Sexual minority specific and related traumatic experiences are associated with increased risk for smoking among gay and bisexual men
Open accessAbstract
Objective 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.Methods 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]).Results 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-gay physical attack, and childhood sexual abuse were each independently associated with increased odds of the smoking outcomes.Conclusion A sexual minority specific trauma history may represent a vulnerability for smoking among gay/bisexual men. Interventions that address trauma may enhance the efficacy of smoking cessation programs and improve the mental health of gay/bisexual men.
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Youth who are members of LGBTQ or ethnic minority groups, as well as youth with experiences of immigration, foster care, homelessness, and the juvenile justice system, may use substances in the context of unique stressors and risk factors and thus may require tailored adaptations of existing evidence-based approaches.
“Youth who are members of LGBTQ [93] or ethnic minority groups [94], as well as youth with experiences with immigration, foster care, homelessness, and the juvenile justice system may use substances in the context of unique stressors and risk factors and thus may require tailored adaptations of existing evidence-based approaches.”
From Interventions for prevention and treatment of substance use in youth with traumatic childhood experiences: a systematic review and synthesis of the literature (2024) · cites this paper as [93]
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- Authors
- O'Cleirigh, C., Dale, S. K., Elsesser, S., Pantalone, D. W., Mayer, K. H., Bradford, J. B., & Safren, S. A.
- Affiliations
- Harvard University (US)
- Fenway Health (US)
- University of Massachusetts Boston (US)
- Beth Israel Deaconess Medical Center (US)
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 78
- Issue
- 5
- Pages
- 472-477
- ISSN
- 0022-3999 (ISSN-L)
- PMC
- PMC4451223
- OpenAlex
- W1991445326
- Cited by
- 29
- References
- 34
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 2 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 1
- FWCI
- 5.45
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- smoking, gay men, bisexual men, sexual minority stress, trauma history, intimate partner violence, child sexual abuse, smoking cessation, substance use, HIV status
- MeSH terms
- Adolescent, Adult, Bisexuality, Boston, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Sexual Behavior, Sexual Partners, Smoking, Stress, Psychological, Tobacco Use Disorder, Violence, Homosexuality, Male, Substance-Related Disorders
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