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  • Title: Sexual orientation disparities in adolescent cigarette smoking: intersections with race/ethnicity, gender, and age.
    Author: Corliss HL, Rosario M, Birkett MA, Newcomb ME, Buchting FO, Matthews AK.
    Journal: Am J Public Health; 2014 Jun; 104(6):1137-47. PubMed ID: 24825218.
    Abstract:
    OBJECTIVES: We examined sexual orientation differences in adolescent smoking and intersections with race/ethnicity, gender, and age. METHODS: We pooled Youth Risk Behavior Survey data collected in 2005 and 2007 from 14 jurisdictions; the analytic sample comprised observations from 13 of those jurisdictions (n = 64,397). We compared smoking behaviors of sexual minorities and heterosexuals on 2 dimensions of sexual orientation: identity (heterosexual, gay-lesbian, bisexual, unsure) and gender of lifetime sexual partners (only opposite sex, only same sex, or both sexes). Multivariable regressions examined whether race/ethnicity, gender, and age modified sexual orientation differences in smoking. RESULTS: Sexual minorities smoked more than heterosexuals. Disparities varied by sexual orientation dimension: they were larger when we compared adolescents by identity rather than gender of sexual partners. In some instances race/ethnicity, gender, and age modified smoking disparities: Black lesbians-gays, Asian American and Pacific Islander lesbians-gays and bisexuals, younger bisexuals, and bisexual girls had greater risk. CONCLUSIONS: Sexual orientation, race/ethnicity, gender, and age should be considered in research and practice to better understand and reduce disparities in adolescent smoking.
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