COVID-Related Mental Health and Smoking in Sexual Minority Women

Steven A Branstetter

doi:10.21467/ajss.12.1.53-58

Authors

Steven A Branstetter The Pennsylvania State University https://orcid.org/0000-0003-4642-9606

DOI:

https://doi.org/10.21467/ajss.12.1.53-58

Abstract

Sexual minority women face a range of health disparities, including high rates of mental health issues, alcohol and tobacco use, obesity, stroke, and general poorer health compared to heterosexual women. The minority stress model describes how members of a minority group, including sexual minorities, face unique stressors related to a stigmatized social status. Research has shown that sexual minorities who face increased discrimination, as described in the minority stress model, tend to have increased smoking rates. The present study sought to examine how increased mental health-related stress associated with the COVID-19 pandemic impacted the smoking behaviors of sexual minority women. Data from the 2021 National Survey on Drug Use and Health were used to build OLS regression and mediation models determining how female sexual minority status moderated the relation between COVID-19-related impacts on mental health and smoking. Results found that sexual minority women with the highest levels of negative impacts on mental health as a result of COVID-19 smoked the fewest cigarettes as compared to heterosexual women. The finding that high levels of mental health distress are related to a reduction in smoking among sexual minority women warrants further research to examine if this effect is COVID-19-specific, or a more generalized pattern of stress and mental health impacts on smoking behavior.

Keywords:

COVID-19, sexual minorities, heterosexual

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References

Almeda, N., & Gómez-Gómez, I. (2022). The Impact of the COVID-19 Pandemic on Smoking Consumption: A Systematic Review of Longitudinal Studies. Frontiers in Psychiatry, 13, 941575. https://doi.org/10.3389/fpsyt.2022.941575

Ansell, E. B., Gu, P., Tuit, K., & Sinha, R. (2012). Effects of cumulative stress and impulsivity on smoking status. Human Psychopharmacology: Clinical and Experimental, 27(2), 200–208. https://doi.org/10.1002/hup.1269

Bommele, J., Hopman, P., Walters, B. H., Geboers, C., Croes, E., Fong, G. T., Quah, A. C. K., & Willemsen, M. (2020). The double-edged relationship between COVID-19 stress and smoking: Implications for smoking cessation. Tobacco Induced Diseases, 18, 63. https://doi.org/10.18332/tid/125580

Branstetter, S. A., Muscat, J. E., & Mercincavage, M. (2020). Time to First Cigarette: A Potential Clinical Screening Tool for Nicotine Dependence. Journal of Addiction Medicine, 14(5), 409–414. https://doi.org/10.1097/ADM.0000000000000610

Center for Behavioral Health Statistics and Quality. (2022). 2021 National Survey on Drug Use and Health Public Use File Codebook, Substance Abuse and Mental Health Services Administration, Rockville, MD

Cornelius, M. E., Wang, T. W., Jamal, A., Loretan, C. G., & Neff, L. J. (2020). Tobacco Product Use Among Adults—United States, 2019. MMWR. Morbidity and Mortality Weekly Report, 69(46), 1736–1742. https://doi.org/10.15585/mmwr.mm6946a4

Dawson, L., McGough, M., Kirzinger, A., Sparks, G., Rae, M., Young, G., & Published, J. K. (2021, August 27). The Impact of the COVID-19 Pandemic on LGBT+ People’s Mental Health. KFF. https://www.kff.org/mental-health/issue-brief/the-impact-of-the-covid-19-pandemic-on-lgbt-peoples-mental-health/

Deal, C., Ramakrishnan, A., & Gonzales, G. (2022). Sexual Minority Mental Health and Care Access during the COVID-19 Pandemic. Journal of Mental Health Policy and Economics, S9–S10.

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (pp. xvii, 507). Guilford Press.

IBM Corp. Released 2020. IBM SPSS Statistics for Windows, Version 27.0. Armonk, NY: IBM Corp

Juster, R.-P., Vencill, J. A., & Johnson, P. J. (2017). Impact of Stress and Strain on Current LGBT Health Disparities. In K. L. Eckstrand & J. Potter (Eds.), Trauma, Resilience, and Health Promotion in LGBT Patients: What Every Healthcare Provider Should Know (pp. 35–48). Springer International Publishing. https://doi.org/10.1007/978-3-319-54509-7_4

Li, J., Berg, C. J., Weber, A. A., Vu, M., Nguyen, J., Haardörfer, R., Windle, M., Goodman, M., & Escoffery, C. (2021). Tobacco Use at the Intersection of Sex and Sexual Identity in the U.S., 2007–2020: A Meta-Analysis. American Journal of Preventive Medicine, 60(3), 415–424. https://doi.org/10.1016/j.amepre.2020.09.006

Marin, M.-F., Lord, C., Andrews, J., Juster, R.-P., Sindi, S., Arsenault-Lapierre, G., Fiocco, A. J., & Lupien, S. J. (2011). Chronic stress, cognitive functioning and mental health. Neurobiology of Learning and Memory, 96(4), 583–595. https://doi.org/10.1016/j.nlm.2011.02.016

Matthews, A. K., Riley, B. B., Everett, B., Hughes, T. L., Aranda, F., & Johnson, T. (2014). A Longitudinal Study of the Correlates of Persistent Smoking Among Sexual Minority Women. Nicotine & Tobacco Research, 16(9), 1199–1206. https://doi.org/10.1093/ntr/ntu051

Mays, V. M., Juster, R.-P., Williamson, T. J., Seeman, T. E., & Cochran, S. D. (2018). Chronic physiologic effects of stress among lesbian, gay, and bisexual adults: Results from the National Health and Nutrition Examination Survey. Psychosomatic Medicine, 80(6), 551. https://doi.org/10.1097/PSY.0000000000000600

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674

Pharr, J. R., Terry, E., Wade, A., Haboush-Deloye, A., & Marquez, E. (2022). Impact of COVID-19 on Sexual and Gender Minority Communities: Focus Group Discussions. International Journal of Environmental Research and Public Health, 20(1), 50. https://doi.org/10.3390/ijerph20010050

Yaribeygi, H., Panahi, Y., Sahraei, H., Johnston, T. P., & Sahebkar, A. (2017). The impact of stress on body function: A review. EXCLI Journal, 16, 1057–1072. https://doi.org/10.17179/excli2017-480