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Disparities in Smoking and Acute Respiratory Illnesses Among Sexual Minority Young Adults

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Abstract

Morbidity and mortality from cigarette smoking remain major public health issues. Particularly, smoking has been associated with increased risk of acute respiratory illnesses (ARIs). Literature indicates that lesbian, gay, and bisexual (i.e., sexual minority) persons smoke more than the general population. Additionally, young adulthood is the second-most prevalent period of smoking uptake. Given this constellation of risk correlates, the authors examined whether sexual minority young adults experience increased odds of ARIs (i.e., strep throat, bronchitis, sinus infection, and asthma). Using cross-sectional data from the Spring 2006 National College Health Assessment, prevalence estimates of smoking were generated among young adult (age range, 18–24 years) lesbian/gay, bisexual, unsure, and heterosexual college students (n = 75,164). Nested logistic regression analyses were used to examine whether smoking status mediated the risk of ARIs among sexual orientation groups. Compared with heterosexual smokers, gay/lesbian smokers were more likely to have had strep throat, and bisexual smokers were more likely to have had sinus infection, asthma, and bronchitis. Whereas smoking mediated the risk of ARI, sexual minorities still showed higher odds of ARIs after adjustment for smoking. Sexual minority young adults may experience respiratory health disparities that may be linked to their higher smoking rates, and their higher rates of smoking lend urgency to the need for cessation interventions. Future studies are needed to explore whether chronic respiratory disease caused by smoking (i.e., lung cancer, COPD, emphysema) disproportionately affect sexual minority populations.

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Acknowledgments

The authors thank the American College Health Association for use of the National College Health Assessment dataset. The first author thanks the Will Rogers Institute for support through their 2010 Will Rogers Institute Fellowship. The authors have no conflicting interests to disclose.

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  1. Translational Tobacco Reduction Research Program of the West Virginia University, Mary Babb Randolph Cancer Center and Prevention Research Center, P.O. Box 9190, Morgantown, WV, 26506, USA

    John Blosnich, Traci Jarrett & Kimberly Horn

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  1. John Blosnich
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  2. Traci Jarrett
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  3. Kimberly Horn
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Correspondence to John Blosnich.

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Blosnich, J., Jarrett, T. & Horn, K. Disparities in Smoking and Acute Respiratory Illnesses Among Sexual Minority Young Adults. Lung 188, 401–407 (2010). https://doi.org/10.1007/s00408-010-9244-5

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