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Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System
Published on: May 24, 2017
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Measuring Cigarette and E-Cigarette Use Over Time Among LGBT+ Youth and Young Adults Using a Repeat Cross-Sectional
Elexis C Kierstead1, Brenda Dimaya1, Maureen Palmerini2
1Schroeder Institute, Truth Initiative, Washington, DC, USA.
Summary
Tobacco use remains higher among lesbian, gay, bisexual, and transgender (LGBT+) youth and young adults compared to their peers. Targeted tobacco prevention and cessation programs are crucial for advancing health equity in this population.
Area of Science:
- Public Health
- Health Disparities
- Tobacco Control
Background:
- Lesbian, gay, bisexual, and transgender (LGBT+) individuals exhibit higher rates of tobacco product use compared to heterosexual and cisgender populations in the U.S.
- Existing research indicates this trend, but recent, large-scale national data are needed to analyze temporal patterns.
Purpose of the Study:
- To examine trends in cigarette and e-cigarette use among LGBT+ and non-LGBT+ youth and young adults.
- To analyze tobacco use by specific sexual orientation and gender identity in a large, national sample.
Main Methods:
- A repeat cross-sectional survey was conducted weekly from October 2022 to June 2024, with a total sample of 25,675 youth and young adults aged 15-24.
- Data were analyzed to compare cigarette and e-cigarette use over time between LGBT+ and non-LGBT+ groups, and by specific sexual orientation and gender identity.
Main Results:
- Consistently higher rates of cigarette and e-cigarette use were observed among LGBT+ youth and young adults compared to cisgender and heterosexual peers from October 2022 to June 2024.
- Bisexual, gay, and lesbian young people reported increased cigarette and e-cigarette use relative to heterosexual individuals.
- While male-identifying individuals reported the highest cigarette use and female young people the highest e-cigarette use, transgender and gender diverse individuals showed lower rates of both compared to cisgender individuals.
Conclusions:
- Persistent disparities in tobacco use exist among LGBT+ youth and young adults, with sexual minorities showing elevated risk and gender minorities showing lower, yet still high, prevalence.
- Continued national surveillance of LGBT+ tobacco use and the development of effective tobacco prevention and cessation programs are essential for promoting health equity.
- This study underscores the need for targeted interventions to reduce tobacco use among LGBT+ youth, thereby improving long-term health outcomes and advancing health equity.
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