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A Survey of LGBT Americans: Attitudes, Experiences and Values in Changing Times

June 13, 2013 Comments off

A Survey of LGBT Americans: Attitudes, Experiences and Values in Changing Times
Source: Pew Social & Demographic Trends

An overwhelming share of America’s lesbian, gay, bisexual and transgender adults (92%) say society has become more accepting of them in the past decade and an equal number expect it to grow even more accepting in the decade ahead. They attribute the changes to a variety of factors, from people knowing and interacting with someone who is LGBT, to advocacy on their behalf by high-profile public figures, to LGBT adults raising families.

At the same time, however, a new nationally representative survey of 1,197 LGBT adults offers testimony to the many ways they feel they have been stigmatized by society. About four-in-ten (39%) say that at some point in their lives they were rejected by a family member or close friend because of their sexual orientation or gender identity; 30% say they have been physically attacked or threatened; 29% say they have been made to feel unwelcome in a place of worship; and 21% say they have been treated unfairly by an employer. About six-in-ten (58%) say they’ve been the target of slurs or jokes.
Also, just 56% say they have told their mother about their sexual orientation or gender identity, and 39% have told their father. Most who did tell a parent say that it was difficult, but relatively few say that it damaged their relationship.

The survey finds that 12 is the median age at which lesbian, gay and bisexual adults first felt they might be something other than heterosexual or straight. For those who say they now know for sure that they are lesbian, gay, bisexual or transgender, that realization came at a median age of 17.

SDT-2013-06-LGBT-0-04Among those who have shared this information with a family member or close friend, 20 is the median age at which they first did so.

Gender identity and relative income within households

June 3, 2013 Comments off

Gender identity and relative income within households (PDF)
Source: University of Chicago (Booth School)

We examine causes and consequences of relative income within households. We establish that gender identity { in particular, an aversion to the wife earning more than the husband – impacts marriage formation, the wife’s labor force participation, the wife’s income conditional on working, marriage satisfaction, likelihood of divorce, and the division of home production. The distribution of the share of household income earned by the wife exhibits a sharp cli at 0.5, which suggests that a couple is less willing to match if her income exceeds his. Within marriage markets, when a randomly chosen woman becomes more likely to earn more than a randomly chosen man, marriage rates decline. Within couples, if the wife’s potential income (based on her demographics) is likely to exceed the husband’s, the wife is less likely to be in the labor force and earns less than her potential if she does work. Couples where the wife earns more than the husband are less satis ed with their marriage and are more likely to divorce. Finally, based on time use surveys, the gender gap in non-market work is larger if the wife earns more than the husband.

Explaining the Widening Education Gap in Mortality among U.S. White Women

May 30, 2013 Comments off

Explaining the Widening Education Gap in Mortality among U.S. White Women (PDF)

Source: Journal of Health & Social Behavior

Over the past half century the gap in mortality across education levels has grown in the United States, and since the mid-1980s, the growth has been especially pronounced among white women. The reasons for the growth among white women are unclear. We investigated three explanations—socialpsychological factors, economic circumstances, and health behaviors—for the widening education gap in mortality from 1997 to 2006 among white women aged 45 to 84 years using data from the National Health Interview Survey Linked Mortality File (N = 46,744; 4,053 deaths). Little support was found for social-psychological factors, but economic circumstances and health behaviors jointly explained the growing education gap in mortality to statistical nonsignificance. Employment and smoking were the most important individual components. Increasing high school graduation rates, reducing smoking prevalence, and designing work-family policies that help women find and maintain desirable employment may reduce mortality inequalities among women.

CRS — Women in Combat: Issues for Congress

May 29, 2013 Comments off

Women in Combat: Issues for Congress (PDF)
Source: Congressional Research Service (via Federation of American Scientists)

Over the last few years, women have become more involved in combat operations. Since September, 2001 (to February 28, 2013), 299,548 female service members have been deployed for contingency operations in Iraq and Afghanistan. In approximately 12 years of combat operations in Iraq and Afghanistan, over 800 women have been wounded and over 130 have died.

According to the Department of Defense (DOD), as of February 29, 2013, 16,407 female members were currently deployed in contingency operation. Women have been recognized for their heroism, two earning Silver Star medals.

