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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 1/2014

01-02-2014 | Original Article

Structural Stigma and Cigarette Smoking in a Prospective Cohort Study of Sexual Minority and Heterosexual Youth

Authors: Mark L. Hatzenbuehler, Ph.D., Hee-Jin Jun, Sc.D., Heather L. Corliss, M.P.H., Ph.D., S. Bryn Austin, Sc.D.

Published in: Annals of Behavioral Medicine | Issue 1/2014

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Abstract

Background

Sexual minority youth are more likely to smoke cigarettes than heterosexuals, but research into the determinants of these disparities is lacking.

Purpose

This study aimed to examine whether exposure to structural stigma predicts cigarette smoking in sexual minority youth.

Methods

Prospective data from adolescents participating in the Growing Up Today Study (2000–2005) were utilized.

Results

Among sexual minority youth, living in low structural stigma states (e.g., states with non-discrimination policies inclusive of sexual orientation) was associated with a lower risk of cigarette smoking after adjustment for individual-level risk factors (relative risk [RR] = 0.97; 95 % confidence interval [CI], 0.96, 0.99; p = 0.02). This association was marginally significant after additional controls for potential state-level confounders (RR = 0.97; 95 % CI, 0.93, 1.00; p = 0.06). In contrast, among heterosexual youth, structural stigma was not associated with past-year smoking rates, documenting specificity of these effects to sexual minority youth.

Conclusions

Structural stigma represents a potential risk factor for cigarette smoking among sexual minority adolescents.
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Metadata
Title
Structural Stigma and Cigarette Smoking in a Prospective Cohort Study of Sexual Minority and Heterosexual Youth
Authors
Mark L. Hatzenbuehler, Ph.D.
Hee-Jin Jun, Sc.D.
Heather L. Corliss, M.P.H., Ph.D.
S. Bryn Austin, Sc.D.
Publication date
01-02-2014
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 1/2014
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-013-9548-9

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Introduction

Introduction to the Special Section on Lesbian, Gay, Bisexual, and Transgender (LGBT) Health Disparities: Where We Are and Where We're Going