Association of sexual orientation with current alcohol drinking and cigarette smoking in Colombian adults from the general population 

Authors

  • Adalberto Campo-Arias University of Magdalena image/svg+xml
  • Edwin Herazo Instituto de Investigación del Comportamiento Humano
  • Carlos Arturo Cassiani-Miranda University of Santander image/svg+xml , Universidad de Santander image/svg+xml

DOI:

https://doi.org/10.52379/mcs.v10.547

Keywords:

Sexual orientation, Alcohol drinking, Cigarette smoking, Colombia, Cross-sectional studies

Abstract

Introduction: The available data present an inconsistent association between sexual orientation and alcohol or cigarette consumption in high-income countries. However, such studies are scarce in low- and middle-income countries. Objective: The study aimed to estimate the association between sexual orientation and current alcohol drinking and cigarette smoking among Colombian adults. Methodology: A secondary analysis of the National Survey on the Consumption of Psychoactive Substances was completed. Lay interviewers asked about sexual orientation, current alcohol drinking, and current cigarette smoking. Participants also completed the Patient Health Questionnaire-2 (PHQ-2) to assess depression risk. Results: 46,197 adults between 18 and 65 years (M=39.82, SD=13.83) participated; 59% were female. Lesbian/gay or bisexual (LGB) sexual orientation was related to current drinking alcohol (OR=1.63, 95%CI 1.37-1.94) and current cigarette smoking (OR=2.19, 95%CI 1.78-2.69). Conclusion: LGB sexual orientations were significantly related to current alcohol drinking and cigarette smoking. It is crucial to consider sexual orientation in alcohol and cigarette use prevention in Colombian adults.

 

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Published

04/21/2026

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