Risk, Resilience, and Smoking in a National, Probability Sample of Sexual and Gender Minority Adults, 2017, USA

Autor/inn/en	Lee, Joseph G. L.; Shook-Sa, Bonnie E.; Gilbert, Jeffrey; Ranney, Leah M.; Goldstein, Adam O.; Boynton, Marcella H.
Titel	Risk, Resilience, and Smoking in a National, Probability Sample of Sexual and Gender Minority Adults, 2017, USA
Quelle	In: Health Education & Behavior, 47 (2020) 2, S.272-283 (12 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Lee, Joseph G. L.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198119893374
Schlagwörter	At Risk Persons; Resilience (Psychology); Smoking; Minority Groups; Adults; LGBTQ People; Child Abuse; Trauma; Substance Abuse; Stress Variables; Social Bias; Social Discrimination; Social Isolation; Identification (Psychology); Self Disclosure (Individuals); Age Differences; Social Support Groups; Individual Characteristics; Gender Issues; Sexual Orientation; Racial Differences; Ethnicity; Educational Attainment; Interpersonal Relationship; Geographic Regions; Social Influences + Suchen Sie Ihr Suchwort? Risikogruppe; Rauchen; Ethnische Minderheit; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Drug use; Drug consomption; Drogenkonsum; Soziale Benachteiligung; Soziale Schließung; Soziale Isolation; Age; Difference; Age difference; Altersunterschied; Social support; Soziale Unterstützung; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Geschlechterfrage; Sexuelle Orientierung; Rassenunterschied; Ethnizität; Bildungsabschluss; Bildungsgut; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Sozialer Einfluss
Abstract	Background: There are well-documented inequities in smoking between sexual and gender minority (SGM; e.g., lesbian, gay, bisexual, and transgender [LGBT]) and straight and cisgender people. However, there is less information about risk for and resilience against smoking among SGM people. Such information is critical for understanding etiology and developing interventions. Aims: To conduct a within-group assessment of risks and resiliencies relating to smoking status. Method: In 2017, we conducted a cross-sectional telephone survey with a national, probability-based sample of SGM adults (N = 453). We assessed theory-informed risks (adverse childhood events, substance use-oriented social environment, mental distress, stigma, discrimination, social isolation, and identity concealment) and resiliencies (advertising skepticism, identity centrality, social support, and SGM community participation). We applied survey weights, standardized predictor variables, and fit logistic regression models predicting smoking status. We stratified by age and SGM identity. Results: Patterns of risk and resilience differ by age and identity. Effects were consistently in the same direction for all groups for participating in substance use-oriented social environments, pointing to a potential risk factor for all groups. Advertising skepticism and having people you can talk to about being LGBTQ were potential protective factors. Discussion: Intervention development should address risk and resilience that differs by SGM identity. Additionally, our findings suggest interventionists should consider theoretical frameworks beyond minority stress. Conclusion: While much of the literature has focused on the role of stress from stigma and discrimination in tobacco use, addressing social norms and bolstering protective factors may also be important in SGM-targeted interventions. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2022/1/01