Evidence map›Paper›PMID 21646585›Full record

ArticleArchives of pediatrics & adolescent medicine2011

Community-level determinants of tobacco use disparities in lesbian, gay, and bisexual youth: results from a population-based study.

Mark L Hatzenbuehler, Nicolien F Wieringa, Katherine M Keyes

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Archives of pediatrics & adolescent medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06308081 (SMART), which is not on this map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
10.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06308081 nacompletednot on this mapstarted 2024, after this paper: background citation

SMART: Social Media Anti-Vaping Messages to Reduce ENDS Use Among Sexual and Gender Minority Teens

TypeinterventionalSponsorAbramson Cancer Center at Penn MedicineRan2024 to 2025Enrolled1,155ConditionsVaping, Adolescent Behavior, Communication ResearchArmsTailored
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  8. State-Level Structural Stigma and Smoking Among Sexual Minority Adults in the USA, 2012-2014.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021
    Article
  9. Article
  10. College Climate and Sexual Orientation Differences in Weight Status.Prevention science : the official journal of the Society for Prevention Research · 2020
    Article
  11. Article
  12. Emotional Distress, Bullying Victimization, and Protective Factors Among Transgender and Gender Diverse Adolescents in City, Suburban, Town, and Rural Locations.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Mark L HatzenbuehlerCenter for the Study of Social Inequalities and Health, Columbia University, New York, NY 10032, USA. mlh2101@columbia.edu
Nicolien F Wieringa
Katherine M Keyes
Columbia University · USFenway Health · US

Funding

Developmental Infrastructure for Population ResearchR21HD051178 · NICHD · FENWAY COMMUNITY HEALTH CENTER · PI BRADFORD, JUDITH B. · 2007 to 2011
$1.1M
Race, alcohol consumption and vehicle crashes: an epidemiologic paradoxK01AA021511 · NIAAA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KEYES, KATHERINE M. · 2013 to 2017
$904k
NIAAA NIH HHS K01 AA021511NICHD NIH HHS R21 HD051178NICHD NIH HHS R21HD051178
6 · The paper itself

Abstract

objectiveTo determine whether characteristics of the social environment surrounding lesbian, gay, and bisexual (LGB) youth contribute to their rates of tobacco use after controlling for established community-level risk factors.

designCross-sectional.

settingPopulation-based study of youth.

participantsA total of 31,852 eleventh-grade students (1413 LGB individuals [4.44%]) in Oregon completed the Oregon Healthy Teens survey in 2006-2008. MAIN EXPOSURES: We created a composite index of the social environment in 34 Oregon counties. This measure included the proportion of same-sex couples, the presence of gay-straight alliances in schools, and school policies (nondiscrimination and antibullying) that specifically protected LGB students.

main outcome measuresAny tobacco use in the past 30 days.

resultsA more supportive social environment for LGB youth was significantly associated with reduced tobacco use (odds ratio, 0.92; 95% confidence interval, 0.90-0.94). This effect remained robust after controlling for sociodemographic variables and multiple community-level risk factors for tobacco use, including median county-level income, exposure to cigarette advertisements, exposure to teacher and peer smoking in schools, and school smoking rules.

conclusionThis study documents an association between an objective measure of the social environment and sexual orientation-related disparities in tobacco use. These results highlight the need for structural-level interventions that reduce smoking behaviors in LGB youth.

Indexed as

Social EnvironmentAdolescentAge FactorsBisexualityConfidence IntervalsCross-Sectional StudiesFemaleHealth Status DisparitiesHeterosexualityHomosexuality, FemaleHomosexuality, MaleHumansIncidenceMaleOdds RatioOregon

Identifiers

PMID21646585
PMCPMC8329770
OpenAlexW2048743235

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.