TY - JOUR
T1 - Sexual Orientation and Tobacco Use in a Cohort Study of US Adolescent Girls and Boys
AU - Austin, S. Bryn
AU - Ziyadeh, Najat
AU - Fisher, Laurie B.
AU - Kahn, Jessica A.
AU - Colditz, Graham A.
AU - Frazier, A. Lindsay
PY - 2004/4
Y1 - 2004/4
N2 - Objective: To examine sexual-orientation group disparities in tobacco use in adolescent girls and boys. Design: Survey data from 10685 adolescent girls and boys participating in 1999 in the Growing Up Today Study were examined cross-sectionally. Setting: Community-based population of adolescents living throughout the United States. Main Outcome Measure: Prevalence of tobacco use. Results: Ninety-two percent of the participants described themselves as heterosexual (n=9296), 5% as mostly heterosexual (n=511), 1% as lesbian/gay/bisexual (n=103), and 2% as unsure (n=226). Ages ranged from 12 to 17 years. Compared with heterosexuals, mostly heterosexual girls were 2.5 (95% confidence interval, 1.8-3.5), lesbian/bisexual girls were 9.7 (95% confidence interval, 5.1-18.4), and mostly heterosexual boys were 2.5 (95% confidence interval, 1.4-4.6) times more likely to smoke at least weekly. In contrast, gay/bisexual boys were not more likely to smoke. Findings persisted even when controlling for multiple sociodemographic and psychosocial covariates. Conclusion: Our findings indicate that mostly heterosexual adolescents of both sexes and lesbian/bisexual girls are at heightened risk for tobacco use.
AB - Objective: To examine sexual-orientation group disparities in tobacco use in adolescent girls and boys. Design: Survey data from 10685 adolescent girls and boys participating in 1999 in the Growing Up Today Study were examined cross-sectionally. Setting: Community-based population of adolescents living throughout the United States. Main Outcome Measure: Prevalence of tobacco use. Results: Ninety-two percent of the participants described themselves as heterosexual (n=9296), 5% as mostly heterosexual (n=511), 1% as lesbian/gay/bisexual (n=103), and 2% as unsure (n=226). Ages ranged from 12 to 17 years. Compared with heterosexuals, mostly heterosexual girls were 2.5 (95% confidence interval, 1.8-3.5), lesbian/bisexual girls were 9.7 (95% confidence interval, 5.1-18.4), and mostly heterosexual boys were 2.5 (95% confidence interval, 1.4-4.6) times more likely to smoke at least weekly. In contrast, gay/bisexual boys were not more likely to smoke. Findings persisted even when controlling for multiple sociodemographic and psychosocial covariates. Conclusion: Our findings indicate that mostly heterosexual adolescents of both sexes and lesbian/bisexual girls are at heightened risk for tobacco use.
UR - http://www.scopus.com/inward/record.url?scp=1842476065&partnerID=8YFLogxK
U2 - 10.1001/archpedi.158.4.317
DO - 10.1001/archpedi.158.4.317
M3 - Review article
C2 - 15066869
AN - SCOPUS:1842476065
SN - 1072-4710
VL - 158
SP - 317
EP - 322
JO - Archives of Pediatrics and Adolescent Medicine
JF - Archives of Pediatrics and Adolescent Medicine
IS - 4
ER -