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Risk, Resilience, and Smoking in a National, Probability Sample of Sexual and Gender Minority Adults, 2017, USA

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Title: Risk, Resilience, and Smoking in a National, Probability Sample of Sexual and Gender Minority Adults, 2017, USA
Language: English
Authors: Lee, Joseph G. L. (ORCID 0000-0001-9698-649X), Shook-Sa, Bonnie E., Gilbert, Jeffrey, Ranney, Leah M., Goldstein, Adam O., Boynton, Marcella H.
Source: Health Education & Behavior. Apr 2020 47(2):272-283.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Peer Reviewed: Y
Page Count: 12
Publication Date: 2020
Sponsoring Agency: Food and Drug Administration (FDA) (DHHS/PHS), Center for Tobacco Products (CTP)
Contract Number: P50CA180907
Document Type: Journal Articles
Reports - Research
Descriptors: At Risk Persons, Resilience (Psychology), Smoking, Minority Groups, Adults, LGBTQ People, Child Abuse, Trauma, Substance Abuse, Stress Variables, Social Bias, Social Discrimination, Social Isolation, Identification (Psychology), Self Disclosure (Individuals), Age Differences, Social Support Groups, Individual Characteristics, Gender Issues, Sexual Orientation, Racial Differences, Ethnicity, Educational Attainment, Interpersonal Relationship, Geographic Regions, Social Influences
DOI: 10.1177/1090198119893374
ISSN: 1090-1981
Abstract: Background: There are well-documented inequities in smoking between sexual and gender minority (SGM; e.g., lesbian, gay, bisexual, and transgender [LGBT]) and straight and cisgender people. However, there is less information about risk for and resilience against smoking among SGM people. Such information is critical for understanding etiology and developing interventions. Aims: To conduct a within-group assessment of risks and resiliencies relating to smoking status. Method: In 2017, we conducted a cross-sectional telephone survey with a national, probability-based sample of SGM adults (N = 453). We assessed theory-informed risks (adverse childhood events, substance use-oriented social environment, mental distress, stigma, discrimination, social isolation, and identity concealment) and resiliencies (advertising skepticism, identity centrality, social support, and SGM community participation). We applied survey weights, standardized predictor variables, and fit logistic regression models predicting smoking status. We stratified by age and SGM identity. Results: Patterns of risk and resilience differ by age and identity. Effects were consistently in the same direction for all groups for participating in substance use-oriented social environments, pointing to a potential risk factor for all groups. Advertising skepticism and having people you can talk to about being LGBTQ were potential protective factors. Discussion: Intervention development should address risk and resilience that differs by SGM identity. Additionally, our findings suggest interventionists should consider theoretical frameworks beyond minority stress. Conclusion: While much of the literature has focused on the role of stress from stigma and discrimination in tobacco use, addressing social norms and bolstering protective factors may also be important in SGM-targeted interventions.
