A Double Disparity: Rural Sexual Minorities and Tobacco Use among U.S. Adults.
Thursday, November 17, 2022
Posted by: Natalia Gromov
Azagba
S, Ebling T, Shan L.
A Double Disparity: Rural
Sexual Minorities and Tobacco Use among U.S. Adults.
[published online ahead of print, 2022 Oct 21]. Addict Behav. 2022;137:107527.
doi:10.1016/j.addbeh.2022.107527
Background. Marginalized
groups continue to face an uneven distribution of the risks and consequences of
smoking cigarettes, with rural/urban geography and sexual orientation status
examined independently. However, little is known about the intersection of
rural/urban geography and sexual orientation regarding tobacco use disparities.
This study examined rural-urban sexual minority differences in tobacco use in
the United States.
Methods. Data
came from the 2018-2020 Behavioral Risk Factor Survey System (N = 675,221). We
estimated cigarette smoking prevalence for each year of survey data by
rural/urban status and sexual orientation. Multivariable logistic regressions
were used to assess associations of rural/urban location and sexual orientation
status with cigarette use. Additional Multivariable logistic regressions were
conducted, including stratified analyses by sex on multiple sexual orientation
categories.
Findings. Cigarette
smoking was higher among participants who lived in rural areas and identified
as lesbian or gay and bisexual. Furthermore, the disparities in smoking rates
were significantly different, with 38 % higher odds of smoking among rural
sexual minorities than urban sexual minorities (aOR = 1.38, 95 % CI = 1.19,
1.60). Stronger odds of cigarette smoking were found among rural gays or
lesbians (aOR = 1.83, 95 % CI = 1.47, 2.28) and rural bisexuals (aOR = 2.40, 95
% CI = 2.03, 2.84) compared to urban straight counterparts.
Conclusion. Findings
highlight rural populations, particularly sexual minorities, might have an
elevated risk of cigarette use. Prevention and cessation efforts that help
these especially disadvantaged groups will be beneficial in addressing tobacco
use disparities.
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