This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (21)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Pediatrics, Other  • Tobacco  • Alert me on articles by topic  Social Bookmarking   What's this?

S. Bryn Austin, ScD; Najat Ziyadeh, MPH; Laurie B. Fisher, SM; Jessica A. Kahn, MD, MPH; Graham A. Colditz, MD, DrPH; A. Lindsay Frazier, MD, MSc

Arch Pediatr Adolesc Med. 2004;158:317-322.

Objective  To examine sexual-orientation group disparities in tobacco use in adolescent girls and boys.

Design  Survey data from 10 685 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). Agesranged from 12 to 17 years. Compared with heterosexu-als, 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.

From the Division of Adolescent and Young Adult Medicine, Children's Hospital (Dr Austin and Ms Ziyadeh), Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, and Harvard Medical School (Ms Fisher and Drs Colditz and Frazier), Boston, Mass; Division of Adolescent Medicine, Children's Hospital Medical Center, Cincinnati, Ohio (Dr Kahn); and the Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston (Dr Frazier).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

High Tobacco Use Among Lesbian, Gay, and Bisexual Youth: Mounting Evidence About a Hidden Population's Health Risk Behavior
Anthony R. D'Augelli
Arch Pediatr Adolesc Med. 2004;158(4):309-310.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Tobacco as a Substance of Abuse
Sims and the Committee on Substance Abuse
Pediatrics 2009;124:e1045-e1053.
ABSTRACT | FULL TEXT  

Tobacco use among sexual minorities in the USA, 1987 to May 2007: a systematic review
Lee et al.
Tobacco Control 2009;18:275-282.
ABSTRACT | FULL TEXT  

Sexual Violence Victimization History and Sexual Risk Indicators in a Community-Based Urban Cohort of "Mostly Heterosexual" and Heterosexual Young Women
Austin et al.
AJPH 2008;98:1015-1020.
ABSTRACT | FULL TEXT  

Adolescent Same-Sex and Both-Sex Romantic Attractions and Relationships: Implications for Smoking
Easton et al.
AJPH 2008;98:462-467.
ABSTRACT | FULL TEXT  

Physical Health Complaints Among Lesbians, Gay Men, and Bisexual and Homosexually Experienced Heterosexual Individuals: Results From the California Quality of Life Survey
Cochran and Mays
AJPH 2007;97:2048-2055.
ABSTRACT | FULL TEXT  

Research, Curricula, and Resources Related to Lesbian, Gay, Bisexual, and Transgender Health in US Schools of Public Health
Corliss et al.
AJPH 2007;97:1023-1027.
ABSTRACT | FULL TEXT  

Tobacco policies and vulnerable girls and women: toward a framework for gender sensitive policy development
Greaves and Jategaonkar
J. Epidemiol. Community Health 2006;60:ii57-ii65.
ABSTRACT | FULL TEXT  

TOBACCO USE AND CESSATION AMONG MEN WHO HAVE SEX WITH MEN
Archer et al.
AJPH 2005;95:929-929.
FULL TEXT