOR范围= 1.7-2.3,p < 0.01)。在整个样本中，与没有改变负面政策的州相比，性别少数群体政策保护的积极变化(从中到高)与任何尼古丁/烟草、其他烟草和多聚烟草使用的可能性较低相关(AOR = 0.8, p < 0.05)。与没有接触反烟草营销的人相比，接触反烟草营销的人使用任何烟草、香烟、电子烟和多聚烟草的几率较低(AOR = 0.9, p < 0.05)。较高的心理困扰(AOR范围= 1.7-2.4,p < .001)和家庭/朋友使用烟草制品数量的增加(AOR范围= 1.1-1.3,p < .001)与尼古丁/烟草使用几率增加相关。结论:需要多层次的预防和干预策略来降低性别变化和性别稳定个体的尼古丁/烟草使用风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

7.00

自引率

5.30%

发文量

期刊介绍： Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .