Minority Stress, Smoking Patterns, and Cessation Attempts: Findings From a Community-Sample of Transgender Women in the San Francisco Bay Area.

作者: Kristi E. Gamarel , Ethan H. Mereish , David Manning , Mariko Iwamoto , Don Operario

DOI: 10.1093/NTR/NTV066

关键词: PsychiatrySex workMinority stressOdds ratioEthnic groupDemographyYoung adultSmoking cessationMedicineCross-sectional studyTransgender

摘要: INTRODUCTION Research has demonstrated associations between reports of minority stressors and smoking behaviors among lesbian, gay, bisexual populations; however, little is known about how are related to cessation attempts transgender women. The purpose this study was twofold: (1) examine the transgender-based discrimination patterns a sample women; (2) identify barriers in women with history smoking. METHODS A community 241 completed one-time survey. Binary multinomial logistic regression models examined attempts. Both adjusted for income, education, race/ethnicity, recent sex work, HIV status, depression, alcohol use, current hormone use. RESULTS Overall, 83% participants indicated that they had smoked cigarette last month. Of these women, 62.3% reported daily 51.7% an unsuccessful quit attempt. Discrimination positively associated currently (adjusted odds ratio [AOR] = 1.04, 95% confidence interval [CI]: 1.01, 1.08). (AOR 1.03, CI: 1.18) never attempting 1.11) compared successful cessation. also 1.00, 1.03). CONCLUSIONS Smoking may be driven by unique transgender-related stressors, such as discrimination. Future research warranted address stigmatizing contexts when understanding providing tailored intervention addressing

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