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Real-time predictors of smoking among sexual minority and heterosexual young adults: An ecological momentary assessment study

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  • Additional Information
    • Affiliation:
      a Center for Tobacco Control Research and Education, University of California San Francisco, 530 Parnassus Ave., San Francisco, CA, 94117, USA
      b Department of Psychiatry, Weill Institute for Neurosciences, University of California, San Francisco, 401 Parnassus Ave., San Francisco, CA, 94143, USA
      c Department of Geography, Binghamton University, State University of New York, 4400 Vestal Pkwy E 102 B, Vestal, NY, 13850, USA
      d Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N. Broadway, Baltimore, MD, 21205, USA
    • Keywords:
      Tobacco
      Cigarette smoking
      Real-time predictor
      Health disparities
      LGBTQ+
    • Abstract:
      Highlights •We studied real-time predictors of smoking for sexual minorities and heterosexuals.•Both groups shared several common smoking predictors (e.g., craving, smoking bans).•Predictors for sexual minorities were number of other smokers and bar attendance.
    • Abstract:
      Methods We conducted an ecological momentary assessment (EMA) study in the San Francisco Bay Area, California in 2016-2017. Data from 84 young adult smokers (44% identified as sexual minority, including 29 bisexual and 8 gay/lesbian) with 6498 EMA assessments were analyzed. Both internal and external predictors and interaction terms between each predictor and sexual group were examined using generalized estimating equation models.
    • Abstract:
      Results Common correlates of smoking were found for both groups (e.g., craving, absence of smoking bans, presence of other smokers, outside location, and seeing triggers). Unique factors for sexual minority smokers were being at a bar (aOR = 1.75, 95% CI = 1.06–2.90) and the number of other smokers present (aOR = 1.12, 95%CI = 1.04–1.20), while the presence of a smoking family member reduced the odds of smoking in this group (aOR = 0.13, 95%CI = 0.02-0.85). In interaction models, the number of other smokers exerted a greater influence on sexual minority participants compared to their heterosexual counterparts (aOR = 1.10, 95%CI = 1.01–1.20), while craving (aOR = 0.84, 95%CI = 0.75-0.93) and presence of a smoking family member (aOR = 0.11, 95%CI = 0.01-0.82) had weaker influences.
    • Abstract:
      Conclusions Our study highlights unique situational factors associated with smoking among sexual minority young adults and differences in these factors by sexual identity. Future interventions targeting sexual minorities should address bar attendance and specific triggers.
    • ISSN:
      0376-8716
    • Accession Number:
      10.1016/j.drugalcdep.2018.07.021
    • Accession Number:
      S0376871618304757
    • Copyright:
      © 2018 Elsevier B.V. All rights reserved.
  • Citations
    • ABNT:
      NGUYEN, N. et al. Real-time predictors of smoking among sexual minority and heterosexual young adults: An ecological momentary assessment study. Drug and Alcohol Dependence, [s. l.], v. 192, p. 51–58, 2018. DOI 10.1016/j.drugalcdep.2018.07.021. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0376871618304757. Acesso em: 21 out. 2020.
    • AMA:
      Nguyen N, McQuoid J, Ramo D, Holmes LM, Ling PM, Thrul J. Real-time predictors of smoking among sexual minority and heterosexual young adults: An ecological momentary assessment study. Drug and Alcohol Dependence. 2018;192:51-58. doi:10.1016/j.drugalcdep.2018.07.021
    • APA:
      Nguyen, N., McQuoid, J., Ramo, D., Holmes, L. M., Ling, P. M., & Thrul, J. (2018). Real-time predictors of smoking among sexual minority and heterosexual young adults: An ecological momentary assessment study. Drug and Alcohol Dependence, 192, 51–58. https://doi.org/10.1016/j.drugalcdep.2018.07.021
    • Chicago/Turabian: Author-Date:
      Nguyen, Nhung, Julia McQuoid, Danielle Ramo, Louisa M. Holmes, Pamela M. Ling, and Johannes Thrul. 2018. “Real-Time Predictors of Smoking among Sexual Minority and Heterosexual Young Adults: An Ecological Momentary Assessment Study.” Drug and Alcohol Dependence 192 (November): 51–58. doi:10.1016/j.drugalcdep.2018.07.021.
    • Harvard:
      Nguyen, N. et al. (2018) ‘Real-time predictors of smoking among sexual minority and heterosexual young adults: An ecological momentary assessment study’, Drug and Alcohol Dependence, 192, pp. 51–58. doi: 10.1016/j.drugalcdep.2018.07.021.
    • Harvard: Australian:
      Nguyen, N, McQuoid, J, Ramo, D, Holmes, LM, Ling, PM & Thrul, J 2018, ‘Real-time predictors of smoking among sexual minority and heterosexual young adults: An ecological momentary assessment study’, Drug and Alcohol Dependence, vol. 192, pp. 51–58, viewed 21 October 2020, .
    • MLA:
      Nguyen, Nhung, et al. “Real-Time Predictors of Smoking among Sexual Minority and Heterosexual Young Adults: An Ecological Momentary Assessment Study.” Drug and Alcohol Dependence, vol. 192, Nov. 2018, pp. 51–58. EBSCOhost, doi:10.1016/j.drugalcdep.2018.07.021.
    • Chicago/Turabian: Humanities:
      Nguyen, Nhung, Julia McQuoid, Danielle Ramo, Louisa M. Holmes, Pamela M. Ling, and Johannes Thrul. “Real-Time Predictors of Smoking among Sexual Minority and Heterosexual Young Adults: An Ecological Momentary Assessment Study.” Drug and Alcohol Dependence 192 (November 1, 2018): 51–58. doi:10.1016/j.drugalcdep.2018.07.021.
    • Vancouver/ICMJE:
      Nguyen N, McQuoid J, Ramo D, Holmes LM, Ling PM, Thrul J. Real-time predictors of smoking among sexual minority and heterosexual young adults: An ecological momentary assessment study. Drug and Alcohol Dependence [Internet]. 2018 Nov 1 [cited 2020 Oct 21];192:51–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0376871618304757