The expansion of roles for women in the armed forces has evolved over decades. Women are not precluded from serving in any military unit by law today. DOD policy restricting women from serving in ground combat units was most recently modified in 1994 and 2013. Under the 1994 policy, women could not be assigned to units, below the brigade level, whose primary mission is to engage in direct combat on the ground. Primarily, this meant that women were barred from infantry, artillery, armor, combat engineers, and special operations units of battalion size or smaller. On January 24, 2013, then-Secretary of Defense Leon Panetta rescinded the rule that restricted women from serving in combat units.

Various commissions and others have reviewed the issue of women in the military, in general, and women in combat units, at times at the direction of Congress. For example, the FY2009 Duncan Hunter National Defense Authorization Act contained language establishing the Military Leadership Diversity Commission. Among its duties, the Commission was to conduct a study and report on the “establishment and maintenance of fair promotion and command opportunities for ethnic- and gender-specific members of the Armed Forces at the O-5 (Lieutenant Colonel for Army, Marine Corps and Air Force, and Commander for Navy and Coast Guard) grade level and above.” Among its recommendations, the Commission stated that DOD should take deliberate steps to open additional career fields and units involved in direct ground combat to women. The Ike Skelton National Defense Act for Fiscal Year 2011 directed DOD to conduct a review to “ensure that female members have equitable opportunities to compete and excel in the Armed Forces.” [Emphasis added.]

With the repeal of the ban on women serving in combat units, some have questioned whether or if current standards should be kept in place, reviewed, modified, etc. Many women’s right supporters contend that the former exclusionary policy, or standards that, de facto, act in an exclusionary manner, prevents women from gaining leadership positions and view expanding the roles of women as a matter of civil rights. Critic s view such changes as potentially damaging to military readiness.

Breadwinner Moms

May 29, 2013 Comments off

Breadwinner Moms
Source: Pew Social & Demographic Trends Project

A record 40% of all households with children under the age of 18 include mothers who are either the sole or primary source of income for the family, according to a new Pew Research Center analysis of data from the U.S. Census Bureau. The share was just 11% in 1960.

These “breadwinner moms” are made up of two very different groups: 5.1 million (37%) are married mothers who have a higher income than their husbands, and 8.6 million (63%) are single mothers.

The income gap between the two groups is quite large. The median total family income of married mothers who earn more than their husbands was nearly $80,000 in 2011, well above the national median of $57,100 for all families with children, and nearly four times the $23,000 median for families led by a single mother.

The groups differ in other ways as well. Compared with all mothers with children under age 18, married mothers who out-earn their husbands are slightly older, disproportionally white and college educated. Single mothers, by contrast, are younger, more likely to be black or Hispanic, and less likely to have a college degree.

Screening Sexy: Film Females and the Story that Isn’t Changing

May 16, 2013 Comments off

Screening Sexy: Film Females and the Story that Isn’t Changing

Source: Annenberg School of Communication and Journalism, University of Southern California

In the last five years, Hollywood has generated well-known and popular female-driven fare like Bridesmaids, The Hunger Games and the Twilight franchise. Given the success of these blockbusters, you might think that the number of roles for women is on the rise. Think again.

Across five years (2007, 2008, 2009, 2010 and 2012), 500 top-grossing films at the U.S. box office, and over 21,000 speaking characters, a new study by USC Annenberg found that females represented less than one-third (28.4%) of all speaking characters in 2012 films. When they are on screen, 31% of women in 2012 were shown with at least some exposed skin, and 31.6% were depicted wearing sexually revealing clothing.

Even worse? “There has been no meaningful change in the prevalence of women on screen across the five years studied. In fact, 2012 features the lowest percentage of females in the five years covered in this report,” said Communication Professor Stacy L. Smith, the principal investigator. “The last few years have seen a wealth of great advocacy for more women on screen. Unfortunately, that investment has not yet paid off with an increase in female characters or a decrease in their hypersexualization.”

The authors also examined how the presentation of women varied by the age of the character. “The findings are as provocative as the outfits, especially when teenage female characters are considered,” Smith said.

Over half of female teen characters (56.6%) were shown in sexy attire in 2012, compared with 39.9% of women between the ages of 21 and 39. 2012 capped off a three-year increase in the hypersexualization of teen girls, while for other age groups the numbers do not show the same hike.

When a female works behind the camera in the key creative role of writer or director, there are more women shown on screen, and fewer female characters are hypersexualized.

