Family rejection and cigarette smoking among sexual and gender minority adolescents in the United States

Gamarel, Kristi E.; Watson, Ryan J.; Mouzoon, Raha; Wheldon, Christopher W.; Fish, Jessica N.; Fleischer, Nancy L.

doi:10.1007/s12529-019-09846-8

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Family rejection and cigarette smoking among sexual and gender minority adolescents in the United States

4 2020
By Gamarel, Kristi E. ; Watson, Ryan J. ; Mouzoon, Raha ; ...
http://dx.doi.org/10.1007/s12529-019-09846-8
Source: Int J Behav Med. 27(2):179-187

[PDF-347.36 KB]

English

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Details:

Alternative Title:

Int J Behav Med
Personal Author:

Gamarel, Kristi E. ; Watson, Ryan J. ; Mouzoon, Raha ; Wheldon, Christopher W. ; Fish, Jessica N. ; ... More +

Gamarel, Kristi E. ; Watson, Ryan J. ; Mouzoon, Raha ; Wheldon, Christopher W. ; Fish, Jessica N. ; Fleischer, Nancy L. Less -
Description:

Background:

Sexual and gender- minority (SGM) adolescents are more likely than their heterosexual and cisgender peers to smoke cigarettes. Family rejection has been associated with adverse health outcomes; however, few studies have examined whether SGM-specific family rejection is associated with cigarette smoking among SGM adolescents.

Methods:

A non-probability sample of 11,005 SGM adolescents (M = 15.58, SD = 1.27) completed an online cross-sectional survey. Bivariate and multivariable analyses were conducted to examine associations between SGM-specific family rejection, sociodemographic variables, and smoking.

Results:

Approximately 7% of the sample currently smoked cigarettes. Pansexual, asexual, trans boys, and non-binary assigned female at birth adolescents had the highest SGM-family rejection scores. In multivariable regression analyses, SGM-specific family rejection was independently associated with smoking after adjusting for covariates (AOR=1.15, 95% CI: 1.04, 1.28). Family support (AOR=0.80, 95% CI: 0.73, 0.88) and experiencing violence (AOR=1.64, 95% CI: 1.49, 1.82) were also associated with smoking in multivariable models. Adolescents who identified as bisexual vs gay/lesbian (AOR=1.50, 95% CI: 1.21, 1.85) and trans boys (AOR=2.05, 95% CI: 1.13, 3.71) vs cisgender girls had an increased odds of smoking. Those who disclosed their sexual orientation identity to most (AOR=1.95, 95%CI 1.45, 2.63) and all (AOR = 1.60, 95% CI: 1.21, 2.11) of their family/parents had increased odds of smoking.

Conclusions:

Our findings underscore the importance of attending to the role of SGM-specific family rejection and distinctions with SGM adolescents in tobacco prevention and smoking cessation efforts.
Subjects:

[+]

Adolescent Cigarette Smoking Cross-Sectional Studies Female Gender Identity Heterosexuality Humans Male Sexual And Gender Minorities Sexual Behavior United States
Keywords:

[+]

Adolescents Buprenorphine Family Rejection Methadone Mortality Naltrexone Sexual And Gender Minorities Smoking Treatment
Source:

Int J Behav Med. 27(2):179-187
Pubmed ID:

31925674
Pubmed Central ID:

PMC7124998
Document Type:

Journal Article
Funding:

R34 AA024703/AA/NIAAA NIH HHSUnited States/ ; U48 DP006382/DP/NCCDPHP CDC HHSUnited States/ ; R37 CA214787/CA/NCI NIH HHSUnited States/ ; L30 HD098047/HD/NICHD NIH HHSUnited States/ ; R25 MH067127/MH/NIMH NIH HHSUnited States/ ; ... More +

R34 AA024703/AA/NIAAA NIH HHSUnited States/ ; U48 DP006382/DP/NCCDPHP CDC HHSUnited States/ ; R37 CA214787/CA/NCI NIH HHSUnited States/ ; L30 HD098047/HD/NICHD NIH HHSUnited States/ ; R25 MH067127/MH/NIMH NIH HHSUnited States/ ; R03 DA046827/DA/NIDA NIH HHSUnited States/ ; P2C HD041028/HD/NICHD NIH HHSUnited States/ ; R37CA214787/CA/NCI NIH HHSUnited States/ ; K01 DA047918/DA/NIDA NIH HHSUnited States/ ; P2C HD041041/HD/NICHD NIH HHSUnited States/ Less -
Volume:

27
Issue:

2
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha-512:b0d1a25c988f20377a9b4b2ba1eb7b3f9f89e21ab36c1d3bb3da3ef034475d1ba119874a4e6cb8999541cf0dcefd45b3474e00f1e5f832673844113da8285de2
Download URL:

https://stacks.cdc.gov/view/cdc/88145/cdc_88145_DS1.pdf
File Type:

nihms-1067780.nxml

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