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

Details

• Alternative Title:
  Int J Behav Med
• Personal Author:
  Gamarel, Kristi E. ; Watson, Ryan J. ; Mouzoon, Raha ; Wheldon, Christopher W. ; Fish, Jessica N. ; Fleischer, Nancy L.
• 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

  More +
• 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/ ; 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/
• 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:
  [PDF - 347.36 KB ]