Relationship between tobacco retailer density and sexual minority couples

烟草零售商密度与性少数夫妇之间的关系

基本信息

批准号：
8781905
负责人：
Joseph G. L Lee
金额：
$ 2.92万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-07-18 至 2015-05-10
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8781905
关键词：
Accounting Address African American Area Bisexual Buffers Censuses Cessation of life Characteristics Computer software Confounding Factors (Epidemiology)County Coupled Couples Data Etiology Exposure to Female Funding Gays Gender Heterosexuals Hispanics Home environment Household Income Information Systems Internal Migrations Lesbian Licensing Life Malignant Neoplasms Marketing Measures Mediation Modeling Morbidity - disease rate Movement Neighborhoods Ownership Pattern Persons Policies Population Production Research Role Sexual Partners Smoke Spatial Distribution Stratification System Testing Tobacco Tobacco use United States National Institutes of Health Work base demographics density disability health disparity health inequalities land use low socioeconomic status male migration mortality public health relevance racial and ethnic same-sex partnership sex sexual minority smoking cessation success theories urban area

项目摘要

DESCRIPTION (provided by applicant): Tobacco use is substantially higher among sexual minorities than among heterosexuals. The reasons for this persistent disparity remain unclear, but the high toll of death and disability from tobacco use creates substantial health inequalities in cancer. Same-sex couples' movement within the U.S. results in same-sex couples concentrating in more urban neighborhoods where there may be more tobacco retailers. Living near a tobacco retailer has been associated with decreased success in quitting tobacco. The presence or absence of overlapping patterns of same-sex couples and tobacco retailers have not been explored. This study uses a unique and high quality list of 92,384 tobacco retailers from 97 U.S. counties with 18,034 census tracts and data from the U.S. Census to examine the relationship between same-sex couple density and tobacco retailer density in census tracts. The analysis uses geographical information systems (GIS) software that allows for buffering census tract areas to create a measure of tract tobacco retailer density. This relationship is tested usin spatial regression models to account for non-independence due to geographic proximity. The relationship is then examined to see if it is the result of other, confounding census tract characteristics. A multiple mediation approach is proposed to examine if the relationship between tobacco retailer density and same-sex couple density is confounded by tract characteristics such as urbanicity, income, and racial/ethnic composition.

描述（由申请人提供）：性少数群体的烟草使用率远高于异性恋者。这种持续差异的原因尚不清楚，但烟草使用导致的高死亡和残疾人数造成了癌症方面的严重健康不平等。美国境内同性伴侣的流动导致同性伴侣集中在更多的城市社区，那里可能有更多的烟草零售商。居住在烟草零售商附近与戒烟成功率降低有关。尚未探讨同性伴侣和烟草零售商是否存在重叠模式。本研究使用来自美国 97 个县、18,034 个人口普查区的 92,384 家烟草零售商的独特且高质量的名单以及来自美国人口普查的数据来研究人口普查区同性伴侣密度与烟草零售商密度之间的关系。该分析使用地理信息系统 (GIS) 软件，该软件允许缓冲人口普查区域，以创建区域烟草零售商密度的衡量标准。使用空间回归模型测试这种关系，以解释由于地理接近而导致的非独立性。然后检查这种关系，看看它是否是其他令人困惑的人口普查区特征的结果。提出了一种多重中介方法来检查烟草零售商密度和同性伴侣密度之间的关系是否受到城市化、收入和种族/民族构成等区域特征的混淆。