Sexual Minority Youth E-cigarette Use.
				Friday, March 17, 2023  		
		 Posted by: Natalia Gromov		
	
			 
			
			
			 
				Azagba
S, Ebling T, Shan L. 
Sexual Minority Youth
E-cigarette Use. 
Pediatrics. 2023 Mar 1;151(3):e2022058414. doi: 10.1542/peds.2022-058414. PMID:
36808534. 
 
Background and
objectives. There is consistent evidence that sexual
minority youth (SMY) use more traditional cigarettes than their non-SMY
counterparts. However, there is relatively less information on e-cigarettes
and, importantly, differences between and within SMY populations by race and
ethnicity and sex. This study examines e-cigarette use by sexual orientation
status and the intersection of race and ethnicity and sex. 
Methods. Data
come from high school students in the 2020 and 2021 National Youth Tobacco
Surveys (N = 16 633). Current e-cigarette use prevalence by sexual identity
categories was calculated for racial and ethnic subgroups. Multivariable
logistic regression analysis examined the association between sexual identity
and e-cigarette use by race and ethnicity groups and sex. 
Results. E-cigarette
use prevalence was higher for most SMY racial and ethnic groups than their
non-SMY counterparts. However, multivariable logistic analysis showed varied
results by race and ethnic groups, with higher e-cigarette use odds for SMY
populations, although not statistically significant for some race and ethnic
groups. Black gay or lesbian (adjusted odds ratio: 3.86, 95% confidence
interval, 1.61-9.24) and bisexual (adjusted odds ratio: 3.31, 95% confidence
interval, 1.32-8.30) high school students had significantly higher e-cigarette
use odds than Black heterosexuals. Non-Hispanic Black females e-cigarettes use
odds are 0.45 times that of non-Hispanic white males, and non-Hispanic other
gay or lesbian had 3.15 times higher e-cigarette use odds than non-Hispanic
white heterosexuals. 
Conclusions. E-cigarette
use is more prevalent among SMY populations. Disparities in e-cigarette use
vary depending on race and ethnicity and sex. 
 
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