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Preventing Chronic Disease | Smoking Initiation, Tobacco Product Use, and Secondhand Smoke Exposure Among General Population and Sexual Minority Youth, Missouri, 2011–2012 - CDC

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Preventing Chronic Disease | Smoking Initiation, Tobacco Product Use, and Secondhand Smoke Exposure Among General Population and Sexual Minority Youth, Missouri, 2011–2012 - CDC

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Smoking Initiation, Tobacco Product Use, and Secondhand Smoke Exposure Among General Population and Sexual Minority Youth, Missouri, 2011–2012

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Jenna N. Jordan, MPH; Jane A. McElroy, PhD; Kevin D. Everett, PhD

Suggested citation for this article: Jordan JN, McElroy JA, Everett KD. Smoking Initiation, Tobacco Product Use, and Secondhand Smoke Exposure Among General Population and Sexual Minority Youth, Missouri, 2011–2012. Prev Chronic Dis 2014;11:140037. DOI:http://dx.doi.org/10.5888/pcd11.140037External Web Site Icon.
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Abstract

Introduction
Research indicates disparities in risky health behaviors between heterosexual and sexual minority (referred to as LGBQ; also known as lesbian, gay, bisexual, queer, and questioning) youth. Limited data are available for tobacco-use–related behaviors beyond smoking status. We compared data on tobacco age of initiation, product use, and secondhand smoke exposure between general population and LGBQ youth.
Methods
Data for general population youth were from the statewide, representative 2011 Missouri Youth Tobacco Survey, and data for LGBQ youth were from the 2012 Out, Proud and Healthy survey (collected at Missouri Pride Festivals). Age-adjusted Cochran-Mantel-Haenszel tests were used to examine differences between general population (N = 1,547) and LGBQ (N = 410) youth, aged 14 to 18 years. Logistic regression models identified variables associated with current smoking.
Results
The 2 groups differed significantly on many tobacco-use–related factors. General population youth initiated smoking at a younger age, and LGBQ youth did not catch up in smoking initiation until age 15 or 16. LGBQ youth (41.0%) soon surpassed general population youth (11.2%) in initiation and proportion of current smokers. LGBQ youth were more likely to use cigars/cigarillos, be poly-tobacco users, and be exposed to secondhand smoke (SHS) in a vehicle (for never smokers). Older age (odds ratio [OR] = 1.39, 95% confidence interval [95% CI] = 1.18–1.62), female sex (OR = 1.64, 95% CI = 1.13–2.37), LGBQ identity (OR = 3.86, 95% CI = 2.50–5.94), other tobacco product use (OR = 8.67, 95% CI = 6.01–12.51), and SHS exposure in a vehicle (OR = 5.97, 95% CI = 3.83–9.31) all significantly increased the odds of being a current smoker.
Conclusion
This study highlights a need for the collection of data on sexual orientation on youth tobacco surveys to address health disparities among LGBQ youth.


Acknowledgments

Data for this publication were obtained in part from the MYTS conducted under the direction of the Missouri Department of Health and Senior Services (MDHSS). Funding for the MYTS was provided by Missouri Tobacco Control Program through a cooperative agreement with the CDC Office on Smoking and Health. The interpretation and conclusions of the data are the sole responsibility of the author and not that of the MDHSS or CDC. Support for the Out, Proud and Healthy project was provided by the Missouri Foundation for Health (11-0439-TRD-11).
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Author Information

Corresponding Author: Jenna N. Jordan, MA, 306 Medical Sciences Bldg, University of Missouri, Columbia, MO 65212. Telephone: 573-884-0089. E-mail:jnjxv8@mail.missouri.edu.
Author Affiliations: Jane A. McElroy, Kevin D. Everett, University of Missouri, Department of Family and Community Medicine, Columbia, Missouri.
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