少数群体压力对美国性少数群体青壮年中性少数群体州政策与烟草使用之间的关联具有中介作用

IF 3.9 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2024-10-23 DOI:10.1016/j.drugalcdep.2024.112477

Katelyn F. Romm , Erin A. Vogel , Christina Dyar , Laurie A. Drabble , Patricia A. Cavazos-Rehg , Carla J. Berg

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引用次数: 0

摘要

导言：围绕性少数群体（SM）权利的国家政策与 SM 个人的烟草使用相关。我们分析了 2023 年 1100 名 SMYAs（18-34 岁；14.2% 为性别少数；66.1% 为双性恋+，29.1% 为单性恋；53.2% 为种族/族裔少数）的调查数据，这些调查数据来自美国 45 个州和华盛顿特区。基于回归的模型研究了1）在 7 个政策类别（关系/父母认可、不歧视、宗教豁免、LGBTQ 青年、医疗保健、刑事司法、性别认同文件）方面，居住在有消极和有限 SM 州政策（与全面 SM 州政策相比）的州与少数群体压力（心理健康、内在化污名、社区联系）的直接联系；2）政策类别和少数群体压力与烟草使用（过去一个月的香烟、电子烟、任何烟草使用、使用的产品数量）的直接联系；以及 3）政策类别通过少数群体压力与烟草使用的间接联系。结果与居住在政策全面的州相比，居住在关系/父母认可政策有限的州可通过心理健康间接预测较高的电子烟使用率；较弱的非歧视政策可通过内化污名间接预测较多的烟草制品使用率；消极的医疗保健政策可通过社区联系间接预测较高的香烟和任何烟草使用率。结论这些关于不同的 SM 政策类别、少数群体压力介导因素和烟草使用结果之间关联的新发现值得进一步研究，以更好地了解这些不同的机制，最终为 SM 相关政策和倡导工作以及烟草预防和戒烟工作提供信息。

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Minority stress mediates associations of sexual minority state policies and tobacco use among US sexual minority young adults

Introduction

State policies surrounding sexual minority (SM) rights are associated with tobacco use among SM individuals. Research is scant regarding the role of distinct SM policy categories on SM young adults’ (SMYAs) tobacco use and mechanisms explaining these associations.

Methods

We analyzed 2023 survey data from 1100 SMYAs (ages 18–34; 14.2 % gender minority; 66.1 % bisexual+, 29.1 % monosexual; 53.2 % racial/ethnic minority) with representation across 45 US states and DC. Regression-based models examined: 1) direct associations of residing in states with negative and limited (vs. comprehensive) SM state policies with respect to 7 policy categories (relationship/parent recognition, nondiscrimination, religious exemptions, LGBTQ youth, healthcare, criminal justice, gender identity documents) with minority stress (mental health, internalized stigma, community connectedness); 2) direct associations of policy categories and minority stress with tobacco use (past-month cigarette, e-cigarette, any tobacco use, number of products used); and 3) indirect associations of policy categories with tobacco use through minority stress.

Results

Relative to residing in states with comprehensive policies, residing in states with limited relationship/parent recognition policies indirectly predicted higher odds of e-cigarette use through mental health; weaker nondiscrimination policies indirectly predicted using more tobacco products through internalized stigma; and negative healthcare policies indirectly predicted higher odds of cigarette and any tobacco use through community connectedness.

Conclusions

These novel findings regarding associations among distinct SM policy categories, minority stress mediators, and tobacco use outcomes warrant further examination to better understand these distinct mechanisms, ultimately to inform SM-related policy and advocacy efforts, as well as tobacco prevention and cessation efforts.

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来源期刊

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.