{"doi":"10.1542/peds.2018-1671","title":"Cigarette Smoking Disparities Between Sexual Minority and Heterosexual Youth","abstract":"<jats:sec>\n                  <jats:title>BACKGROUND:</jats:title>\n                  <jats:p>Using a population-based sample of youth, we examined rates of cigarette use and trends in cigarette use disparities between heterosexual youth and 3 subgroups of sexual minority youth (SMY) (ie, lesbian or gay, bisexual, and unsure) from 2005 to 2015.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:</jats:title>\n                  <jats:p>Data are from 6 cohorts of the Youth Risk Behavior Survey, a national, biennial, school-based survey of ninth- to 12th-grade students in the United States (n = 404 583). Sex-stratified analyses conducted in 2017 examined trends in 2 cigarette-related behaviors: lifetime cigarette use and heavy cigarette use (20+ days in the past 30).</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:</jats:title>\n                  <jats:p>Disparities in lifetime cigarette use between lesbian and heterosexual girls were statistically smaller in 2015 relative to 2005 (adjusted odds ratio [aOR] 0.29; 95% confidence interval [CI] 0.12–0.75; P = .011). Sexual orientation disparities in heavy use were narrower for bisexual boys in 2015 compared with 2005 (aOR 0.39; 95% CI 0.17–0.90; P = .028). Girls and boys unsure of their sexual identity had wider disparities in heavy use in 2015 (aOR 3.85; 95% CI 1.39–11.10; P = .009) relative to 2005 (aOR 2.44; 95% CI 1.22–5.00; P = .012).</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:</jats:title>\n                  <jats:p>SMY remain at greater risk for cigarette-related behaviors despite greater acceptance of lesbian, gay, and bisexual people in the United States. Focused policies and programs aimed at reducing rates of SMY cigarette use are warranted, particularly for youth questioning their sexual identity.</jats:p>\n               </jats:sec>","journal":"Pediatrics","year":2019,"id":608238,"datarank":0.5050943744979712,"base_score":3.367295829986474,"endowment":3.367295829986474,"self_citation_contribution":0.5050943744979712,"citation_network_contribution":0.0,"self_endowment_contribution":0.5050943744979712,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":28,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1533019,"name":"Blair Turner","orcid":null,"position":1,"is_corresponding":false},{"id":339824,"name":"Gregory Phillips","orcid":"0000-0001-8396-1170","position":2,"is_corresponding":false},{"id":249521,"name":"Stephen T. Russell","orcid":"0000-0002-6238-0606","position":3,"is_corresponding":false},{"id":228153,"name":"Jessica N. Fish","orcid":"0000-0001-9280-6156","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Cigarette Smoking Disparities Between Sexual Minority and Heterosexual Youth","abstract":"<jats:sec>\n                  <jats:title>BACKGROUND:</jats:title>\n                  <jats:p>Using a population-based sample of youth, we examined rates of cigarette use and trends in cigarette use disparities between heterosexual youth and 3 subgroups of sexual minority youth (SMY) (ie, lesbian or gay, bisexual, and unsure) from 2005 to 2015.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:</jats:title>\n                  <jats:p>Data are from 6 cohorts of the Youth Risk Behavior Survey, a national, biennial, school-based survey of ninth- to 12th-grade students in the United States (n = 404 583). Sex-stratified analyses conducted in 2017 examined trends in 2 cigarette-related behaviors: lifetime cigarette use and heavy cigarette use (20+ days in the past 30).</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:</jats:title>\n                  <jats:p>Disparities in lifetime cigarette use between lesbian and heterosexual girls were statistically smaller in 2015 relative to 2005 (adjusted odds ratio [aOR] 0.29; 95% confidence interval [CI] 0.12–0.75; P = .011). Sexual orientation disparities in heavy use were narrower for bisexual boys in 2015 compared with 2005 (aOR 0.39; 95% CI 0.17–0.90; P = .028). Girls and boys unsure of their sexual identity had wider disparities in heavy use in 2015 (aOR 3.85; 95% CI 1.39–11.10; P = .009) relative to 2005 (aOR 2.44; 95% CI 1.22–5.00; P = .012).</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:</jats:title>\n                  <jats:p>SMY remain at greater risk for cigarette-related behaviors despite greater acceptance of lesbian, gay, and bisexual people in the United States. Focused policies and programs aimed at reducing rates of SMY cigarette use are warranted, particularly for youth questioning their sexual identity.</jats:p>\n               </jats:sec>","is_dataset_classified":null,"base_score":3.367295829986474,"endowment":3.367295829986474,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"30862728","pmcid":"PMC6565340","openalex_id":"https://openalex.org/W2921556322","authors":[],"funders":[{"funder_name":"NIAAA NIH HHS","grant_id":"R01 AA024409","title":null},{"funder_name":"NICHD NIH HHS","grant_id":"P2C HD042849","title":null},{"funder_name":"NICHD NIH HHS","grant_id":"P2C HD041041","title":null},{"funder_name":"NIAAA NIH HHS","grant_id":"F32 AA023138","title":null}],"total_grants":4,"fwci":5.6397,"citation_percentile":0.95651524,"influential_citations":0,"citation_trend":[{"year":2019,"count":5},{"year":2020,"count":8},{"year":2021,"count":5},{"year":2022,"count":4},{"year":2024,"count":3},{"year":2025,"count":3}],"oa_status":"bronze","license":null,"oa_locations":[{"url":"https://pediatrics.aappublications.org/content/pediatrics/143/4/e20181671.full.pdf","host_type":"journal"},{"url":"https://pediatrics.aappublications.org/content/pediatrics/143/4/e20181671.full.pdf","host_type":"publisher"},{"url":"https://publications.aap.org/pediatrics/article-pdf/doi/10.1542/peds.2018-1671/1075961/peds_20181671.pdf","host_type":"publisher"},{"url":"https://doi.org/10.1542/peds.2018-1671","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/30862728","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6565340","host_type":"repository"}],"fields_of_study":["LGBTQ Health, Identity, and Policy","Smoking Behavior and Cessation","Electoral Systems and Political Participation","Adolescent","Adolescent Behavior","Cigarette Smoking","Cross-Sectional Studies","Databases, Factual","Female","Health Status Disparities","Heterosexuality","Humans","Logistic Models","Male","Odds Ratio","Retrospective Studies","Risk-Taking","Sexual and Gender Minorities","United States"],"mesh_terms":["Sexual and Gender Minorities","Cigarette Smoking","Adolescent","Adolescent Behavior","Cross-Sectional Studies","Female","Humans","Male","Retrospective Studies","Risk-Taking","United States","Logistic Models","Odds Ratio","Databases, Factual","Heterosexuality","Health Status Disparities"],"keywords":["Sexual orientation","Medicine","Youth Risk Behavior Survey","Sexual minority","Lesbian","Demography","Sexual identity","Confidence interval","Population","Odds ratio","Health equity","Homosexuality","Environmental health","Public health","Poison control","Human sexuality","Injury prevention","Psychology","Social psychology","Gender studies"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"doi"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-07-30T07:46:48.761741Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}