Tobacco Control最新文献_第2页

Valuing indigenous wisdom: invited comment. 重视本土智慧：特邀评论。

IF 4 2区医学

Tobacco Control Pub Date : 2024-11-10 DOI: 10.1136/tc-2022-057919

Papaarangi Reid

引用次数: 0

Tobacco endgame intervention impacts on health gains and Māori:non-Māori health inequity: a simulation study of the Aotearoa/New Zealand Tobacco Action Plan. 烟草终局干预对健康收益和毛利人与非毛利人健康不平等的影响：对奥特亚罗瓦/新西兰烟草行动计划的模拟研究。

IF 4 2区医学

Tobacco Control Pub Date : 2024-11-10 DOI: 10.1136/tc-2022-057655

Driss Ait Ouakrim, Tim Wilson, Andrew Waa, Raglan Maddox, Hassan Andrabi, Shiva Raj Mishra, Jennifer A Summers, Coral E Gartner, Raymond Lovett, Richard Edwards, Nick Wilson, Tony Blakely

{"title":"Tobacco endgame intervention impacts on health gains and Māori:non-Māori health inequity: a simulation study of the Aotearoa/New Zealand Tobacco Action Plan.","authors":"Driss Ait Ouakrim, Tim Wilson, Andrew Waa, Raglan Maddox, Hassan Andrabi, Shiva Raj Mishra, Jennifer A Summers, Coral E Gartner, Raymond Lovett, Richard Edwards, Nick Wilson, Tony Blakely","doi":"10.1136/tc-2022-057655","DOIUrl":"10.1136/tc-2022-057655","url":null,"abstract":"Background: The Aotearoa/New Zealand Government is aiming to end the tobacco epidemic and markedly reduce Māori:non-Māori health inequalities by legislating: (1) denicotinisation of retail tobacco, (2) 95% reduction in retail outlets and (c) a tobacco free-generation whereby people born after 2005 are unable to legally purchase tobacco. This paper estimates future smoking prevalence, mortality inequality and health-adjusted life year (HALY) impacts of these strategies.Methods: We used a Markov model to estimate future yearly smoking and vaping prevalence, linked to a proportional multistate life table model to estimate future mortality and HALYs.Results: The combined package of strategies (plus media promotion) reduced adult smoking prevalence from 31.8% in 2022 to 7.3% in 2025 for Māori, and 11.8% to 2.7% for non-Māori. The 5% smoking prevalence target was forecast to be achieved in 2026 and 2027 for Māori males and females, respectively.The HALY gains for the combined package over the population's remaining lifespan were estimated to be 594 000 (95% uncertainty interval (UI): 443 000 to 738 000; 3% discount rate). Denicotinisation alone achieved 97% of these HALYs, the retail strategy 19% and tobacco-free generation 12%.By 2040, the combined package was forcat to reduce the gap in Māori:non-Māori all-cause mortality rates for people 45+ years old by 22.9% (95% UI: 19.9% to 26.2%) for females and 9.6% (8.4% to 11.0%) for males.Conclusion: A tobacco endgame strategy, especially denicotinisation, could deliver large health benefits and dramatically reduce health inequities between Māori and non-Māori in Aotearoa/New Zealand.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e173-e184"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10865343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Area-level sociodemographic differences in tobacco availability examined with nationwide tobacco product retail licence data in Finland. 利用芬兰全国烟草制品零售许可证数据研究烟草供应的地区级社会人口差异。

