ArticleDrug and alcohol dependence2024
Minority stress mediates associations of sexual minority state policies and tobacco use among US sexual minority young adults.
Article in Drug and alcohol dependence, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Longitudinal associations between internalized homophobia trajectories and psychological distress among sexual minority adults: A growth mixture model.Psychology and psychotherapy · 2026Article
- Parental Beliefs in Relation to Sexual Minority Young Adults' Critical Consciousness, Mental Health, and Substance Use.Substance use & misuse · 2026Article
- Interactions Between e-Cigarette Use and Quit Intentions on Cigarette Smoking in Lesbian, Gay, Bisexual, Transgender, Queer, and Other Non-Heterosexual or Cisgender Individuals.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026Article
- LGBTQ+ policies in the United States and mental health: The mediating role of sexual orientation discrimination among sexual minority women and gender diverse individuals assigned female at birth.Sexuality research & social policy : journal of NSRC : SR & SP · 2025Article
- Associations of Sexual Orientation and Sexual Orientation-Related State Policy Environments With Smoking and Lung Cancer Screening Outcomes Among US Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Examining pathways between structural stigma and tobacco use: a comparison among young adults living in the United States by sexual orientation and gender identity.International journal for equity in health · 2025Article
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Authors and funding
6 authors.
Funding
Abstract
introductionState policies surrounding sexual minority (SM) rights are associated with tobacco use among SM individuals. Research is scant regarding the role of distinct SM policy categories on SM young adults' (SMYAs) tobacco use and mechanisms explaining these associations.
methodsWe analyzed 2023 survey data from 1100 SMYAs (ages 18-34; 14.2 % gender minority; 66.1 % bisexual+, 29.1 % monosexual; 53.2 % racial/ethnic minority) with representation across 45 US states and DC. Regression-based models examined: 1) direct associations of residing in states with negative and limited (vs. comprehensive) SM state policies with respect to 7 policy categories (relationship/parent recognition, nondiscrimination, religious exemptions, LGBTQ youth, healthcare, criminal justice, gender identity documents) with minority stress (mental health, internalized stigma, community connectedness); 2) direct associations of policy categories and minority stress with tobacco use (past-month cigarette, e-cigarette, any tobacco use, number of products used); and 3) indirect associations of policy categories with tobacco use through minority stress.
resultsRelative to residing in states with comprehensive policies, residing in states with limited relationship/parent recognition policies indirectly predicted higher odds of e-cigarette use through mental health; weaker nondiscrimination policies indirectly predicted using more tobacco products through internalized stigma; and negative healthcare policies indirectly predicted higher odds of cigarette and any tobacco use through community connectedness.
conclusionsThese novel findings regarding associations among distinct SM policy categories, minority stress mediators, and tobacco use outcomes warrant further examination to better understand these distinct mechanisms, ultimately to inform SM-related policy and advocacy efforts, as well as tobacco prevention and cessation efforts.
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