Rural-urban Residence, Minority Stress, and Tobacco Use among Sexual and Gender Minority Young Adults in Oklahoma and Surrounding States.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI:10.1353/hpu.2025.a967341

Katelyn F Romm, Clark Gilford, Erin A Vogel, Julia M McQuoid, Meng Chen, Amy M Cohn, Carla J Berg

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引用次数: 0

Abstract

Introduction: Sexual and/or gender minority young adults (SGM YAs) display high tobacco use rates but less is known regarding disparities among those residing in rural vs. urban areas.

Methods: Among 609 U.S. SGM YAs (ages 18-25) who completed 2023/2024 surveys, multivariable regressions examined associations of: 1) rurality (vs. urbanicity) with minority stressors (negative behaviors from parents, discrimination, less peer support and SGM community connectedness); and 2) rurality and minority stressors with tobacco use for those assigned female (AFAB) or male (AMAB) at birth, separately.

Results: Among SGM YAs AFAB, rurality predicted greater minority stress (negative parenting, discrimination, less SGM community connectedness). Rurality and minority stressors predicted past-month e-cigarette use, polytobacco use, and nicotine dependence. Among those AMAB, rurality predicted greater nicotine dependence.

Conclusions: Findings provide insights into intervention targets for tobacco use among SGM YAs AFAB residing in rural areas with less SGM community connectedness (i.e., acceptance and resources).

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俄克拉何马州及周边州性少数族裔青年的城乡居住、少数族裔压力和烟草使用

性和/或性别少数青年成年人（SGM YAs）的烟草使用率很高，但对居住在农村和城市地区的年轻人之间的差异知之甚少。方法：对完成2023/2024年调查的609名美国SGM青少年（18-25岁）进行多变量回归分析：1)乡村性（相对于都市性）与少数民族压力源（来自父母的负面行为、歧视、同伴支持不足和SGM社区联系）的关系；2)农村和少数民族压力因素与烟草使用的关系分别为女性（AFAB）或男性（AMAB）。结果：在SGM青少年AFAB中，乡村性预示着更大的少数民族压力（负父母教养、歧视、SGM社区连通性较低）。农村和少数民族压力源预测了过去一个月的电子烟使用、多种烟草使用和尼古丁依赖。在这些AMAB中，乡村性预示着更大的尼古丁依赖。结论：研究结果为居住在SGM社区连系度（即接受度和资源）较低的农村地区的SGM青少年烟草使用的干预目标提供了见解。

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

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.