IF 4 2区医学

Tobacco Control Pub Date : 2024-11-10 DOI: 10.1136/tc-2022-057798

Salla-Maaria Pätsi, Arho Toikka, Hanna Ollila, Otto Ruokolainen

{"title":"Area-level sociodemographic differences in tobacco availability examined with nationwide tobacco product retail licence data in Finland.","authors":"Salla-Maaria Pätsi, Arho Toikka, Hanna Ollila, Otto Ruokolainen","doi":"10.1136/tc-2022-057798","DOIUrl":"10.1136/tc-2022-057798","url":null,"abstract":"Background: Differences in tobacco retailer density between areas by sociodemographic composition have been observed. However, little research comes from European jurisdictions and from countries with a tobacco retail licensing system. In Finland, the system consists of criteria for retailers and supervision fees.Methods: The tobacco product retail licence data and sociodemographic data were retrieved from corresponding Finnish authorities. Area-level tobacco availability was measured as the presence of a retailer and as the number of retailers per 1000 inhabitants by postcode area. Sociodemographic indicators included median income, percentage of inhabitants in the lowest income tertile, percentage of adults with higher education and unemployment rate. Analyses were based on logistic regression and Ordinary Least Squares regression with log-transformed density.Results: Lower area-level sociodemographic composition was mainly associated with higher tobacco availability. Income was the strongest correlate of the tobacco retailer availability: areas with higher median income had lower odds of having a tobacco retailer (OR 0.54, 95% CI 0.48 to 0.61 per €1000) and lower retailer density (-4.4% per €1000, Cohen's f=0.51). Areas with a greater proportion of people in the lowest income category had higher densities of tobacco retailers (+2.8% per percentage point, Cohen's f=0.07). Other sociodemographic indicators showed inconsistent associations with retailer presence and density.Conclusion: Tobacco availability can be higher in areas with lower sociodemographic composition also in a country with a comprehensive tobacco retail licensing system and small income inequalities. Retailing policies should be further developed to reduce tobacco availability and narrow inequalities in tobacco use.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e158-e164"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9399089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foregrounding women and household dynamics to inform Article 17: a qualitative description analysis of tobacco farming households in Mozambique. 重视妇女和家庭动态，为第 17 条提供信息：对莫桑比克烟草种植家庭的定性描述分析。

IF 4 2区医学

Tobacco Control Pub Date : 2024-11-10 DOI: 10.1136/tc-2022-057881

Madelyn Clark, Benedito Cunguara, Stella Bialous, Kathleen Rice, Jeffrey Drope, Ronald Labonte, Raphael Lencucha

{"title":"Foregrounding women and household dynamics to inform Article 17: a qualitative description analysis of tobacco farming households in Mozambique.","authors":"Madelyn Clark, Benedito Cunguara, Stella Bialous, Kathleen Rice, Jeffrey Drope, Ronald Labonte, Raphael Lencucha","doi":"10.1136/tc-2022-057881","DOIUrl":"10.1136/tc-2022-057881","url":null,"abstract":"Purpose: This paper examines the intrahousehold dynamics between women and men present in tobacco farming households in Mozambique. Attention to the experiences and realities of the smallholder farmers is crucial for understanding approaches to alternative livelihoods. Intrahousehold dynamics can provide important insights into how these households and their members view tobacco production and engage with the political economy of tobacco farming, how they make decisions, and the rationale and values behind these decisions.Methods: Data were collected through single-gender focus group discussions (n=8) with 108 participants (men=57, women=51). Analysis was informed by a qualitative description methodology. This research presents a gender-based analysis examining the perspectives, roles, decision-making processes and desires of female and male tobacco farmers in four key tobacco-growing districts in Mozambique.Findings: Throughout this paper, women are found to hold leverage and influence in tobacco farming households, and this leverage is in part gained via the necessity of women's unpaid labour in achieving profitability in tobacco farming. Both women and men are also found to strongly desire and pursue the well-being of the household.Conclusion: Women hold agency within tobacco-growing households and participate in decision-making processes regarding tobacco agriculture. Women should be included in future tobacco control policies and programmes pertaining to Article 17.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e185-e191"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9866564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tobacco industry accountability for marine pollution: country and global estimates. 烟草业对海洋污染的问责:国家和全球估计。

