2015 APHA Annual Meeting & Expo

Home Events & Meetings Annual Meeting Schedule & Program

Recorded Annual Meeting Presentations (RAMP) are now available for purchase.
Only $90 for presenters, $140 for registered attendees and $200 for non-attendees.

Online Program

330459
Use of Other Tobacco Products among sexual minority young adult bar patrons


Tuesday, November 3, 2015 : 12:50 p.m. - 1:10 p.m.

Amanda Fallin, PhD, RN, College of Nursing, University of Kentucky, Lexington, KY
Nadra Lisha, Ph.D., Department of General and Internal Medicine, University of California, San Francisco, San Francisco, CA
Pamela Ling, MD MPH, Department of General Internal Medicine, University of California, San Francisco, San Francisco, CA
Audio (mp3) recording Recorded Presentation (mp4)
Objective: Lesbian, gay, and bisexual (LGB) individuals smoke at rates 1.5-2 times higher than the general population. While the LGBT bar has historically been a safe space for sexual minorities, alcohol consumption is highly correlated to smoking. Little is known about LGB consumption of other tobacco products (OTP), particularly among LGB bar patrons.

Methods: Cross sectional survey of young adults (age 18-30) recruited at bars in 7 cities across the U.S. between 2012 and 2014 (N=8,074). Logistic regressions examined use vs. non-use of five OTP (cigarillos, electronic cigarettes, hookah, chewing tobacco, and snus) based on sexual minority status, adjusting for age, education, and race/ethnicity, comparing LB females and GB males to their heterosexual counterparts.

Results: LGB bar goers used all OTP more than their heterosexual counterparts. LB women are more likely than heterosexual women to smoke cigarillos (OR= 2.71, 95%CI= 1.89-3.88, electronic cigarettes (OR= 1.85, 95%CI= 1.37-2.50), hookah (OR= 1.75, 95%CI= 1.33-2.30), and use chew (OR= 2.06, 95%CI= 1.31-3.25) and snus (OR= 2.17, 95%CI= 1.11-4.23). GB men are more likely than heterosexual men to smoke cigarillos (OR= 1.38, 95%CI= 1.00-1.90), electronic cigarettes (OR= 1.40, 95%CI= 1.06-1.84), hookah (OR= 1.35, 95%CI= 1.03-1.76) and use chew (OR= 1.53, 95%CI= 1.16-2.01) and snus (OR= 2.16, 95%CI= 1.52-3.07).

Conclusions: LGB bar-going young adults, especially women, are at higher risk for OTP use than their heterosexual counterparts. Bar based interventions are needed to address all forms of tobacco use in this high risk group.

Learning Areas:

Public health or related nursing
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe different tobacco products and their patterns of use among sexual minority young adults. Compare gender differences among lesbian, gay and bisexual young adults with respect to other tobacco product use Discuss intervention strategies to address disparities in tobacco product use among sexual minority young adults

Keyword(s): Health Disparities/Inequities, Tobacco Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a public health nurse with five years of tobacco control research and advocacy with the University of California San Francisco Center for Tobacco Control Research and Education and the University of Kentucky College of Nursing.
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.

Back to: 4204.0: Moving towards tobacco health equity