Social Ecological Influences on Nicotine/Tobacco Use Among Gender-Varying and Gender-Stable Adolescents and Adults in the USA.
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| Title: | Social Ecological Influences on Nicotine/Tobacco Use Among Gender-Varying and Gender-Stable Adolescents and Adults in the USA. |
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| Authors: | Kcomt, Luisa (AUTHOR), Evans-Polce, Rebecca J (AUTHOR), Engstrom, Curtiss W (AUTHOR), Takahashi, Jodene (AUTHOR), Matthews, Phoenix A (AUTHOR), Veliz, Phil T (AUTHOR), West, Brady T (AUTHOR), McCabe, Sean Esteban (AUTHOR) |
| Source: | Annals of Behavioral Medicine. Jan2024, Vol. 58 Issue 1, p1-11. 11p. |
| Subjects: | Tobacco use, Social influence, Nicotine, Tobacco products, Adults |
| Abstract: | Background and Purpose Our study examined individual-, interpersonal-, community-, and policy-level associations with nicotine/tobacco use among gender-varying and gender-stable U.S. individuals. Methods Data from Waves 2–4 (2014/15–2016/18) of the Population Assessment of Tobacco and Health (n = 33,197 U.S. adolescents and adults aged ≥14 years) and state-level gender minority policy data were used. Using multivariable logistic regression, the odds of past-30-day nicotine/tobacco use at W4 were estimated as a function of gender stability/variability, psychological distress, number of tobacco products used by family/friends, anti-tobacco marketing exposure, and change in gender minority-related policies from 2015 to 2017. Results Gender-varying individuals had higher odds of nicotine/tobacco use compared with gender-stable individuals (AOR range = 1.7–2.3, p <.01). In the overall sample, positive change in gender minority policy protections (tallied from medium to high) was associated with lower odds of any nicotine/tobacco, other tobacco, and poly-tobacco use (AOR = 0.8, p <.05) compared to states with no change in their negative policies. Anti-tobacco marketing exposure was associated with lower odds of any tobacco, cigarette, e-cigarette, and poly-tobacco use compared with those who had no anti-tobacco marketing exposure (AOR = 0.9, p <.05). Higher psychological distress (AOR range = 1.7–2.4, p <.001) and an increasing number of tobacco products used by family/friends (AOR range = 1.1–1.3, p <.001) were associated with increased odds of nicotine/tobacco use. Conclusions Multilevel prevention and intervention strategies are needed to reduce the risk of nicotine/tobacco use among gender-varying and gender-stable individuals. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background and Purpose Our study examined individual-, interpersonal-, community-, and policy-level associations with nicotine/tobacco use among gender-varying and gender-stable U.S. individuals. Methods Data from Waves 2–4 (2014/15–2016/18) of the Population Assessment of Tobacco and Health (n = 33,197 U.S. adolescents and adults aged ≥14 years) and state-level gender minority policy data were used. Using multivariable logistic regression, the odds of past-30-day nicotine/tobacco use at W4 were estimated as a function of gender stability/variability, psychological distress, number of tobacco products used by family/friends, anti-tobacco marketing exposure, and change in gender minority-related policies from 2015 to 2017. Results Gender-varying individuals had higher odds of nicotine/tobacco use compared with gender-stable individuals (AOR range = 1.7–2.3, p <.01). In the overall sample, positive change in gender minority policy protections (tallied from medium to high) was associated with lower odds of any nicotine/tobacco, other tobacco, and poly-tobacco use (AOR = 0.8, p <.05) compared to states with no change in their negative policies. Anti-tobacco marketing exposure was associated with lower odds of any tobacco, cigarette, e-cigarette, and poly-tobacco use compared with those who had no anti-tobacco marketing exposure (AOR = 0.9, p <.05). Higher psychological distress (AOR range = 1.7–2.4, p <.001) and an increasing number of tobacco products used by family/friends (AOR range = 1.1–1.3, p <.001) were associated with increased odds of nicotine/tobacco use. Conclusions Multilevel prevention and intervention strategies are needed to reduce the risk of nicotine/tobacco use among gender-varying and gender-stable individuals. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 08836612 |
| DOI: | 10.1093/abm/kaad066 |