IF 4 2区医学

Tobacco Control Pub Date : 2024-11-10 DOI: 10.1136/tc-2022-057795

Deborah K Sy

{"title":"Tobacco industry accountability for marine pollution: country and global estimates.","authors":"Deborah K Sy","doi":"10.1136/tc-2022-057795","DOIUrl":"10.1136/tc-2022-057795","url":null,"abstract":"Background: Commercial cigarette filters are single-use plastics and the main component of cigarette butts, the most common trash item collected worldwide. Governments bear the economic burden of managing the waste and the environmental pollution due to discarded filters and packages. Using available data sources, we estimate the economic burden of plastic tobacco waste on country economic groups.Methods: We reviewed available public data sources that could inform estimates of the economic environmental burden of butt waste for countries. We estimated total weight of plastic cigarette filters and packaging based on cigarette consumption and applied World Bank waste management cost estimates per ton to this total. We then applied estimates of ecosystem losses per ton of plastic waste provided by the World Wildlife Fund to establish losses attributable to tobacco's plastics.Results: We estimate that US$25.7 billion is lost annually (waste management and marine ecosystem service losses) due to cigarette plastic sources. We estimate US$186 billion in such losses over a 10-year period, adjusted for inflation. Countries are making progress in developing plastics policies, particularly banning single-use ones, but the costs of tobacco's plastic pollution are overlooked.Conclusion: Efforts to reduce plastic pollution should address cigarette filters as toxic, widespread and preventable sources of marine pollution. Countries may develop specific estimates of waste management and ecosystem costs in order to assign tobacco industry accountability for this pollution. These results indicate minimum estimates for a majority of countries.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e214-e217"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138483022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vaping and socioeconomic inequalities in smoking cessation and relapse: a longitudinal analysis of the UK Household Longitudinal Study. 吸烟与戒烟和复吸中的社会经济不平等：英国家庭纵向研究的纵向分析。

IF 4 2区医学

Tobacco Control Pub Date : 2024-11-10 DOI: 10.1136/tc-2022-057728

Iain Hardie, Michael James Green

{"title":"Vaping and socioeconomic inequalities in smoking cessation and relapse: a longitudinal analysis of the UK Household Longitudinal Study.","authors":"Iain Hardie, Michael James Green","doi":"10.1136/tc-2022-057728","DOIUrl":"10.1136/tc-2022-057728","url":null,"abstract":"Background: Smoking is a key cause of socioeconomic health inequalities. Vaping is considered less harmful than smoking and has become a popular smoking cessation aid, and therefore has potential to reduce inequalities in smoking.Methods: We used longitudinal data from 25 102 participants in waves 8-10 (2016 to early 2020) of the UK Household Longitudinal Study to examine how vaping affects socioeconomic inequalities in smoking cessation and relapse. Marginal structural models were used to investigate whether vaping mediates or moderates associations between educational attainment and smoking cessation and relapse over time. Multiple imputation and weights were used to adjust for missing data.Results: Respondents without degrees were less likely to stop smoking than those with a degree (OR: 0.65; 95% CI 0.54-0.77), and more likely to relapse (OR: 1.74; 95% CI 1.37-2.22), but this inequality in smoking cessation was not present among regular vapers (OR: 0.99; 95% CI 0.54-1.82). Sensitivity analyses suggested that this finding did not hold when comparing those with or without any qualifications. Inequalities in smoking relapse did not clearly differ by vaping status.Conclusions: Vaping may be especially helpful as a cessation aid for smokers without degree level education and therefore may help reduce inequalities in smoking. Nevertheless, other supports or aids may be needed to reach the most disadvantaged (ie, those with no qualifications) and to help people avoid relapse after cessation, though we did not find clear evidence suggesting that vaping would increase inequalities in relapse.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e165-e172"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9378965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tobacco endgame and priority populations: a scoping review. 烟草终局与重点人群：范围界定审查。

IF 4 2区医学

Tobacco Control Pub Date : 2024-11-10 DOI: 10.1136/tc-2022-057715

Cheneal Puljević, Leah Feulner, Maria Hobbs, Daniel Erku, Billie Bonevski, Catherine Segan, Amanda Baker, Marita Hefler, Ara Cho, Coral Gartner

