Sexual identity disparities in smoking and secondhand smoke exposure in California: 2003-2013
Methods. We analyzed the 2003-2013 California Health Interview Surveys, using multivariate logistic regression models to analyze the impact of sexual identity on smoking behaviors. We also conducted time trend analyses for each smoking-related outcome measure.
Results. Lesbian and bisexual women smoke at significantly higher rates than heterosexual women, and female bisexual smokers were less likely to be light smokers than heterosexuals. Among men, smoking prevalence was higher among gays and bisexuals than among heterosexuals; and gay smokers were more likely to be daily smokers and bisexual smokers were more likely to be light smokers than heterosexuals. Sexual minority men and women were more likely to be exposed to SHS at home than heterosexuals. Current smoking prevalence and SHS exposure have fallen among sexual minorities.
Conclusions. Disparities in tobacco use and SHS exposure by sexual orientation exist in California. Bisexual women and men are particularly at risk; interventions should consider the unique needs of this group as well as all sexual minority smokers.
Learning Areas:Diversity and culture
Public health or related public policy
Describe differences in smoking behavior by sexual identity Describe trends in smoking prevalence by sexual identity Compare secondhand exposure among lesbian, gay, bisexual, and other nonsmokers
Keyword(s): Lesbian, Gay, Bisexual and Transgender (LGBT), Tobacco Use
Qualified on the content I am responsible for because: I have been the PI or co-PI of many federally, state, and foundation-funded research grants focused on the economics of tobacco use and secondhand smoke exposure. I have also studied smoking behaviors among many diverse populations.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.