Tobacco use by sexual and gender minorities: findings from a Brazilian national survey
Objective The study aims to identify the prevalence of use of tobacco products by sexual and gender minorities (SGM) in Brazil, the users’ profile and associations between tobacco use and social and behavioural variables.Methodology The study used data from a representative nationwide household surv...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-04-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/4/e065738.full |
| _version_ | 1826987224366841856 |
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| author | Francisco Inácio Bastos Aline Mesquita Carvalho Neilane Bertoni Carolina Coutinho Vania de Matos Fonseca |
| author_facet | Francisco Inácio Bastos Aline Mesquita Carvalho Neilane Bertoni Carolina Coutinho Vania de Matos Fonseca |
| author_sort | Francisco Inácio Bastos |
| collection | DOAJ |
| description | Objective The study aims to identify the prevalence of use of tobacco products by sexual and gender minorities (SGM) in Brazil, the users’ profile and associations between tobacco use and social and behavioural variables.Methodology The study used data from a representative nationwide household survey of the Brazilian population aged 12–65 years—the first one to address the issue of sexual orientation/gender identity. The study sample consisted of 15 801 individuals. Social and behavioural characteristics and the use of tobacco products were compared according to sexual orientation/gender identity. A multivariate logistic model was constructed to assess the association between tobacco use and sexual orientation/gender identity, as well as models stratified by SGM and non-SGM.Results Prevalence of any tobacco product use was 44.7% among SGM and 17.0% among non-SGM. Water pipe use was ~8 times higher for SGM than for non-SGM (13.5% vs 1.6%). SGM tobacco users were younger and had more schooling than non-SGM tobacco users. After adjusting for social and behavioural variables, the multivariate model showed that SGM were 150% more likely to use tobacco products than non-SGM (adjusted OR 2.52; 95% CI 1.61 to 3.95). In the model for SGM, schooling, alcohol consumption, illicit drug consumption, violence and anxiety/depression were significantly associated with tobacco use.Conclusion Prevalence of tobacco use among SGM was higher than among non-SGM, and the profile of tobacco users differed between them. It is urgent to monitor health issues in SGM in Brazil and to adopt tobacco control strategies for this group. |
| first_indexed | 2024-04-09T18:18:10Z |
| format | Article |
| id | doaj.art-bf58e94272084be6b7f804365ec1cd10 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-02-18T07:35:08Z |
| publishDate | 2023-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-bf58e94272084be6b7f804365ec1cd102024-11-06T02:45:08ZengBMJ Publishing GroupBMJ Open2044-60552023-04-0113410.1136/bmjopen-2022-065738Tobacco use by sexual and gender minorities: findings from a Brazilian national surveyFrancisco Inácio Bastos0Aline Mesquita Carvalho1Neilane Bertoni2Carolina Coutinho3Vania de Matos Fonseca4Oswaldo Cruz Foundation, Rio de Janeiro, BrazilDivision of Tobacco Control, Instituto Nacional de Câncer, Rio de Janeiro, BrazilTobacco Control Unit (DITAB/CONPREV), Instituto Nacional de Câncer (INCA), Rio de Janeiro, BrazilGetúlio Vargas Foundation School of Business Administration of Sao Paulo, Sao Paulo, BrazilFiocruz, Instituto Fernandes Figueira, Rio de Janeiro, BrazilObjective The study aims to identify the prevalence of use of tobacco products by sexual and gender minorities (SGM) in Brazil, the users’ profile and associations between tobacco use and social and behavioural variables.Methodology The study used data from a representative nationwide household survey of the Brazilian population aged 12–65 years—the first one to address the issue of sexual orientation/gender identity. The study sample consisted of 15 801 individuals. Social and behavioural characteristics and the use of tobacco products were compared according to sexual orientation/gender identity. A multivariate logistic model was constructed to assess the association between tobacco use and sexual orientation/gender identity, as well as models stratified by SGM and non-SGM.Results Prevalence of any tobacco product use was 44.7% among SGM and 17.0% among non-SGM. Water pipe use was ~8 times higher for SGM than for non-SGM (13.5% vs 1.6%). SGM tobacco users were younger and had more schooling than non-SGM tobacco users. After adjusting for social and behavioural variables, the multivariate model showed that SGM were 150% more likely to use tobacco products than non-SGM (adjusted OR 2.52; 95% CI 1.61 to 3.95). In the model for SGM, schooling, alcohol consumption, illicit drug consumption, violence and anxiety/depression were significantly associated with tobacco use.Conclusion Prevalence of tobacco use among SGM was higher than among non-SGM, and the profile of tobacco users differed between them. It is urgent to monitor health issues in SGM in Brazil and to adopt tobacco control strategies for this group.https://bmjopen.bmj.com/content/13/4/e065738.full |
| spellingShingle | Francisco Inácio Bastos Aline Mesquita Carvalho Neilane Bertoni Carolina Coutinho Vania de Matos Fonseca Tobacco use by sexual and gender minorities: findings from a Brazilian national survey BMJ Open |
| title | Tobacco use by sexual and gender minorities: findings from a Brazilian national survey |
| title_full | Tobacco use by sexual and gender minorities: findings from a Brazilian national survey |
| title_fullStr | Tobacco use by sexual and gender minorities: findings from a Brazilian national survey |
| title_full_unstemmed | Tobacco use by sexual and gender minorities: findings from a Brazilian national survey |
| title_short | Tobacco use by sexual and gender minorities: findings from a Brazilian national survey |
| title_sort | tobacco use by sexual and gender minorities findings from a brazilian national survey |
| url | https://bmjopen.bmj.com/content/13/4/e065738.full |
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