{"title":"Tobacco endgame and priority populations: a scoping review.","authors":"Cheneal Puljević, Leah Feulner, Maria Hobbs, Daniel Erku, Billie Bonevski, Catherine Segan, Amanda Baker, Marita Hefler, Ara Cho, Coral Gartner","doi":"10.1136/tc-2022-057715","DOIUrl":"10.1136/tc-2022-057715","url":null,"abstract":"Aim: To summarise the research literature on the impacts or perceptions of policies to end tobacco use at a population level (ie, tobacco endgame policies) among people from eight priority population groups (experiencing mental illness, substance use disorders, HIV, homelessness, unemployment or low incomes, who identify as lesbian, gay, bisexual, transgender, queer or intersex (LGBTQI+) or who have experienced incarceration).Methods: Guided by JBI Scoping Review Methodology, we searched six databases for original research examining the impacts or perceptions of 12 tobacco endgame policies among eight priority populations published since 2000. We report the results according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist.Results: Of the 18 included studies, one described perceptions of five endgame policies among people on low incomes in Aotearoa (New Zealand), and 17 focused on the effectiveness or impacts of a very low nicotine content (VLNC) cigarette standard among people experiencing mental illness (n=14), substance use disorders (n=8), low incomes (n=6), unemployment (n=1) or who identify as LGBTQI+ (n=1) in the USA. These studies provide evidence that VLNC cigarettes can reduce tobacco smoking, cigarette cravings, nicotine withdrawal and nicotine dependence among these populations.Conclusions: Most of the tobacco endgame literature related to these priority populations focuses on VLNC cigarettes. Identified research gaps include the effectiveness of endgame policies for reducing smoking, impacts (both expected and unexpected) and policy perceptions among these priority populations.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e231-e239"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10647345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vape store density and proximity to schools in Denpasar, Bali, Indonesia. 印度尼西亚巴厘岛登巴萨的 Vape 商店密度和学校距离。

IF 4 2区医学

Tobacco Control Pub Date : 2024-11-10 DOI: 10.1136/tc-2023-058037

Ni Komang Widiantari, Ni Made Dian Kurniasari, I Gusti Made Gde Surya Chandra Trapika, Putu Ayu Swandewi Astuti

{"title":"Vape store density and proximity to schools in Denpasar, Bali, Indonesia.","authors":"Ni Komang Widiantari, Ni Made Dian Kurniasari, I Gusti Made Gde Surya Chandra Trapika, Putu Ayu Swandewi Astuti","doi":"10.1136/tc-2023-058037","DOIUrl":"10.1136/tc-2023-058037","url":null,"abstract":"Objective: Electronic cigarettes (e-cigarettes) use among youth in Indonesia is rising, and there is no regulation surrounding sale of e-cigarettes. This study aims to map the distribution and density of vape stores and their proximity to schools and cafes as well as assess selling of e-cigarettes to youth under 18 years in Denpasar, Bali.Methods: Using QGIS V.3.18.1 software, we conducted a geographic mapping of all vape stores followed by a survey of the retailers (n=107). Data were collected in April 2022. Several measures explored included retailers' density based on the size and population of subdistricts, retailers' proximity to school. Retailers were asked about selling to youth under 18 years, then its association with distance to schools and other variables were explored.Results: We mapped 122 vape stores across Denpasar city with a density of 1.56 per km2 of the occupied land for housing, 0.16 stores per 1000 total population and 1.06 stores per 1000 youth population. More than a quarter of the schools (28.3%) and the universities (25.6%) had at least one vape store in 250 m radius, while 97.2% of the stores were within 500 m of a café. Of the 107 vape store retailers interviewed, almost half (43.9%) reported selling vapes to youth under 18 years.Conclusions: Retail availability of e-cigarettes will contribute to the increasing use of this product, especially without a minimum legal sales age. The government should urgently prohibit selling to youth, regulate e-cigarette advertising, promotion and sponsorship and prohibit e-cigarette use where conventional smoking is prohibited.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e262-e265"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10315616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Older age is associated with greater misperception of the relative health risk of e-cigarettes and cigarettes among US adults who smoke. 在吸烟的美国成年人中，年龄越大，对电子烟和香烟的相对健康风险的误解越大。

IF 4 2区医学

Tobacco Control Pub Date : 2024-11-10 DOI: 10.1136/tc-2023-057943

Dana Rubenstein, Rachel L Denlinger-Apte, Jennifer Cornacchione Ross, Dana Mowls Carroll, F Joseph McClernon

