Evidence map›Paper›PMID 40232668›Full record

ArticleJournal of racial and ethnic health disparities2026

Double Jeopardy: Does Intersectional Discrimination Moderate the Relationship Between Acculturation and Cigarette Dependence Among Latinx Sexual Minority Men Current Smokers?

Robert Rosales, David G Zelaya, Brandon Hevey, Oswaldo Moreno, Sarah J Chavez, Victor Figuereo, Suzanne M Colby, Cirleen DeBlaere

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Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Robert RosalesCenter for Alcohol and Addiction Studies, Department of Behavioral & Social Science, School of Public Health, Brown University, Box G-S121 - 5, 121 South Main Street, Providence, RI, 02903, USA. robert_rosales@brown.edu.ORCID 0000-0002-5726-8943
David G ZelayaCenter for Alcohol and Addiction Studies, Department of Behavioral & Social Science, School of Public Health, Brown University, Box G-S121 - 5, 121 South Main Street, Providence, RI, 02903, USA.
Brandon HeveyCenter for Alcohol and Addiction Studies, Department of Behavioral & Social Science, School of Public Health, Brown University, Box G-S121 - 5, 121 South Main Street, Providence, RI, 02903, USA.
Oswaldo MorenoDepartment of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
Sarah J ChavezCenter for Alcohol and Addiction Studies, Department of Behavioral & Social Science, School of Public Health, Brown University, Box G-S121 - 5, 121 South Main Street, Providence, RI, 02903, USA.
Victor FiguereoSchool of Social Work, University of Pittsburgh, Pittsburgh, PA, USA.
Suzanne M ColbyCenter for Alcohol and Addiction Studies, Department of Behavioral & Social Science, School of Public Health, Brown University, Box G-S121 - 5, 121 South Main Street, Providence, RI, 02903, USA.
Cirleen DeBlaereDepartment of Counseling and Psychological Services, Georgia State University, Atlanta, GA, USA.

Funding

Socio-Cultural Protective and Risk Factors of Alcohol Use among Non-Hispanic White and Hispanic Sexual Minority YouthK08MD015289 · NIMHD · BROWN UNIVERSITY · PI ROSALES, ROBERT · 2021 to 2025
$824k
A Theory-Driven Modification of a Motivational Interviewing Intervention Targeting Alcohol Misuse Among Hispanic AmericansK23AA030339 · NIAAA · BROWN UNIVERSITY · PI David G. Zelaya · 2023 to 2026
$734k
NIAAA NIH HHS K23 AA030339NIAAA NIH HHS K23AA030339NIMHD NIH HHS K08 MD015289NIMHD NIH HHS K08MD015289
6 · The paper itself

Abstract

introductionThe Double Jeopardy Hypothesis posits that sexual minority people of color may have a greater risk of substance use because of dealing with heterosexism and racism. We sought to test this hypothesis by examining whether appraisal of intersectional forms of discrimination predict greater cigarette dependence and whether acculturation attenuates that relationship among Latinx sexual minority men (SMM) who smoke.

methodsParticipants were 258 Latinx SMM who identified as current smokers recruited via Amazon Mechanical Turk (MTurk). OLS regressions tested (1) the relationship between appraisal of intersectional forms of discrimination (total and subscales) and Hispanic/non-Hispanic acculturation on cigarette dependence, and (2) the moderating effects of appraisal of intersectional discrimination (total and subscales) on the relationship between Hispanic/non-Hispanic acculturation and cigarette dependence.

resultsIn line with our hypotheses, non-Hispanic acculturation was associated with lower cigarette dependence. Appraisal of intersectional discrimination and subscales moderated the relationship between non-Hispanic acculturation and cigarette dependence. Simple slopes tests showed that the effects of non-Hispanic acculturation on cigarette dependence were strongest for those who experience lower intersectional discrimination.

conclusionOur findings suggest that Latinx SMM may have resilience that helps them deal with the negative effects of discrimination on cigarette dependence, especially for those who are more acculturated to the U.S. These findings may point to Latinx SMM taking on U.S. negative views towards smoking. However, future studies should use a more nuanced assessment of acculturation that does not rely on a language-based acculturation measure.

Indexed as

AcculturationHispanic or LatinoRacismSexual and Gender MinoritiesSmokersSmokingTobacco Use DisorderAdultHumansMaleMiddle AgedWhiteYoung AdultAcculturationCigaretteDependenceLatinxRacismSexual minority men

Identifiers

PMID40232668

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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.