Sexual orientation and smoking history: results from a community-based sample of youth in Shanghai, China

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• 作者：Qiguo Lian ; Xiayun Zuo ; Chaohua Lou…
• 关键词：Sexual orientation ; LGB ; Smoking ; Youth ; China
• 刊名：Environmental Health and Preventive Medicine
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：20
• 期：3
• 页码：179-184
• 全文大小：353 KB
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• 作者单位：Qiguo Lian (1) (2)
  Xiayun Zuo (1) (2)
  Chaohua Lou (2)
  Ersheng Gao (2)
  Yan Cheng (2)
  
  1. Department of Epidemiology, School of Public Health, Fudan University, 200032, Shanghai, China
  2. Department of Epidemiology and Social Science, Shanghai Institute of Planned Parenthood Research, 779 Laohumin Road, 200237, Shanghai, China
  
• 刊物主题：Health Promotion and Disease Prevention; Public Health;
• 出版者：Springer Japan
• ISSN：1347-4715

文摘

Objective Cigarette smoking has been found to be more prevalent among adults and youths with a minority sexual orientation (lesbian, gay, bisexual, LGB) than among the general population, while less is known about smoking among LGB youth in low- and middle-income countries. The goal of the study was to examine cigarette smoking in relation to sexual orientation in a community-based sample of youth in Shanghai, China. Methods A multi-center cross-sectional survey of 17,016 youth aged 15-4?years was conducted in rural and urban areas of Hanoi, Vietnam; Taipei, Taiwan; and Shanghai, China in 2006. In this article, analysis was restricted to the 6,299 respondents in Shanghai. Assessments included ever smoking, age at first smoking, frequency of smoking, and number of cigarettes smoked daily. Logistic regression was used to estimate the association between sexual orientation and cigarette smoking. Results Nine percent (594/6,299) of eligible participants considered themselves as LGB youths; 34.2?% ever smoked, 14.81?% initiated smoking before age 13, 15.9?% smoked in the past 30?days, and 14.1?% were moderate or heavy smokers. LGB identity predicted moderate or heavy smoking (OR 2.2, 95?% CI 1.3, 3.9). Male LGB youth smoked more cigarettes daily (OR 2.2, 95?% CI 1.3, 3.9) whilst female LGB youth reported less any prior cigarette use (OR 0.7, 95?% CI 0.5, 1.0). Conclusions Few meaningful disparities in cigarette smoking were related to sexual orientation, except male LGB youth consumed more cigarettes daily. Prevention and cessation should target this population, especially male LGB youth.