Jackson, SE;
Brown, J;
Grabovac, I;
Cheeseman, H;
Osborne, C;
Shahab, L;
(2020)
Smoking and quitting behaviour by sexual orientation: a cross-sectional survey of adults in England.
Nicotine & Tobacco Research
, Article ntaa042. 10.1093/ntr/ntaa042.
(In press).
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Abstract
Objective: To assess associations between sexual orientation and smoking and quitting behaviour among adults in England. Methods: Data were collected from 112,537 adults (≥16y) participating in a nationally-representative monthly cross-sectional survey between 07/2013 and 02/2019. Sexual orientation was self-reported as heterosexual, bisexual, lesbian/gay, or prefer-not-to-say. Main outcomes were smoking status, e-cigarette use, cigarettes per day, time to first cigarette, motivation to stop smoking, motives for quitting, use of cessation support, and past‐year quit attempts. Associations were analysed separately for men and women using multivariable regression models adjusted for relevant covariates. Results: Smoking prevalence is now similar between gay (21.6%), prefer-not-to-say (20.5%) and heterosexual men (20.0%), and lesbian (18.3%) and heterosexual women (16.9%), but remains higher among bisexual men (28.2%, ORadj 1.41, 95%CI 1.11; 1.79) and bisexual women (29.8%, ORadj 1.64, 95%CI 1.33; 2.03) and lower among prefer-not-to-say women (14.5%, ORadj 0.85, 95%CI 0.72; 0.99). Among smokers, bisexuals were less addicted than heterosexuals, with bisexual men smoking fewer cigarettes per day (Badj -2.41, 95%CI -4.06; -0.75) and bisexual women less likely to start smoking within 30 minutes of waking (ORadj 0.66, 95% CI0.45; 0.95) than heterosexuals. However, motivation to stop smoking and quit attempts did not differ significantly. Conclusions: In England, differences in smoking prevalence among people with different sexual orientations have narrowed, primarily driven by a larger decline in smoking rates among sexual minority groups than heterosexuals. Bisexual men and women remain more likely to smoke but have lower levels of addiction while being no less likely to try to quit.
| Type: | Article |
|---|---|
| Title: | Smoking and quitting behaviour by sexual orientation: a cross-sectional survey of adults in England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1093/ntr/ntaa042 |
| Publisher version: | http://dx.doi.org/10.1093/ntr/ntaa042 |
| Language: | English |
| Additional information: | © The Author(s) 2020. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10092991 |
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