Association of sexual orientation with current alcohol drinking and cigarette smoking in Colombian adults from the general population
DOI:
https://doi.org/10.52379/mcs.v10.547Keywords:
Sexual orientation, Alcohol drinking, Cigarette smoking, Colombia, Cross-sectional studiesAbstract
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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1. Liu Y, Qian HZ, Ruan Y, Yin L, Ma J, Dahiya K, et al. Alcohol use among Chinese men who have sex with men: An epidemiological survey and meta-analysis. BioMed Res Int. 2014;2014:414381. https://doi.org/10.1155/2014/414381
2. King M, Semlyen J, Tai SS, Killaspy H, Osborn D, Popelyuk D, et al. A systematic review of mental disorder, suicide, and deliberate self-harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008;8:70. https://doi.org/10.1186/1471-244X-8-70
3. Bloomfield K, Wicki M, Wilsnack S, Hughes T, Gmel G. International differences in alcohol use according to sexual orientation. Subst Abuse. 2011;32(4):210-219. https://doi.org/10.1080/08897077.2011.598404
4. Tran CK, Casarez RL, Nash AJ, Wilkerson JM, Cron S. Associations of psychological distress and alcohol use patterns among older adults of sexual minority status and heterosexual peers. J Addiction Nurs. 2023;34(4):E153-62. https://doi.org/10.1097/JAN.0000000000000556
5. Li J, Berg CJ, Weber AA, Vu M, Nguyen J, Haardörfer R, et al. Tobacco use at the intersection of sex and sexual identity in the US, 2007–2020: A meta-analysis. Am J Prev Med. 2021;60(3):415-424. https://doi.org/10.1016/j.amepre.2020.09.006
6. Lee JG, Griffin GK, Melvin CL. Tobacco use among sexual minorities in the USA, 1987 to May 2007: A systematic review. Tob Control. 2009;18(4):275-282. http://dx.doi.org/10.1136/tc.2008.028241
7. Ridner SL, Ma JZ, Walker KL, Vu THT, Groom A, Landry RL, et al. Cigarette smoking, ENDS use and dual use among a national sample of lesbians, gays and bisexuals. Tob Prev Cessation. 2019;5:51. https://doi.org/10.18332/tpc/114229
8. Osibogun O, Erinoso O, Gautam P, Bursac Z, Osibogun A. Marijuana use modifies the association between heavy alcohol consumption and tobacco use patterns among US adults: Findings from Behavioral Risk Factor Surveillance System, 2020. Addict Behav. 2022;135:107435. https://doi.org/10.1016/j.addbeh.2022.107435
9. Bobo JK, Husten C. Sociocultural influences on smoking and drinking. Alcohol Res Health. 2000;24(4):225-232. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709695
10. Palacio E. (Humiliated bodies. An analysis between Colombian heteronormativity and the desire for the self-fulfillment of LGBTI people). Saga. 2017;18(1):16-27. https://revistas.unal.edu.co/index.php/saga/article/view/66115
11. Meyer IH. Minority stress and mental health in gay men. J Health Soc Behav. 1995;36(1):38-56. https://doi.org/10.2307/2137286
12. Salerno JP, Pease MV, Gattamorta KA, Fryer CS, Fish JN. Impact of racist microaggressions and LGBTQ-related minority stressors: Effects on psychological distress among LGBTQ+ young people of color. Prev Chron Dis. 2023;20:E63. https://doi.org/10.5888/pcd20.220371
13. Blosnich J, Lee JG, Horn K. A systematic review of the aetiology of tobacco disparities for sexual minorities. Tob Control. 2013;22(2):66-73. http://dx.doi.org/10.1136/tobaccocontrol-2011-050181
14. Gilbert PA, Zemore SE. Discrimination and drinking: A systematic review of the evidence. Soc Sci Med. 2016;161:178-194. https://doi.org/10.1016/j.socscimed.2016.06.009
15. Wilchek-Aviad Y, Oren L. Linking minority stress to substance abuse in LGB adults: The mediating effect of sexual harassment. Curr Psychol. 2023;42(30):26535-26544. https://doi.org/10.1007/s12144-022-03636-4
16. World Health Organization, UNAIDS, UNDP, and the International Centre on Human Rights and Drug Policy. International guidelines on human rights and drug policy. Geneva: United Nations; 2019. https://www.undp.org/publications/international-guidelines-human-rights-and-drug-policy
17. Wittgens C, Fischer MM, Buspavanich P, Theobald S, Schweizer K, Trautmann S. Mental health in people with minority sexual orientations: A meta‐analysis of population‐based studies. Acta Psychiatr Scand. 2022;145(4):357-372. https://doi.org/10.1111/acps.13405
18. Li J, Wang H, Li M, Shen Q, Li X, Zhang Y, et al. Effect of alcohol use disorders and alcohol intake on the risk of subsequent depressive symptoms: A systematic review and meta‐analysis of cohort studies. Addiction. 2020;115(7):1224-1243. https://doi.org/10.1111/add.14935
19. Resolución 8430. (Which establishes the scientific, technical, and administrative standards for health research). Bogotá: Ministerio de Salud de Colombia; 1993. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
20. Kroenke K, Spitzer RL, Williams JB. The PHQ‐9: Validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
21. Scoppetta O, Cassiani-Miranda CA, Arocha-Díaz KN, Cabanzo-Arenas DF, Campo-Arias A. Validity of the patient health questionnaire-2 (PHQ-2) for the detection of depression in primary care in Colombia. J Affect Disord. 2021;278:576-582. https://doi.org/10.1016/j.jad.2020.09.096
22. Greenland S. Modeling and variable selection in epidemiologic analysis. Am J Public Health. 1989;79(3):340-349. https://doi.org/10.2105/AJPH.79.3.340
23. IBM Corp. IBM SPSS Statistics for Windows, Version 27.0. Armonk, NY: IBM Corp; 2020.
24. Wang C, Liu F. Text of clinical epidemiology for medical students. Cham: Springer; 2023.
25. Giraldo-Osorio A, Pérez-Ríos M, Rey-Brandariz J, Varela-Lema L, Montes A, Rodríguez A, et al. Smoking-attributable mortality in South America: A systematic review. J Global Health. 2021;11:04014. https://doi.org/10.7189/jogh.11.04014
26. Heilig M, MacKillop J, Martinez D, Rehm J, Leggio L, Vanderschuren LJ. Response to “Addiction is a social disease: Just as tenable as calling it a brain disease”. Neuropsychopharmacology. 2021;46(10):1713-1714. https://doi.org/10.1038/s41386-021-01037-y
27. Posada-Villa JA, Herazo E, Campo-Arias A. (The gateway to illegal substance use in Colombia: violations of the gateway rule). Rev Salud Publica. 2009;11(3):406-13. https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/13197
28. Sandfort TG, Knox JR, Alcala C, El-Bassel N, Kuo I, Smith LR. Substance use and HIV risk among men who have sex with men in Africa: A systematic review. J AIDS. 2017;76(2):e34. https://doi.org/10.1097/QAI.0000000000001462
29. Tierney M, Finnell DS, Naegle M, Mitchell AM, Pace EM. The future of nursing: Accelerating gains made to address the continuum of substance use. Arch Psychiatr Nurs. 2020;34(5):297-303. https://doi.org/10.1016/j.apnu.2020.07.010
30. Campo-Arias A. Essential aspects and practical implications of sexual identity. Colom Med. 2010;41(2):179-185. http://www.scielo.org.co/pdf/cm/v41n2/v41n2a10.pdf
31. Adler NE, Glymour MM, Fielding J. Addressing social determinants of health and health inequalities. J Am Med Assoc. 2016;316(16):1641-1642. https://doi.org/10.1001/jama.2016.14058
32. Scoppetta O, Cano-Salazar GM, Bustos-Reales JL. (Profiles of discrimination and aggression in the Colombian LGBTIQ+ population). Duazary. 2025;22:e6514. https://doi.org/10.21676/2389783X.6514
33. Glikman A, Elkayam TS. Addressing the issue of sexual orientation in the classroom–attitudes of Israeli education students. J LGBT Youth. 2019;16(1):38-61. https://doi.org/10.1080/19361653.2018.1526732
34. Robinson TA, Smith NG, Obasi EM, Reitzel LR. Internalised homonegativity is indirectly associated with smoking status through somatic anxiety. Health Behav Policy Rev. 2024;11(3):1549-1557. https://doi.org/10.14485/HBPR.11.3.1
35. Moura RGD, Nascimento RP, Barros DF. “There's a lot of woman in him”: 1 the feminine as a deviance from the norm. Org Soc. 2020;27:620-643. https://doi.org/10.1590/1984-9270951
36. West BT, Berglund P, Heeringa SG. A closer examination of subpopulation analysis of complex-sample survey data. Stata J. 2008;8(4):520-531. https://doi.org/10.1177/1536867X0800800404
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