Evidence map›Paper›PMID 26598804›Full record

ArticlePreventive medicine2016

Sexual orientation disparities in smoking vary by sex and household smoking among US adults: Findings from the 2003-2012 National Health and Nutrition Examination Surveys.

Kristi E Gamarel, Christopher W Kahler, Ji Hyun Lee, Sari L Reisner, Ethan H Mereish, Alicia K Matthews, Don Operario

Open access · greenAbstract read
In one paragraph

Article in Preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. A Scoping Review of Theory-Based Tobacco Control Efforts for Sexual and Gender Minority Populations.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  2. Article
  3. Article
  4. Electronic Nicotine Delivery Devices Function as a Complement for Cigarillos in Sexual and Gender Minority Young Adult Women.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  5. Differences in Quit Attempts, Successful Quits, Methods, and Motivations in a Longitudinal Cohort of Adult Tobacco Users by Sexual Orientation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Article
  6. Review
  7. Article
  8. Article
  9. Comparisons Between Smoking Patterns Among Sexual Minority Females and Males in Romantic Relationships.Health education & behavior : the official publication of the Society for Public Health Education · 2019
    Article
  10. Article
  11. Health Inequities among Lesbian, Gay, and Bisexual Adults in North Carolina, 2011-2014.International journal of environmental research and public health · 2017
    Article
  12. Article
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

7 authors at 3 institutions in 1 country.

Kristi E GamarelDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: Kristi_Gamarel@brown.edu.
Christopher W KahlerDepartment of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI, USA; Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI, USA.
Ji Hyun LeeDepartment of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI, USA.
Sari L ReisnerDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA; The Fenway Institute, Fenway Health, Boston, MA, USA; Division of General Pediatrics, Boston Children's Hospital/Harvard Medical School, Boston, MA, USA.
Ethan H MereishCenter for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI, USA.
Alicia K MatthewsDepartment of Health Systems Sciences, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.
Don OperarioDepartment of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI, USA; Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI, USA.
Brown University · USBoston Children's Hospital · USUniversity of Illinois Chicago · US

Funding

Training in Child/Adolescent Biobehavioral HIV ResearchT32MH078788 · NIMH · RHODE ISLAND HOSPITAL · PI LARRY K BROWN · 2007 to 2026
$6.2M
Substance Abuse Intervention/Outcome Research TrainingT32DA016184 · NIDA · BROWN UNIVERSITY · PI Damaris J. Rohsenow, JENNIFER W. TIDEY · 2003 to 2026
$6.1M
Minority Populations Prevention Researcher TrainingR25HD045810 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEILANDS, TORSTEN BRIAN · 2003 to 2018
$4.3M
Minority Populations Resource CoreU24AA022000 · NIAAA · BROWN UNIVERSITY · PI OPERARIO, DON · 2012 to 2015
$1.9M
NIAAA NIH HHS U24 AA022000NIAAA NIH HHS U24AA022000NICHD NIH HHS R25 HD045810NIDA NIH HHS T32 DA016184NIDA NIH HHS T32DA016184NIMH NIH HHS T32 MH078788NIMH NIH HHS T32MH078788
6 · The paper itself

Abstract

objectiveThis study examined whether sexual orientation-related smoking disparities in males and females varied by household smoking behaviors in a nationally representative sample of American adults.

methodsData were drawn from the 2003-2012 National Health and Nutrition Examination Surveys, which assessed 14,972 individuals ages 20 to 59years for sexual orientation, current smoking status, and household smoking. Weighted multivariable logistic models were fit to examine whether differences in current smoking status among sexual minority adults compared to heterosexuals was moderated by household smoking and sex, adjusting for covariates.

resultsThe main effects of identifying as a sexual minority, being male, and living with a household smoker were all associated with a significantly higher odds of being a current smoker. However, there also was a significant three-way interaction among these variables (adjusted odds ratio=3.75, 95% confidence interval: 1.33, 10.54). Follow-up analyses by sex indicated that the interaction between sexual identity and household smoking was significant for both males (AOR=6.40, 95% confidence interval: 1.27, 32.28) and females (AOR=0.43, 95% confidence interval: 0.23, 0.81) but was in the opposite direction. Among males, living with a smoker was associated more strongly with greater odds of smoking among gay and bisexual males, compared to heterosexual males. In contrast, among females, living with a smoker was more strongly associated with greater odds of smoking for heterosexuals compared to lesbians and bisexuals.

conclusionsFuture research is warranted to examine characteristics of households, including smoking behaviors and composition, to guide more effective and tailored smoking cessation interventions for males and females by sexual orientation.

Indexed as

AdultCross-Sectional StudiesEthnicityFamily CharacteristicsFemaleHumansMaleMiddle AgedMinority GroupsNutrition SurveysSex FactorsSexual BehaviorSexualitySmokingYoung AdultSex differenceSexual minoritySmokingSocial networks

Identifiers

PMID26598804
PMCPMC4803669
OpenAlexW1817467102

What OpenQuestion holds

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Registered trials

None linked

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.