Tobacco use by sexual and gender minorities: findings from a Brazilian national survey

OBJECTIVE: The study aims to identify the prevalence of use of tobacco products by sexual and gender minorities (SGM) in Brazil, the users’ profile and associations between tobacco use and social and behavioural variables. METHODOLOGY: The study used data from a representative nationwide household s...

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Autores principales: Carvalho, Aline Mesquita, Bertoni, Neilane, Coutinho, Carolina, Bastos, Francisco Inacio, Fonseca, Vania de Matos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106026/
https://www.ncbi.nlm.nih.gov/pubmed/37045563
http://dx.doi.org/10.1136/bmjopen-2022-065738
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author Carvalho, Aline Mesquita
Bertoni, Neilane
Coutinho, Carolina
Bastos, Francisco Inacio
Fonseca, Vania de Matos
author_facet Carvalho, Aline Mesquita
Bertoni, Neilane
Coutinho, Carolina
Bastos, Francisco Inacio
Fonseca, Vania de Matos
author_sort Carvalho, Aline Mesquita
collection PubMed
description OBJECTIVE: The study aims to identify the prevalence of use of tobacco products by sexual and gender minorities (SGM) in Brazil, the users’ profile and associations between tobacco use and social and behavioural variables. METHODOLOGY: The study used data from a representative nationwide household survey of the Brazilian population aged 12–65 years—the first one to address the issue of sexual orientation/gender identity. The study sample consisted of 15 801 individuals. Social and behavioural characteristics and the use of tobacco products were compared according to sexual orientation/gender identity. A multivariate logistic model was constructed to assess the association between tobacco use and sexual orientation/gender identity, as well as models stratified by SGM and non-SGM. RESULTS: Prevalence of any tobacco product use was 44.7% among SGM and 17.0% among non-SGM. Water pipe use was ~8 times higher for SGM than for non-SGM (13.5% vs 1.6%). SGM tobacco users were younger and had more schooling than non-SGM tobacco users. After adjusting for social and behavioural variables, the multivariate model showed that SGM were 150% more likely to use tobacco products than non-SGM (adjusted OR 2.52; 95% CI 1.61 to 3.95). In the model for SGM, schooling, alcohol consumption, illicit drug consumption, violence and anxiety/depression were significantly associated with tobacco use. CONCLUSION: Prevalence of tobacco use among SGM was higher than among non-SGM, and the profile of tobacco users differed between them. It is urgent to monitor health issues in SGM in Brazil and to adopt tobacco control strategies for this group.
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spelling pubmed-101060262023-04-17 Tobacco use by sexual and gender minorities: findings from a Brazilian national survey Carvalho, Aline Mesquita Bertoni, Neilane Coutinho, Carolina Bastos, Francisco Inacio Fonseca, Vania de Matos BMJ Open Smoking and Tobacco OBJECTIVE: The study aims to identify the prevalence of use of tobacco products by sexual and gender minorities (SGM) in Brazil, the users’ profile and associations between tobacco use and social and behavioural variables. METHODOLOGY: The study used data from a representative nationwide household survey of the Brazilian population aged 12–65 years—the first one to address the issue of sexual orientation/gender identity. The study sample consisted of 15 801 individuals. Social and behavioural characteristics and the use of tobacco products were compared according to sexual orientation/gender identity. A multivariate logistic model was constructed to assess the association between tobacco use and sexual orientation/gender identity, as well as models stratified by SGM and non-SGM. RESULTS: Prevalence of any tobacco product use was 44.7% among SGM and 17.0% among non-SGM. Water pipe use was ~8 times higher for SGM than for non-SGM (13.5% vs 1.6%). SGM tobacco users were younger and had more schooling than non-SGM tobacco users. After adjusting for social and behavioural variables, the multivariate model showed that SGM were 150% more likely to use tobacco products than non-SGM (adjusted OR 2.52; 95% CI 1.61 to 3.95). In the model for SGM, schooling, alcohol consumption, illicit drug consumption, violence and anxiety/depression were significantly associated with tobacco use. CONCLUSION: Prevalence of tobacco use among SGM was higher than among non-SGM, and the profile of tobacco users differed between them. It is urgent to monitor health issues in SGM in Brazil and to adopt tobacco control strategies for this group. BMJ Publishing Group 2023-04-12 /pmc/articles/PMC10106026/ /pubmed/37045563 http://dx.doi.org/10.1136/bmjopen-2022-065738 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Smoking and Tobacco
Carvalho, Aline Mesquita
Bertoni, Neilane
Coutinho, Carolina
Bastos, Francisco Inacio
Fonseca, Vania de Matos
Tobacco use by sexual and gender minorities: findings from a Brazilian national survey
title Tobacco use by sexual and gender minorities: findings from a Brazilian national survey
title_full Tobacco use by sexual and gender minorities: findings from a Brazilian national survey
title_fullStr Tobacco use by sexual and gender minorities: findings from a Brazilian national survey
title_full_unstemmed Tobacco use by sexual and gender minorities: findings from a Brazilian national survey
title_short Tobacco use by sexual and gender minorities: findings from a Brazilian national survey
title_sort tobacco use by sexual and gender minorities: findings from a brazilian national survey
topic Smoking and Tobacco
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106026/
https://www.ncbi.nlm.nih.gov/pubmed/37045563
http://dx.doi.org/10.1136/bmjopen-2022-065738
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