Cigarette, e‐cigarette, and dual use during the third trimester of pregnancy in a national sample of heterosexual and sexual minority women. Issue 6 (2nd September 2021)

• Record Type: Journal Article
• Authors: Beck, Dana C.; Veliz, Phil T.; McCabe, Sean E.; Boyd, Carol J.; Evans‐Polce, Rebecca
• Is Part Of: American journal on addictions. Volume 30:Issue 6(2021)
• Page Start: 593
• Page End: 600
• Publication Date: 2021-09-02
• Subjects: Substance abuse -- Periodicals; Substance abuse -- Treatment -- Periodicals; 616.86005
• DOI: 10.1111/ajad.13217
• Languages: English
• ISSNs: 1055-0496

Abstract

Abstract: Background and Objectives: Research investigating e‐cigarettes/e‐products and dual use with cigarettes among pregnant sexual minority individuals in the United States is lacking. This study addresses this gap using a national sample. Methods: Two waves of national panel data (2015–2018) from the Population Assessment of Tobacco and Health study were used. The sample included 1842 women, 237 identified as sexual minorities ( n = 17 lesbian, n = 177 bisexual, n = 43 something else), who indicated pregnancy during the past 12 months at Waves 3 or 4. Covariates included race, ethnicity, past‐year income, and education. Cigarette, e‐cigarette, or dual use was examined during the last trimester. Results: Sexual minorities had higher adjusted odds of cigarette use during their last trimester of pregnancy relative to heterosexual women (adjusted odds ratio [AOR] = 1.55, 95% confidence interval [CI] = 1.08, 2.23). Bisexual women had higher odds of smoking cigarettes during their third trimester compared with heterosexual women (AOR = 1.82, 95% CI = 1.21, 2.72). Lesbian women were more likely to use e‐cigarettes/e‐products (AOR = 9.15, 95% CI = 2.29, 36.5) and indicate dual use (AOR = 6.00, 95% CI = 1.43, 25.1) during their third trimester of pregnancy compared with heterosexual women. Conclusion and Scientific Significance: Maternal health among US sexual minority women would benefit from clinicians equipped to provide accurate information and support for Food and Drug Administration‐approved smoking cessation, information about e‐cigarettes/e‐products, and dual use. This study is the first to examine cigarette, e‐cigarette, and dual use during the third trimester of pregnancy using a national sample, with specific attention to differences in sexual orientation.