Abstractor: As Provided
Entry Date: 2020
Accession Number: EJ1247089
Database: ERIC
FullText Text:
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  Data: Risk, Resilience, and Smoking in a National, Probability Sample of Sexual and Gender Minority Adults, 2017, USA
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  Data: <searchLink fieldCode="AR" term="%22Lee%2C+Joseph+G%2E+L%2E%22">Lee, Joseph G. L.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-9698-649X">0000-0001-9698-649X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Shook-Sa%2C+Bonnie+E%2E%22">Shook-Sa, Bonnie E.</searchLink><br /><searchLink fieldCode="AR" term="%22Gilbert%2C+Jeffrey%22">Gilbert, Jeffrey</searchLink><br /><searchLink fieldCode="AR" term="%22Ranney%2C+Leah+M%2E%22">Ranney, Leah M.</searchLink><br /><searchLink fieldCode="AR" term="%22Goldstein%2C+Adam+O%2E%22">Goldstein, Adam O.</searchLink><br /><searchLink fieldCode="AR" term="%22Boynton%2C+Marcella+H%2E%22">Boynton, Marcella H.</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+%26+Behavior%22"><i>Health Education & Behavior</i></searchLink>. Apr 2020 47(2):272-283.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
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  Data: Food and Drug Administration (FDA) (DHHS/PHS), Center for Tobacco Products (CTP)
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  Data: P50CA180907
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22At+Risk+Persons%22">At Risk Persons</searchLink><br /><searchLink fieldCode="DE" term="%22Resilience+%28Psychology%29%22">Resilience (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Minority+Groups%22">Minority Groups</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22LGBTQ+People%22">LGBTQ People</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Abuse%22">Child Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Trauma%22">Trauma</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+Abuse%22">Substance Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Stress+Variables%22">Stress Variables</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Bias%22">Social Bias</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Discrimination%22">Social Discrimination</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Isolation%22">Social Isolation</searchLink><br /><searchLink fieldCode="DE" term="%22Identification+%28Psychology%29%22">Identification (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Disclosure+%28Individuals%29%22">Self Disclosure (Individuals)</searchLink><br /><searchLink fieldCode="DE" term="%22Age+Differences%22">Age Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Support+Groups%22">Social Support Groups</searchLink><br /><searchLink fieldCode="DE" term="%22Individual+Characteristics%22">Individual Characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+Issues%22">Gender Issues</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+Orientation%22">Sexual Orientation</searchLink><br /><searchLink fieldCode="DE" term="%22Racial+Differences%22">Racial Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnicity%22">Ethnicity</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+Attainment%22">Educational Attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+Relationship%22">Interpersonal Relationship</searchLink><br /><searchLink fieldCode="DE" term="%22Geographic+Regions%22">Geographic Regions</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Influences%22">Social Influences</searchLink>
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  Data: 10.1177/1090198119893374
– Name: ISSN
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  Data: 1090-1981
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: There are well-documented inequities in smoking between sexual and gender minority (SGM; e.g., lesbian, gay, bisexual, and transgender [LGBT]) and straight and cisgender people. However, there is less information about risk for and resilience against smoking among SGM people. Such information is critical for understanding etiology and developing interventions. Aims: To conduct a within-group assessment of risks and resiliencies relating to smoking status. Method: In 2017, we conducted a cross-sectional telephone survey with a national, probability-based sample of SGM adults (N = 453). We assessed theory-informed risks (adverse childhood events, substance use-oriented social environment, mental distress, stigma, discrimination, social isolation, and identity concealment) and resiliencies (advertising skepticism, identity centrality, social support, and SGM community participation). We applied survey weights, standardized predictor variables, and fit logistic regression models predicting smoking status. We stratified by age and SGM identity. Results: Patterns of risk and resilience differ by age and identity. Effects were consistently in the same direction for all groups for participating in substance use-oriented social environments, pointing to a potential risk factor for all groups. Advertising skepticism and having people you can talk to about being LGBTQ were potential protective factors. Discussion: Intervention development should address risk and resilience that differs by SGM identity. Additionally, our findings suggest interventionists should consider theoretical frameworks beyond minority stress. Conclusion: While much of the literature has focused on the role of stress from stigma and discrimination in tobacco use, addressing social norms and bolstering protective factors may also be important in SGM-targeted interventions.
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PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1247089
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        Value: 10.1177/1090198119893374
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      – Text: English
    PhysicalDescription:
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        PageCount: 12
        StartPage: 272
    Subjects:
      – SubjectFull: At Risk Persons
        Type: general
      – SubjectFull: Resilience (Psychology)
        Type: general
      – SubjectFull: Smoking
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      – SubjectFull: Minority Groups
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      – SubjectFull: Adults
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      – SubjectFull: LGBTQ People
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      – TitleFull: Risk, Resilience, and Smoking in a National, Probability Sample of Sexual and Gender Minority Adults, 2017, USA
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