{"title":"Older age is associated with greater misperception of the relative health risk of e-cigarettes and cigarettes among US adults who smoke.","authors":"Dana Rubenstein, Rachel L Denlinger-Apte, Jennifer Cornacchione Ross, Dana Mowls Carroll, F Joseph McClernon","doi":"10.1136/tc-2023-057943","DOIUrl":"10.1136/tc-2023-057943","url":null,"abstract":"Introduction: The prevalence of cigarette smoking among adults aged ≥55 has remained stagnant over the past decade. National data modelling suggests no reduction in cigarette smoking prevalence attributable to e-cigarette use in the USA among people aged ≥45. Misperceptions about the absolute risks (ie, cigarettes are not harmful) and relative risks (ie, e-cigarettes are more harmful than cigarettes) of tobacco products may contribute to sustained smoking prevalence and hesitancy to switch from cigarettes to e-cigarettes among older adults.Methods: Participants reported cigarette use (n=8072) at Wave 5 (2018-2019) of the Population Assessment of Tobacco and Health Study. Weighted multivariable logistic regressions included six age categories (independent variable) and cigarette and e-cigarette risk perceptions (outcomes). Additional models assessed the associations between dichotomous age (≥55 vs 18-54), risk perceptions and an interaction term (independent variables) with past 12-month quit attempts and past-month e-cigarette use (outcomes).Results: Adults aged ≥65 were less likely than adults aged 18-24 to rate cigarettes as very/extremely harmful (p<0.05). Odds of rating e-cigarettes as more harmful than cigarettes among adults aged 55-64 and ≥65 were 1.71 (p<0.001) and 1.43 (p=0.024) greater than for adults aged 18-24. This misperception was negatively associated with past-month e-cigarette use and was stronger among adults aged ≥55 (p<0.001) than adults aged <55 (p<0.001).Discussion: Adults aged ≥55 are more likely to have misperceptions about the absolute and relative risks of tobacco products, which may contribute to continued smoking. Health communications targeting this age group could modify beliefs about the perceived harms of tobacco products.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e266-e269"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9405254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Discrimination, identity connectedness and tobacco use in a sample of sexual and gender minority young adults. 性少数群体和性别少数群体青年样本中的歧视、身份联系和烟草使用情况。

IF 4 2区医学

Tobacco Control Pub Date : 2024-11-10 DOI: 10.1136/tc-2022-057451

Alex Budenz, Jennifer Gaber, Erik Crankshaw, Andie Malterud, Emily B Peterson, Dana E Wagner, Emily C Sanders

{"title":"Discrimination, identity connectedness and tobacco use in a sample of sexual and gender minority young adults.","authors":"Alex Budenz, Jennifer Gaber, Erik Crankshaw, Andie Malterud, Emily B Peterson, Dana E Wagner, Emily C Sanders","doi":"10.1136/tc-2022-057451","DOIUrl":"10.1136/tc-2022-057451","url":null,"abstract":"Introduction: Studies show that tobacco use among sexual and gender minority (SGM) populations is disproportionately higher than heterosexual or cisgender populations. However, few studies have examined tobacco use among SGM subgroups by race/ethnicity or associations between SGM-specific discrimination and connection to SGM identity and tobacco use.Methods: This study analysed survey data from 11 313 SGM (gay, lesbian, bisexual, other sexual minority or gender minority) young adults in the USA and reported current cigarette, e-cigarette, other tobacco (cigar, smokeless tobacco, hookah) and polytobacco use. We used multinomial logistic regression to estimate associations between (a) SGM subgroup, race/ethnicity, SGM-specific discrimination and SGM identity connection and (b) each tobacco use outcome (vs never use of tobacco). We conducted postestimation testing to assess predicted probabilities of tobacco use against the sample average.Results: Lesbian females (particularly black lesbian females) had higher-than-average probability of polytobacco use. White bisexual and lesbian participants had higher-than-average probability of cigarette and e-cigarette use, respectively. Higher levels of discrimination were associated with polytobacco use. Higher levels of identity connectedness were protective against certain tobacco use behaviours among gender minority participants and participants with high levels of discrimination experience.Conclusions: We found variations in tobacco use by SGM subgroups overall and by race/ethnicity. Discrimination may be a risk factor for certain tobacco use behaviours. However, SGM identity connectedness may be protective against tobacco use among gender minority individuals and individuals experiencing SGM-specific discrimination. These findings can inform targeted approaches to reach SGM subgroups at greater risk of tobacco use.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e143-e150"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0