Gay/Lesbian sexual orientation increases risk for cigarette smoking and heavy drinking among members of a large Northern California health plan
2006

Higher Smoking and Drinking Risks for Gays and Lesbians

Sample size: 12671 publication Evidence: moderate

Author Information

Author(s): Elisabeth P Gruskin, Nancy Gordon

Primary Institution: Kaiser Permanente Division of Research

Hypothesis

Are lesbians and gay men more likely to smoke and drink heavily compared to heterosexuals?

Conclusion

Lesbians and gay men may be at increased risk for morbidity and mortality due to higher levels of cigarette and alcohol use.

Supporting Evidence

  • Lesbians were significantly more likely than heterosexual women to be heavy drinkers and current smokers.
  • Gay men were significantly more likely than heterosexual men to be current smokers.
  • The study used a large probability sample rather than convenience samples.

Takeaway

Lesbians and gay men are more likely to smoke and drink a lot compared to straight people.

Methodology

Data from random sample health surveys of adult members of a Northern California Health Plan were analyzed using multivariate logistic regression models.

Potential Biases

Potential misclassification of sexual orientation and exclusion of non-disclosing individuals.

Limitations

The sample of lesbians and gay men was relatively small and skewed towards higher socioeconomic status, and the sexual orientation question was limited.

Participant Demographics

Participants included 210 lesbians, 331 gay men, 12,188 heterosexual women, and 9,342 heterosexual men aged 20-64.

Statistical Information

Confidence Interval

95% CI 1.08–4.23 for lesbians; 95% CI 1.75–3.30 for gay men

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-6-241

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