E-cigarette Use and Risk Behaviors among Lesbian, Gay, Bisexual, and Transgender Adults: The Behavioral Risk Factor Surveillance System (BRFSS) Survey

Authors

  • Mahmoud Al Rifai, M.D. Baylor College of Medicine
  • Mohammadhassan Mirbolouk, M.D.
  • Xiaoming Jia, M.D.
  • Khurram Nasir, M.D., MPH
  • June Pickett, M.D.
  • Vijay Nambi, M.D., Ph.D.
  • Christie M. Ballantyne, M.D.
  • Anwar T. Merchant, Sc.D.
  • Michael J. Blaha, M.D., MPH
  • Salim S. Virani, M.D., Ph.D.

DOI:

https://doi.org/10.17161/kjm.vol13.13861

Keywords:

sexual and gender minorities, e-cigarettes, smoking, Behavior Risk Factor Surveillance System

Abstract

Introduction: We studied prevalence of e-cigarette use among lesbian, gay, bisexual, and transgender (LGBT) individuals and its association with risk behaviors.

Methods: Using data from the Behavioral Risk Factor Surveillance System (BRFSS) survey, we assessed self-reported sexual orientation, e-cigarette use, cigarettes, marijuana, smokeless tobacco, and high-risk behavior (using non-prescribed drugs, treatment for sexually transmitted disease, or receiving monetary or drug compensation in exchange for sex in the previous year). We used multivariable-adjusted logistic regression models to study the association between LGBT and risk behaviors.

Results: Prevalence of e-cigarette use among LGBT adults was 13%, nearly twice that of heterosexual adults. LGBT were more likely [Odds Ratio (95% Confidence Interval)] to report current use of e-cigarettes 1.84 (1.64,2.06), cigarettes 1.61 (1.49,1.73), marijuana 2.37 (1.99,2.82), and high-risk behavior 3.69 (3.40,4.01) compared to heterosexual adults. Results for smokeless tobacco were not significant.

Conclusion: There are disparities in e-cigarette and other risk behaviors among LGBT adults, which may increase risk of adverse health effects in this vulnerable population.

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Published

2020-12-11

Issue

Section

Original Research

How to Cite

Al Rifai, M., Mirbolouk, M., Jia, X. ., Nasir, K. ., Pickett, J., Nambi, V. ., Ballantyne, C., Merchant, A., Blaha, M., & Virani, S. . (2020). E-cigarette Use and Risk Behaviors among Lesbian, Gay, Bisexual, and Transgender Adults: The Behavioral Risk Factor Surveillance System (BRFSS) Survey. Kansas Journal of Medicine, 13(1), 318-321. https://doi.org/10.17161/kjm.vol13.13861