“Swept Away” — Abuses against Sex Workers in China

May 15, 2013 Comments off

“Swept Away” — Abuses against Sex Workers in China
Source: Human Rights Watch

This 51-page report documents abuses by the police against female sex workers in Beijing, including torture, beatings, physical assaults, arbitrary detentions, and fines, as well as a failure to investigate crimes against sex workers by clients, bosses, and state agents. The report also documents abuses by public health agencies, such as coercive HIV testing, privacy infringements, and mistreatment by health officials.

Exploring the Barriers and Opportunities for Independent Women Filmmakers

May 14, 2013 Comments off

Exploring the Barriers and Opportunities for Independent Women Filmmakers (PDF)
Source: Sundance Institute

In our digital age, ideas and culture are increasingly shaped by the stories told with moving images. This context elevates film artists to an enormously influential role in determining how we see ourselves, one another, and the world around us. Yet the vast majority of films made and seen in the United States are written, directed and produced by male filmmakers whose stories tend to reflect dominant themes and reinforce the status quo. What might the future look like for both men and women given the full inclusion of a generation or two of truly empowered female perspectives in our media ecology?

There is a growing body of empirical research that documents how having a woman at the helm can affect the types of stories being told. First, female directors are more likely to feature girls and women on screen than male directors. This is true in both top-grossing films 1 and crit – ically acclaimed projects nominated for Best Picture Academy Awards over a 30-year period. 2 It is often as true for women producers as it is for women directors. Second, female producers and directors affect not only the prevalence of girls and women on screen, they also impact the very nature of a story, or the way in which a story is told. Examining more than 900 motion pictures, one study found that violence, guns/weapons, and blood/gore were less likely to be depicted when women were directing or producing, and thought-provoking topics were more likely to appear.

These patterns are not restricted to cinema. A recent content analysis 4 of war stories filed for news outlets during the first 100 days of three different international conflicts (Bosnia, Persian Gulf, Afghanistan) showed that female correspondents were more likely than their male counterparts to focus news stories on the victims of war, abuses to human rights and soldier profiles. Women put a human face on conflict reporting, just as they do in film.Together, the evidence is quite clear: gender of the storyteller matters.

Currently, the presence of women behind the camera in popular film is infrequent at best. Assessing 250 of the top-grossing U.S. movies of 2011, 5 one study found that only 5% of directors, 14% of writers, and 25% of producers were female. These statistics have fluctuated very little since 1998. This picture would seem to suggest that the traditional Hollywood economic model or power-structure is a leading impediment to access for women filmmakers.

Public Support for Marriage for Same-sex Couples by State

May 9, 2013 Comments off

Public Support for Marriage for Same-sex Couples by State
Source: Williams Institute on Sexual Orientation Law (UCLA)

By the end of 2012, 12 states and the District of Columbia had support for same-sex marriage at or above 50%. Of these 12 states, all currently perform marriages, civil unions, or domestic partnerships for same-sex couples. Thirteen additional states presently are within 5 percentage points of majority support. In the last eight years, every state has increased in its support for marriage for same-sex couples with an average increase of 13.6%. If present public opinion trends continue, another 8 states will be above 50% support by the end of 2014.

Quality Employment for Women in the Green Economy: Industry, Occupation, and State-by-State Job Estimates

May 8, 2013 Comments off

Quality Employment for Women in the Green Economy: Industry, Occupation, and State-by-State Job Estimates

Source: Institute for Women’s Policy Research

This report provides the first-ever estimates of women’s employment in the green economy, state-by-state, by industry, and by occupation. The analysis draws on the U.S. Census Bureau’s American Community Survey; the Brookings-Battelle Clean Economy database; and the U.S. Department of Labor, Bureau of Labor Statistics Green Goods and Services survey. The report examines women’s share of employment in the occupations predicted to see the highest growth in the green economy and includes two alternative state-by-state estimates for growth in green jobs. Focusing on investments in green buildings and retrofits, the report includes a state-by-state analysis of employment in key construction occupations by age, race, ethnicity, and gender. This report was funded by a grant from the Rockefeller Foundation’s Sustainable Employment in a Green US Economy (SEGUE) Program. It is the first of a series of publications investigating strategies for improving women’s access to quality employment in the green economy; future reports will address good practices in workforce development for women in the green economy.

