Addictive behaviors · 2025
Associations of rural-urban residence with daily experiences of minority stress and tobacco use among sexual minority young adults.
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Romm Katelyn F, Gilford Clark, Das Mahalaxmi, Nhem McKenna, Vogel Erin A, Cohn Amy M
Аннотация
INTRODUCTION: Rural- vs. urban-residing sexual minority young adults (SMYAs) display higher tobacco use rates. Less work has identified minority stressors that contribute to geographic disparities in use, particularly at the daily level.
METHODS: We analyzed 2024 baseline and 14 days of daily survey data among 60 SMYAs (ages 18-34) reporting current tobacco use. Multilevel regression-based models with random intercepts and slopes examined between-person effects of rural-urban residence on daily minority stress (i.e., negative affect, positive affect, upsetting parent interactions, upsetting peer interactions, microaggressions) and daily tobacco use (aggregated across cigarettes, e-cigarettes, large cigars, little cigars/cigarillos, smokeless tobacco, nicotine pouches, hookah) and within-person effects of daily minority stress on same-day and next-day tobacco use, controlling for sociodemographics (i.e., age, sexual identity, gender identity, sex at birth, race and ethnicity).
RESULTS: Among this sample of 60 SMYAs (Mage = 24.53 [SD = 5.19]; 50 % rural-residing; 31.7 % monosexual, 46.7 % bisexual+; 56.7 % gender minority; 55.0 % female; 47.5 % racial/ethnic minority), rural (vs. urban) residence was associated with higher levels of daily upsetting interactions with parents and higher odds of microaggressions and tobacco use. Upsetting interactions with parents and microaggressions were in turn, associated with higher odds of same-day and next-day tobacco use.
CONCLUSIONS: Minority stress experiences may impact SMYAs' concurrent and subsequent tobacco use. These daily minority stress experiences and tobacco use episodes occur more often and at higher levels among rural- (vs. urban-) residing SMYAs, highlighting the need for interventions focused on promoting adaptive coping in response to minority stressors in real time, particularly for rural-residing SMYAs.
METHODS: We analyzed 2024 baseline and 14 days of daily survey data among 60 SMYAs (ages 18-34) reporting current tobacco use. Multilevel regression-based models with random intercepts and slopes examined between-person effects of rural-urban residence on daily minority stress (i.e., negative affect, positive affect, upsetting parent interactions, upsetting peer interactions, microaggressions) and daily tobacco use (aggregated across cigarettes, e-cigarettes, large cigars, little cigars/cigarillos, smokeless tobacco, nicotine pouches, hookah) and within-person effects of daily minority stress on same-day and next-day tobacco use, controlling for sociodemographics (i.e., age, sexual identity, gender identity, sex at birth, race and ethnicity).
RESULTS: Among this sample of 60 SMYAs (Mage = 24.53 [SD = 5.19]; 50 % rural-residing; 31.7 % monosexual, 46.7 % bisexual+; 56.7 % gender minority; 55.0 % female; 47.5 % racial/ethnic minority), rural (vs. urban) residence was associated with higher levels of daily upsetting interactions with parents and higher odds of microaggressions and tobacco use. Upsetting interactions with parents and microaggressions were in turn, associated with higher odds of same-day and next-day tobacco use.
CONCLUSIONS: Minority stress experiences may impact SMYAs' concurrent and subsequent tobacco use. These daily minority stress experiences and tobacco use episodes occur more often and at higher levels among rural- (vs. urban-) residing SMYAs, highlighting the need for interventions focused on promoting adaptive coping in response to minority stressors in real time, particularly for rural-residing SMYAs.