{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T22:53:27Z","timestamp":1784069607768,"version":"3.55.0"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:00:00Z","timestamp":1733270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100025943","name":"Truth Initiative","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100025943","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Lesbian, gay, bisexual, transgender, and other minority sexual orientation and gender minority\u00a0(LGBT+)\u2005individuals in the United States use tobacco products more than their heterosexual and cisgender peers. Although existing literature identifies this relationship, more research using recent, national data from a large sample is needed to better examine trends over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Methods<\/jats:title>\n                    <jats:p>A repeat cross-sectional survey of approximately n\u2005=\u2005300 youth and young adults aged 15\u201324 was fielded weekly from October 2022 to June 2024, resulting in a total sample of N\u2005=\u200525 675. This sample was used to examine cigarette and e-cigarette use over time among LGBT+\u2005and non-LGBT+\u2005youth and young adults. Cigarette and e-cigarette use was also examined by specific sexual orientation and gender identity, using the aggregated sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From October 2022 to June 2024, cigarette and e-cigarette use were consistently higher among LGBT+\u2005youth and young adults, compared to their cisgender and heterosexual peers. Compared to heterosexual young people, gay\/lesbian and bisexual young people reported higher cigarette and e-cigarette use. Male-identifying individuals reported the highest cigarette use, while female young people reported the highest e-cigarette use. Transgender and gender-diverse individuals reported lower cigarette and e-cigarette use than cisgender young people.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Tobacco use disparities persist among LGBT+\u2005youth and young adults. Sexual minority respondents saw\u00a0elevated risk of tobacco use, while gender minority youth saw lower rates of tobacco use, although prevalence remains high. Future research should continue to investigate LGBT+\u2005tobacco use using national surveillance methods. Effective programs for tobacco prevention and cessation are necessary to advance health equity among LGBT+\u2005youth and young adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>This study finds persistently elevated tobacco use among LGBT+\u2005youth and young adults over a 2-year period, highlighting the importance of continued tobacco use surveillance, as well as the development of programmatic interventions to reduce LGBT+\u2005tobacco use. These analyses also inform future work further investigating differences in tobacco use by sexual orientation and gender identity among young people. This work provides a call to action to focus efforts on reducing tobacco use among LGBT+\u2005youth, improving the long-term health of this population, and increasing health equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ntr\/ntae286","type":"journal-article","created":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T15:23:55Z","timestamp":1733153035000},"page":"1948-1953","source":"Crossref","is-referenced-by-count":3,"title":["Measuring Cigarette and E-Cigarette Use Over Time Among LGBT+ Youth and Young Adults Using a Repeat Cross-Sectional Survey, 2022\u20132024"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-0451","authenticated-orcid":false,"given":"Elexis C","family":"Kierstead","sequence":"first","affiliation":[{"name":"Schroeder Institute, Truth Initiative , Washington, DC 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