Exploring Factors Shaping Tobacco and Marijuana Use Among Sexual Minority Adolescents.

ABSTRACT:

Purpose

This study sought to identify the predominant factors associated with tobacco and marijuana/cannabis use among adolescents according to their sexual identity.

Methods

Using the 2023 National Youth Tobacco Survey, we examined current use of e-cigarettes, cigarettes, and marijuana/cannabis vaping among adolescents. We used dominance analyses and logistic regression models to assess the relative importance of factors linked to tobacco and marijuana/cannabis use. The analyses were stratified by sexual identity (straight, sexual minorities, unsure) and grade levels (middle-school vs. high-school).

Results

The study sample includes 6654 middle-school and 8274 high-school students. Three themes emerge from the dominance analysis. First, exposure to e-cigarette or cig

SUBMITTER: Lin MY 

PROVIDER: S-EPMC12539911 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature