Evidence for the Confluence of Cigarette Smoking, Other Substance Use, and Psychosocial and Mental Health in a Sample of Urban Sexual Minority Young Adults: The P18 Cohort Study.

Publisher: Oxford University Press Country of Publication: England NLM ID: 8510246 Publication Model: Print Cited Medium: Internet ISSN: 1532-4796 (Electronic) Linking ISSN: 08836612 NLM ISO Abbreviation: Ann Behav Med Subsets: MEDLINE

Publication: 2018- : Oxford : Oxford University Press
Original Publication: [Knoxville, TN] : The Society, [c1985-

Mental Health*; Cigarette Smoking/*psychology ; Sexual and Gender Minorities/*psychology ; Smoking/*psychology; Alcohol Drinking/psychology ; Cohort Studies ; Cross-Sectional Studies ; Humans ; Male ; Marijuana Smoking/psychology ; Syndemic ; United States/epidemiology ; Young Adult

Background: Sexual minority men (SMM) and transgender women (TW) are more likely to smoke cigarettes than heterosexual and cisgender peers, which may exacerbate existing disparities in mental and psychosocial health and substance use.
Purpose: As few existing studies have examined the confluence of these factors, we sought to examine tobacco use in a diverse sample of SMM and TW and describe its relationship with other substance use and health.
Methods: Data were drawn from a study of syndemic conditions among SMM and TW, which included measures assessing tobacco use, substance use, and mental, psychosocial, and general health.
Results: A majority of the racially/ethnically and socioeconomically diverse sample (n = 665) reported ever smoking a cigarette, and more than half of them were current smokers. Current smoking was associated with more frequent recent substance use and poorer mental, psychosocial, and general health. In multivariable analyses, current smoking was predicted by more frequent substance use and more severe anxiety, when adjusting for demographic, substance use, and health factors.
Conclusions: A syndemic approach to health conditions such as substance use, mental health, and psychosocial burden dictates a framework of interrelation and mutual exacerbation. In doing so, we found that current cigarette use was associated with more frequent alcohol and marijuana use and more severe anxiety, suggesting a confluence of cigarette smoking, other substance use, and mental health burden. We recommend a holistic approach to treating tobacco use in sexual and gender minority populations that addresses both substance use and the myriad psychosocial burdens that sexual and gender minority communities experience.
(© Society of Behavioral Medicine 2020. All rights reserved. For permissions, please e-mail: [email protected].)

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R01 DA025537 United States DA NIDA NIH HHS

Keywords: LGBT health disparities; Mental health; Substance use; Syndemics; Tobacco use

Date Created: 20200729 Date Completed: 20211111 Latest Revision: 20240331

20240331

PMC8025086

10.1093/abm/kaaa052

32720976