Minority Stress and Smoking among Lesbian, Gay, and Bisexual Adults

[Speaker] Smith, Nathan G:1
[Co-author] Obasi, Ezemenari M:1, Reitzel, Lorraine R:1
1:University of Houston (United States of America)

Lesbian, gay, and bisexual (LGB) adults have higher rates of smoking than heterosexuals. LGB minority stress has been shown to relate to negative outcomes. We examined relations between minority stress (discrimination, outness, internalized homonegativity, and rejection concerns), smoking status (current, former, never), and dependence.

LGB adults (N=165; Mage=36; 54% White) were recruited locally and online. Measures included Heterosexist Harassment, Rejection, and Discrimination Scale; Outness Inventory; and Lesbian, Gay, and Bisexual Identity Scale. Smoking status was self-reported current, former, or never. Dependence was measured by time to first cigarette of the day. ANOVAs with Ryan posthocs and a logistic regression were calculated.

Current and former smokers had more internalized homonegativity [F(2,149)=8.83], discrimination [F(2,149)=4.98], and acceptance concerns [F(2,146)=3.15] than never smokers. Internalized homonegativity was positively associated with dependence (B=1.17); outness was negatively associated with dependence (B=-.88).

LGB minority stress processes appear to be related to smoking status and, among smokers, tobacco dependence.
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