Using structural equation modeling to assess pathways between structural stigma and tobacco use among sexual and gender minority young adults living in the United States
2024

Impact of Structural Stigma on Tobacco Use in Sexual and Gender Minority Young Adults

Sample size: 2857 publication 10 minutes Evidence: moderate

Author Information

Author(s): Figueroa Wilson, Sridhar Srini, Jankowski Emma, Ennis Alysha, Trinh Anne, Seiber Eric, Patterson Joanne

Primary Institution: The Ohio State University

Hypothesis

This study aimed to assess the indirect effects of structural stigma on current tobacco use among sexual and gender minority young adults via depletion of economic resources, interpersonal discrimination, and perceived psychological stress.

Conclusion

Structural stigma is indirectly associated with higher tobacco use among sexual and gender minority young adults through economic resource depletion.

Supporting Evidence

  • Structural stigma was indirectly associated with current tobacco use via depletion of economic resources for sexual and gender minority young adults.
  • Interpersonal discrimination was directly and indirectly associated with current tobacco use for both sexual and gender minority and non-sexual and gender minority young adults.
  • Participants reported higher financial strain and food insecurity, which were linked to increased tobacco use.

Takeaway

Young adults who identify as sexual and gender minorities may smoke more because of societal pressures and lack of resources, which makes it harder for them to quit.

Methodology

Structural Equation Modeling was used to analyze data from a cross-sectional study with participants aged 18-35 in the U.S.

Potential Biases

Potential biases may arise from self-reported data and the cross-sectional nature of the study.

Limitations

The study used cross-sectional data and lacked sufficient sample size to examine specific subgroups within sexual and gender minorities.

Participant Demographics

Participants included 1,288 sexual and gender minority young adults and 1,368 heterosexual young adults, with a majority being White.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.21203/rs.3.rs-5417843

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