Sexual minority specific and related traumatic experiences are associated with increased risk for smoking among gay and bisexual men

Journal of Psychosomatic Research
Conall O'CleirighSteven A Safren

Abstract

This study examined the hypothesis that sexual minority specific stress and trauma histories may explain some of the risk for smoking among gay/bisexual men. Patients at a Boston community health center were invited to complete a 25-item questionnaire assessing demographics, general health, trauma history, and substance use. Of the 3103 who responded, 1309 identified as male and gay or bisexual (82.8% White and mean age of 38.55 [sd = 9.76]). A multinomial logistic regression with never smoked as referent group and covariates of age, education, employment, HIV status, and race, showed that the number of sexual minority stressors/traumas were significantly related to the odds of both current and former smoking. In comparison to participants with no trauma history, those who reported 1, 2, 3, and 4 traumas had respectively 1.70 (OR = 1.70: 95% CI: 1.24-2.34), 2.19 (OR = 2.19: 95% CI: 1.48-3.23), 2.88 (OR = 2.88: 95% CI: 1.71-4.85), and 6.94 (OR = 6.94: 95% CI: 2.62-18.38) the odds of identifying as a current smoker. Adjusted logistic regression analysis revealed a significant dose effect of number of sexual minority stressors/traumas with odds of ever smoking. Experiencing intimate partner violence, anti-gay verbal attack, anti-g...Continue Reading

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Citations

Nov 15, 2015·Journal of Homosexuality·Todd G MorrisonKandice Parker-Taneo
Sep 15, 2017·Journal of Traumatic Stress·Amber D SeeligEdward J Boyko
Jul 29, 2020·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Caleb LoSchiavoPerry N Halkitis

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