RT Journal
A1 Austin S, Ziyadeh N, Fisher LB, Kahn JA, Colditz GA, Frazier A
T1 SExual orientation and tobacco use in a cohort study of us adolescent girls and boys
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2004
FD April 1
VO 158
IS 4
SP 317
OP 322
DO 10.1001/archpedi.158.4.317
UL http://dx.doi.org/10.1001/archpedi.158.4.317
AB Objective 
    To examine sexual-orientation group disparities in tobacco use in adolescent girls and boys.Design 
    Survey data from 10 685 adolescent girls and boys participating in 1999 in the Growing Up Today Study were examined cross-sectionally.Setting 
    Community-based population of adolescents living throughout the United States.Main Outcome Measure 
    Prevalence of tobacco use.Results 
    Ninety-two percent of the participants described themselves as heterosexual (n = 9296), 5% as mostly heterosexual (n = 511), 1% as lesbian/gay/bisexual (n = 103), and 2% as unsure (n = 226). Agesranged from 12 to 17 years. Compared with heterosexu-als, mostly heterosexual girls were 2.5 (95% confidence interval, 1.8-3.5), lesbian/bisexual girls were 9.7 (95% confidence interval, 5.1-18.4), and mostly heterosexual boys were 2.5 (95% confidence interval, 1.4-4.6) times more likely to smoke at least weekly. In contrast, gay/bisexual boys were not more likely to smoke. Findings persisted even when controlling for multiple sociodemographic and psychosocial covariates.Conclusion 
    Our findings indicate that mostly heterosexual adolescents of both sexes and lesbian/bisexual girls are at heightened risk for tobacco use.