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Arch Pediatr Adolesc Med. 2004 Apr;158(4):317-22.

Sexual orientation and tobacco use in a cohort study of US adolescent girls and boys.

Author information

1
Division of Adolescent and Young Adult Medicine, Children's Hospital, Channing Laboratory, Boston, Massachusetts 02115, USA. bryn.austin@tch.harvard.edu

Abstract

OBJECTIVE:

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

DESIGN:

Survey data from 10685 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). Ages ranged from 12 to 17 years. Compared with heterosexuals, 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.

PMID:
15066869
DOI:
10.1001/archpedi.158.4.317
[Indexed for MEDLINE]
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