Table 4.
Relationship Between Identity-attraction Concordance and Discordance With Past-year Tobacco Use/Disorder
| Women | Men | |||||
|---|---|---|---|---|---|---|
| Variable | Any nicotine/tobacco usea,b AOR (95% CI) (n=20,101) |
Cigarette smokinga AOR (95% CI) (n=20,087) |
DSM-5 tobacco use disordera AOR (95% CI) (n=20,101) |
Any nicotine/tobacco usea,b AOR (95% CI) (n=15,639) |
Cigarette smokinga AOR (95% CI) (n=15,632) |
DSM-5 tobacco use disordera AOR (95% CI) (n=15,643) |
| Age, years | ||||||
| 18–34 | ref | ref | ref | ref | ref | ref |
| 35–54 | 0.953 (0.850, 1.06) | 0.958 (0.855, 1.07) | 1.02 (0.901, 1.15) | 0.934 (0.848, 1.02) | 0.895* (0.814, 0.984) | 0.944 (0.847, 1.05) |
| >55 | 0.369*** (0.328, 0.415) | 0.358*** (0.317, 0.405) | 0.386*** (0.335, 0.445) | 0.485*** (0.436, 0.540) | 0.485*** (0.436, 0.539) | 0.462*** (0.404, 0.529) |
| Race/ethnicity | ||||||
| White | ref | ref | ref | ref | ref | ref |
| African American | 0.583*** (0.505, 0.673) | 0.560*** (0.482, 0.650) | 0.563*** (0.478, 0.663) | 0.758*** (0.677, 0.848) | 0.885* (0.789, 0.993) | 0.745*** (0.649, 0.856) |
| Hispanic | 0.342*** (0.292, 0.400) | 0.343*** (0.293, 0.401) | 0.308*** (0.260, 0.364) | 0.457*** (0.402, 0.520) | 0.553*** (0.482, 0.635) | 0.349*** (0.298, 0.409) |
| Other | 0.458*** (0.367, 0.573) | 0.465*** (0.369, 0.585) | 0.512*** (0.403, 0.650) | 0.813* (0.672, 0.982) | 1.03 (0.842, 1.25) | 0.812 (0.644, 1.02) |
| Education | ||||||
| High school or less | ref | ref | ref | ref | ref | ref |
| Some college | 0.653*** (0.588, 0.725) | 0.654*** (0.587, 0.728) | 0.656*** (0.587, 0.732) | 0.669*** (0.612, 0.732) | 0.613*** (0.558, 0.673) | 0.647*** (0.583, 0.719) |
| College or higher | 0.225*** (0.196, 0.259) | 0.224*** (0.193, 0.260) | 0.208*** (0.179, 0.242) | 0.309*** (0.275, 0.348) | 0.244*** (0.212, 0.281) | 0.232*** (0.203, 0.266) |
| Region | ||||||
| Northeast | ref | ref | ref | ref | ref | ref |
| Midwest | 1.06 (0.905, 1.25) | 1.07 (0.921, 1.26) | 0.993 (0.827, 1.19) | 1.38*** (1.18, 1.62) | 1.25* (1.04, 1.51) | 1.29** (1.08, 1.53) |
| South | 1.02 (0.878, 1.18) | 1.00 (0.861, 1.16) | 0.996 (0.840, 1.18) | 1.35*** (1.17, 1.57) | 1.23* (1.01, 1.49) | 1.22* (1.03, 1.44) |
| West | 0.832* (0.707, 0.979) | 0.825* (0.703, 0.968) | 0.813* (0.675, 0.979) | 1.03 (0.900, 1.20) | 0.995 (0.831, 1.19) | 1.03 (0.865, 1.24) |
| Urbanicity | ||||||
| Urban | ref | ref | ref | ref | ref | ref |
| Rural | 1.14* (1.00, 1.30) | 1.11 (0.992, 1.25) | 1.21** (1.05, 1.39) | 1.11 (0.964, 1.28) | 0.909 (0.769, 1.07) | 1.11 (0.960, 1.29) |
| Sexual identityc | ||||||
| Heterosexual | ref | ref | ref | ref | ref | ref |
| Lesbian/Gay | 2.09*** (1.48, 2.95) | 2.09*** (1.48, 2.96) | 1.87*** (1.28, 2.72) | 1.52** (1.12, 2.06) | 2.03*** (1.50, 2.76) | 1.84*** (1.29, 2.63) |
| Bisexual | 2.39*** (1.80, 3.17) | 2.41*** (1.81, 3.19) | 2.20*** (1.65, 2.93) | 2.10*** (1.35, 3.26) | 2.40*** (1.48, 3.88) | 2.38*** (1.44, 3.92) |
| Identity-attractionj | ||||||
| Concordant | ref | ref | ref | ref | ref | ref |
| Discordant | 1.51*** (1.29, 1.76) | 1.42*** (1.21, 1.65) | 1.39*** (1.18, 1.63) | 0.737*** (0.621, 0.875) | 0.796* (0.660, 0.960) | 0.788* (0.654, 0.948) |
Notes: Boldface indicates statistical significance (*p<0.05; **p<0.01; ***p<0.001).
Each column represents a separate model. Note that these models do not include interaction terms between sexual idenitity and identity-attraction concordance/discordance.
Any nicotine/tobacco use refers to cigarette smoking, cigars, pipe, chewing tobacco, and e-cigarettes.
Seperate models were estimated to assess interaction effects between sexual identity and identity-attraction concordance/discordance. Statistically significant interaction effects between sexual identity and sexual identity-attraction discordance are provided: Any nicotine/tobacco use - Lesbian women X Discordant - AOR=0.480* 95% CI=0.253, 0.911, Bisexual women X Discordant = AOR=0.292* 95% CI=0.103, 0.824; Cigarette smoking - Lesbian women X Discordant - AOR=0.521* 95% CI=0.277, 0.978, Bisexual women X Discordant = AOR=0.293* 95% CI=0.101, 0.852; DSM-5 tobacco use disorder - Lesbian women X Discordant - AOR=0.465* 95% CI=0.239, 0.905.
Source: 2012–013 NESARC-III, household interviews with civilian noninstitutionalized U.S. adults aged 18 years and older.
NESARC, National Epidemiologic Survey on Alcohol and Related Conditions