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Article Reference Troff document (with manpage macros)Cigarette Smoking Among Youth at the Intersection of Sexual Orientation and Gender Identity
Abstract Purpose: The purpose of this study was to identify subgroups of sexual and gender minority (SGM) youth who are most vulnerable to tobacco use. Methods: We analyzed data from a national nonprobability sample of 11,192 SGM youth (ages 13–17). Age of cigarette initiation and current use were modeled using Cox proportional hazard and binomial regression. Sexual and gender identities were explanatory variables and the models were adjusted for ethnoracial identity and age. Results: Approximately 7\% of the sample reported current smoking. Cisgender and transgender boys had higher odds of current smoking compared with cisgender and transgender girls (adjusted odds ratio [AOR] = 1.86; 95\% confidence interval [CI]: 1.56–2.21). Pansexual-identified youth had higher odds of smoking (AOR = 1.33; 95\% CI: 1.05–1.70) compared with gay/lesbian youth independent of gender identity. Pansexual-identified cisgender boys had the highest smoking prevalence (21.6\%). Predicted probabilities were higher among transgender boys across all sexual identities, except asexual. The hazard of smoking at a younger age was greater for transgender boys compared with cisgender boys (adjusted hazard ratio [AHR] = 1.67; 95\% CI: 1.43–1.94) as well as for bisexual (AHR = 1.12; 95\% CI: 1.01–1.24) and pansexual (AHR = 1.17; 95\% CI: 1.03–1.33) youth compared with those who identified as gay or lesbian. Conclusions: These findings suggest that transgender boys may be at higher risk for early and current cigarette use regardless of their sexual identity, whereas smoking varied more widely for youth across different sexual identities. The findings suggest that specific subgroups of SGM youth require focused attention in tobacco control research and practice.
Located in MPRC People / Jessica N Fish, Ph.D. / Jessica N Fish Publications
Clare Barrington, University of North Carolina
PrEP Up!: a mixed methods study of stigma and pre-exposure prophylaxis use in Guatemala
Located in Coming Up
Claudia Geist, The University of Utah
(Re)Count: Changing Family Definitions 2003-2020 – Implications for Population Research
Located in Coming Up
Cohen comments on birth declines in some states
Located in News
Cohen comments on fertility drop
Business Insider story examines "pandemic baby-bust"
Located in News
Cohen comments on fertility in COVID times
Research shows that the US is facing the biggest slump in births in a century and in parts of Europe the decline is even steeper
Located in News
Cohen comments on geneology big data project
New York Times article reports on "world's largest family tree" research
Located in News
Cohen comments on incentives for child bearing
Offers alternatives to payments
Located in News
Cohen comments on the age of first-time mothers
Age at first birth linked with varying opportunities and education level
Located in News
Cohen contests birthrate decline thesis
Challenges are real but manageable; better to focus on the well being of those who are here.
Located in News