Why Don’t Men Understand Women? Altered Neural Networks for Reading the Language of Male and Female Eyes

May 2, 2013 Comments off

Why Don’t Men Understand Women? Altered Neural Networks for Reading the Language of Male and Female Eyes

Source PLoS ONE

Men are traditionally thought to have more problems in understanding women compared to understanding other men, though evidence supporting this assumption remains sparse. Recently, it has been shown, however, that meńs problems in recognizing women’s emotions could be linked to difficulties in extracting the relevant information from the eye region, which remain one of the richest sources of social information for the attribution of mental states to others. To determine possible differences in the neural correlates underlying emotion recognition from female, as compared to male eyes, a modified version of the Reading the Mind in the Eyes Test in combination with functional magnetic resonance imaging (fMRI) was applied to a sample of 22 participants. We found that men actually had twice as many problems in recognizing emotions from female as compared to male eyes, and that these problems were particularly associated with a lack of activation in limbic regions of the brain (including the hippocampus and the rostral anterior cingulate cortex). Moreover, men revealed heightened activation of the right amygdala to male stimuli regardless of condition (sex vs. emotion recognition). Thus, our findings highlight the function of the amygdala in the affective component of theory of mind (ToM) and in empathy, and provide further evidence that men are substantially less able to infer mental states expressed by women, which may be accompanied by sex-specific differences in amygdala activity.

Human Vocal Attractiveness as Signaled by Body Size Projection

May 1, 2013 Comments off

Human Vocal Attractiveness as Signaled by Body Size Projection

Source: PLoS ONE

Voice, as a secondary sexual characteristic, is known to affect the perceived attractiveness of human individuals. But the underlying mechanism of vocal attractiveness has remained unclear. Here, we presented human listeners with acoustically altered natural sentences and fully synthetic sentences with systematically manipulated pitch, formants and voice quality based on a principle of body size projection reported for animal calls and emotional human vocal expressions. The results show that male listeners preferred a female voice that signals a small body size, with relatively high pitch, wide formant dispersion and breathy voice, while female listeners preferred a male voice that signals a large body size with low pitch and narrow formant dispersion. Interestingly, however, male vocal attractiveness was also enhanced by breathiness, which presumably softened the aggressiveness associated with a large body size. These results, together with the additional finding that the same vocal dimensions also affect emotion judgment, indicate that humans still employ a vocal interaction strategy used in animal calls despite the development of complex language.

Born both ways: The alloparenting hypothesis for sexual fluidity in women

April 26, 2013 Comments off

Born both ways: The alloparenting hypothesis for sexual fluidity in women
Source: Evolutionary Psychology

Given the primacy of reproduction, same-sex sexual behavior poses an evolutionary puzzle. Why would selection fashion motivational mechanisms to engage in sexual behaviors with members of the same sex? We propose the alloparenting hypothesis, which posits that sexual fluidity in women is a contingent adaptation that increased ancestral women’s ability to form pair bonds with female alloparents who helped them rear children to reproductive age. Ancestral women recurrently faced the adaptive problems of securing resources and care for their offspring, but were frequently confronted with either a dearth of paternal resources due to their mates’ death, an absence of paternal investment due to rape, or a divestment of paternal resources due to their mates’ extra-pair mating efforts. A fluid sexuality would have helped ancestral women secure resources and care for their offspring by promoting the acquisition of allomothering investment from unrelated women. Under this view, most heterosexual women are born with the capacity to form romantic bonds with both sexes. Sexual fluidity is a conditional reproductive strategy with pursuit of men as the default strategy and same-sex sexual responsiveness triggered when inadequate paternal investment occurs or when women with alloparenting capabilities are encountered. Discussion focuses on (a) evidence for alloparenting and sexual fluidity in humans and other primates; (b) alternative explanations for sexual fluidity in women; and(c) fourteen circumstances predicted to promote same-sex sexual behavior in women.

A Guide to Women’s Equal Pay Rights

April 19, 2013 Comments off

A Guide to Women’s Equal Pay Rights (PDF)

Source: U.S. Department of Labor

EQUAL PAY IS A FAMILY ISSUE. Women make up nearly half of the U.S. labor force and are a growing number of breadwinners in their families. More women are also working in positions and fields that have been traditionally occupied by men.When women are not paid fairly, not only do they suffer, but so do their families.

