{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:14:10Z","timestamp":1779333250504,"version":"3.51.4"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005188","name":"Tobacco-Related Disease Research Program","doi-asserted-by":"publisher","award":["T30IR0890"],"award-info":[{"award-number":["T30IR0890"]}],"id":[{"id":"10.13039\/100005188","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>To address gaps in existing research, the current study used a mixed\u2010methods approach to describe, contextualise and understand harm perceptions of vaping nicotine relative to cigarette smoking and associations with nicotine and tobacco (NT) use among young adults who identify their genders and sexualities in ways that classify them as sexual and gender minorities (SGM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Results are based on cross\u2010sectional surveys and online qualitative interviews with 98 SGM young adults (18\u201325\u2009years old) in California's San Francisco Bay Area who currently or formerly used combustible tobacco. We generated a measure assessing participants' relative harm perceptions of e\u2010cigarette use versus cigarette smoking and identified those who perceived cigarette smoking as more harmful than e\u2010cigarette use compared to those who perceived it to be equally or less harmful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found that relative harm perceptions of cigarette smoking versus e\u2010cigarette use are likely related to much uncertainty and confusion about the harms of e\u2010cigarette use. Moreover, findings illustrate that public health messages regarding the risks of e\u2010cigarette use may have unintended consequences of increasing cigarette use to replace e\u2010cigarette use for some SGM young adults, a practice that is incongruent with scientific evidence demonstrating that cigarettes and other combustible tobacco products are riskier than e\u2010cigarettes and other forms of NT use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Results suggest the need for evidence\u2010based, clear, and direct messaging about the relative harms of cigarettes versus e\u2010cigarettes to reduce NT\u2010related inequities in SGM populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13812","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T08:40:07Z","timestamp":1705999207000},"page":"371-380","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Harm perceptions of vaping nicotine relative to cigarette smoking among sexual and gender minority young adults"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7463-938X","authenticated-orcid":false,"given":"Sharon","family":"Lipperman\u2010Kreda","sequence":"first","affiliation":[{"name":"Prevention Research Center Pacific Institute for Research and Evaluation  Berkeley USA"},{"name":"Center for Critical Public Health, Institute for Scientific Analysis  Alameda USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emile","family":"Sanders","sequence":"additional","affiliation":[{"name":"Center for Critical Public Health, Institute for Scientific Analysis  Alameda USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachelle","family":"Annechino","sequence":"additional","affiliation":[{"name":"Center for Critical Public Health, Institute for Scientific Analysis  Alameda USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaina","family":"Peterkin","sequence":"additional","affiliation":[{"name":"Center for Critical Public Health, Institute for Scientific Analysis  Alameda USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamar M. 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