Comparing Smokeless Tobacco Use between Male-to-Female and Female-to-Male Transgender Adults in the United States
Bibliographic Data
| ID | 21646511 |
|---|---|
| Authors | Samuel Tundealao (0000-0002-1243-0564, The University of Texas Health Science Center, corresponding author), Tolulope Titiloye (The University of Texas Health Science Center) |
| Year | 2023 |
| Volume | 58 |
| Issue | 11 |
| Pages | 1343-1349 |
| Publication date | 2023-09-19 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Substance Use & Misuse (JOURNAL) |
| Journal identifiers | ISSN: 1082-6084 • E-ISSN: 1532-2491 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10826084.2023.2217902 |
| PMID | 37243498 |
| OpenAlex | W4378516208 |
| Language | EN |
| References cited | 24 |
Background: The shifted gender social norms and tobacco cessation advice associated with estrogen therapy as a result of thrombosis risk could be responsible for the tobacco use differences between Male-to-Female (MTF) and Female-to-Male (FTM) transgender adults. Research has established this disparity in cigarette smoking, but none has looked at smokeless tobacco. Aim: This study aimed to compare smokeless tobacco use MTF and FTM transgender adults in the United States. Furthermore, it assessed the other potential determinants of smokeless tobacco use among the transgender population. Methods: The study analyzed data from the 2021 Behavioral Risk Factor Surveillance System (BRFSS), which included 1,070 transgender individuals aged 18 and above (382 MTF and 688 FTM). Gender identity (MTF vs. FTM) was used to predict smokeless tobacco use using logistic regression, adjusting for other socio-demographic and behavioral determinants. Results: The prevalence of smokeless tobacco use among the transgender population was 5.7%, 3.8% among MTF, 6.3% among FTM, and 6.7% among gender non-conforming transgender individuals. FTM transgender individuals were 2.23 times more likely to use smokeless tobacco than MTF transgender individuals. Smokeless tobacco use among MTF and FTM transgender individuals was also significantly associated with being older than 54 years (OR = 1.94), having a high school education or lower (OR = 1.98), living with at least a child (OR = 2.17), a current smoker (OR = 1.78) and a current e-cigarette user (OR = 2.97). Discussion: This study found a significant difference in smokeless tobacco use among transgender subgroups and addressed a critical tobacco knowledge gap among this population
Behavioral Risk Factor Surveillance System · Environmental health · Logistic regression · Population · Smokeless tobacco · Tobacco use · Transgender · Demography · Medicine · Psychology · Smoking Behavior and Cessation
Nicotine Addiction
Current Cigarette Smoking Among Adults — United States, 2016
Association between smokeless tobacco use and cigarette smoking amount by age
Cigarette smokers’ concurrent use of smokeless tobacco
Health-risk behaviors and quality of life among young men
Cigarette, smokeless tobacco, and alcohol use among transgender adults in the United States
Sexual and Gender Minority Health
| Highly cited | No |
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