While progress has been made, the pay gap affects all women and is larger among minority women and women with disabilities. Over the course of her lifetime, this pay gap will cost a woman and her family lost wages, reduced pensions and diminished Social Security benefits.

This guide is designed to help working women understand their rights under certain laws that govern equal pay and compensation.

NWLC Analysis Shows Striking Racial and Ethnic Disparities in Gender Wage Gaps

April 16, 2013 Comments off

NWLC Analysis Shows Striking Racial and Ethnic Disparities in Gender Wage Gaps
Source: National Women’s Law Center

The National Women’s Law Center (NWLC) today released a comprehensive analysis of the gender wage gap, revealing especially striking racial and ethnic disparities. Women who work full time, year round are paid only 77 cents for every dollar paid to their male counterparts—a pay gap that translates to $11,084 in lost wages annually. In Wyoming—the state with the worst wage gap for women overall—this figure is a mere 67 cents. But the Center’s analysis shows that a wage gap of Wyoming’s magnitude, or worse, is the norm for women of color. In 34 states and Washington, D.C., African-American women working full time, year round are paid less than two-thirds of what their white, non-Hispanic male counterparts are paid. For Hispanic women, a similar disparity exists in all but four states.

How Pay Inequity Hurts Women of Color

April 12, 2013 Comments off

How Pay Inequity Hurts Women of Color

Source: Center for American Progress

As a group, women of color earn less than their white female peers—a reality that means they need to work longer to earn the same pay as white women and then even longer to match the earnings of white men. The gender- and race-based wage gap affects families of color with long-term consequences that hinder wealth accumulation.

Women currently make up about half of all workers in the U.S. labor force and among mothers in the labor force the majority are either breadwinners or share that responsibility with a partner. In 2010, 13.1 percent of women in the workforce were black, 4.7 percent were Asian, and 12.8 percent were Latina. What’s more, these women of color are increasingly the breadwinners in their families—53.3 percent of black households and 40.1 percent of Latino households.

This issue brief will examine our nation’s gender-based wage gap and its racial overlay. It will look specifically at the long-term implications of the wage gap on communities of color and then suggest policy recommendations to narrow and eventually eliminate the wage gap to ensure equal work earns equal pay.

Perceptions Of Young Adolescent Sexual Activity Are Greatly Exaggerated

April 2, 2013 Comments off

Perceptions Of Young Adolescent Sexual Activity Are Greatly Exaggerated

Source: Guttmacher Institute

Sexual activity is and has long been rare among the youngest adolescents, according to "Sexual Initiation, Contraceptive Use and Pregnancy Among Young Adolescents," by Lawrence B. Finer and Jesse M. Philbin of the Guttmacher Institute, published online in the journal Pediatrics. Very few early adolescents (both boys and girls) have had sex (0.6% of 10-year-olds, 1.1% of 11-year-olds and 2.4% of 12-year-olds), and the incidence of pregnancy among girls aged 12 or younger is minuscule. But adolescence is a time of rapid change, and sexual activity is more common among older teens, including one-third (33%) of those aged 16, nearly half (48%) of those aged 17, and 61% and 71% of 18- and 19-year-olds, respectively.

Moreover, this pattern has prevailed for decades: A low level of sexual activity among young adolescents has long been the norm, while sexual initiation later in adolescence has been and remains a normal part of teens’ development process. At the same time, however, recent cohorts have delayed starting sex; in the current cohort of adolescents, the likelihood of sexual activity at any given age is lower than at any time in the past 25 years.

Girls Just Wanna Not Run: The Gender Gap in Young Americans’ Political Ambition

March 27, 2013 Comments off

Girls Just Wanna Not Run: The Gender Gap in Young Americans’ Political Ambition (PDF)

Source: American University School of Public Affairs

Studies of women and men who are well-situated to run for office uncover a persistent gender gap in political ambition. Among “potential candidates” – lawyers, business leaders, educators, and political activists – women are less likely than men to express interest in a political career. Given the emergence over the past ten years of high-profile women in politics, such as Hillary Clinton, Nancy Pelosi, Sarah Palin, and Michele Bachmann, though, the landscape of U.S. politics looks to be changing. Perhaps young women are now just as motivated as young men to enter the electoral arena. Maybe young women envision future candidacies at similar rates as their male counterparts. Until now, no research has provided an analysis – let alone an in-depth investigation – of these topics.

