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Am J Public Health. 2014 Feb;104(2):e148-53. doi: 10.2105/AJPH.2013.301657. Epub 2013 Dec 12.

Secondhand smoke exposure among young adult sexual minority bar and nightclub patrons.

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Amanda Fallin and Pamela M. Ling are with the Center for Tobacco Control Research and Education, Pamela M. Ling is also with the Division of General Internal Medicine, Department of Medicine, and Torsten B. Neilands is with the Center for AIDS Prevention Studies, University of California San Francisco. Jeffrey W. Jordan is with the Rescue Social Change Group, San Diego, CA.



We compared exposure to secondhand smoke (SHS) and attitudes toward smoke-free bar and nightclub policies among patrons of lesbian, gay, bisexual, and transgender (LGBT) and non-LGBT bars and nightclubs.


We conducted randomized time-location sampling surveys of young adults (aged 21-30 years) in 7 LGBT (nā€‰=ā€‰1113 patrons) and 12 non-LGBT (nā€‰=ā€‰1068 patrons) venues in Las Vegas, Nevada, in 2011, as part of a cross-sectional study of a social branding intervention to promote a tobacco-free lifestyle and environment in bars and nightclubs.


Compared with non-LGBT bars and nightclubs, patrons of LGBT venues had 38% higher adjusted odds of having been exposed to SHS in a bar or nightclub in the past 7 days but were no less likely to support smoke-free policies and intended to go out at least as frequently if a smoke-free bar and nightclub law was passed.


The policy environment in LGBT bars and nightclubs appears favorable for the enactment of smoke-free policies, which would protect patrons from SHS and promote a smoke-free social norm.

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