This report fills that void. Based on the results of a new survey of more than 2,100 college students between the ages of 18 and 25, we offer the first assessment of political ambition early in life. And our results are troubling. Young women are less likely than young men ever to have considered running for office, to express interest in a candidacy at some point in the future, or to consider elective office a desirable profession. Moreover, the size of the gender gap in political ambition we uncover among 18 – 25 year olds is comparable to the size of the gap we previously uncovered in studies of potential candidates already working in the feeder professions to politics. Our data suggest, therefore, that the gender gap in ambition is already well in place by the time women and men enter their first careers.

Why? We identify five factors that contribute to the gender gap in political ambition among college students:

1. Young men are more likely than young women to be socialized by their parents to think about politics as a career path.

2. From their school experiences to their peer associations to their media habits, young women tend to be exposed to less political information and discussion than do young men.

3. Young men are more likely than young women to have played organized sports and care about winning.

4. Young women are less likely than young men to receive encouragement to run for office – from anyone.

5. Young women are less likely than young men to think they will be qualified to run for office, even once they are established in their careers.

Given this persistent gender gap in political ambition, we are a long way from a political reality in which young women and men are equally likely to aspire to seek and hold elective office in the future. Certainly, recruitment efforts by women’s organizations – nationally and on college campuses – can chip away at the gender imbalance in interest in running for office. Encouraging parents, family members, teachers, and coaches to urge young women to think about a political career can mitigate the gender gap in ambition, too. And spurring young women to immerse themselves in competitive environments, such as organized sports, can go a long way in reinforcing the competitive spirit associated with interest in a future candidacy. But women’s under-representation in elective office is likely to extend well into the future. In short, this report documents how far from gender parity we remain and the deeply embedded nature of the obstacles we must still overcome to achieve it.

Ordinary or Peculiar Men? Comparing the Customers of Prostitutes With a Nationally Representative Sample of Men

March 26, 2013 Comments off

Ordinary or Peculiar Men? Comparing the Customers of Prostitutes With a Nationally Representative Sample of Men
Source: International Journal of Offender Therapy and Comparative Criminology

Recent media attention implies that prostitution seeking is widespread, an “ordinary” aspect of masculine sexual behavior. Other accounts suggest that customers are “peculiar,” characterized by distinct qualities, perversions, or psychological impairments. Using the nationally representative General Social Survey (GSS), this study demonstrates that prostitution seeking is relatively uncommon. Only about 14% of men in the United States report having ever paid for sex, and only 1% report having done so during the previous year. Furthermore, this study dissects whether customers are ordinary or peculiar by comparing a new sample of active customers who solicit sex on the Internet with an older sample of arrested customers, a sample of customers from the GSS, and a nationally representative sample of noncustomers. The customers of Internet sexual service providers differed greatly from men in general and also from other customers. The remaining samples of customers differed slightly from noncustomers in general. We argue for a balanced perspective that recognizes the significant variety among customers. There is no evidence of a peculiar quality that differentiates customers in general from men who have not paid for sex.

Changing Patterns of Tobacco and Alcohol Co-Use by Gender in the United States, 1976-2010

March 26, 2013 Comments off

Changing Patterns of Tobacco and Alcohol Co-Use by Gender in the United States, 1976-2010

Source: Demographic Research

Background:

Smoking is a serious health concern both globally and in the U.S. Because drinking amplifies the negative health effects of smoking, the high association of these behaviors is an additional source of population morbidity. However, very little is known about trends in the co-use of smoking and drinking over time.

Objective:

To describe trends in tobacco use, alcohol use, and their co-use among U.S. youth, and to separate out trends in the association of smoking and drinking from trends in their marginal distributions.

Methods:

We use data on the smoking and drinking behaviors of 12th graders from 1976 to 2010 in the Monitoring the Future study to examine trends in smoking, drinking, and co-use separately by gender. In each year we estimate the degree of co-use attributable to tobacco and alcohol use probabilities as well as the association between tobacco and alcohol use.

Results:

Although the prevalence of tobacco and alcohol co-use has declined over time, the association of the two has increased. This association accounts for an increasing proportion of the co-use of tobacco and alcohol.

Conclusions:

We conclude that co-users of tobacco and alcohol are an increasingly select subpopulation. This suggests that continued decreases in the contribution of substance use to population health and mortality may not continue apace.

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