{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T07:10:08Z","timestamp":1778742608921,"version":"3.51.4"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":76,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R01DA054751"],"award-info":[{"award-number":["R01DA054751"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K01DA055073"],"award-info":[{"award-number":["K01DA055073"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Sexual minority young adults (SMYAs) residing in rural (vs. urban) areas report higher tobacco use rates. Less work has assessed associations of rural\u2013urban residential movement\/stability with SMYAs\u2019 tobacco use and factors driving these associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed 2023 survey data from 1082 US SMYAs (aged 18\u201334). Multivariable regressions controlling for sociodemographics examined associations of: (1) rural\u2013urban movement\/stability (urban stability, rural\u2013urban movement, rural stability [REF]) with minority stress\u2010related factors (mental health symptoms, internalized stigma), perceived tobacco norms (peer tobacco use, social acceptability of tobacco use), and tobacco use (past\u2010month cigarette, e\u2010cigarette, any tobacco use, number of products used); and (2) minority stress\u2010related factors and tobacco norms with tobacco use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Relative to SMYAs reporting rural stability, those reporting rural\u2013urban movement and urban stability displayed lower odds of any tobacco use and mental health symptoms, and less peer tobacco use. Those reporting rural\u2013urban movement also reported lower odds of cigarette use and less internalized stigma. Peer tobacco use was associated with higher odds of cigarette and any tobacco use; reporting \u2265 moderate mental health symptoms and greater internalized stigma and social acceptability was associated with higher odds of cigarette use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These novel findings provide preliminary evidence that, relative to their SM peers who reside in rural areas, SMYAs who move from rural to urban areas may experience less minority stress\u2010related factors and lower tobacco use norms, which may reduce risk for cigarette and other tobacco use. Findings highlight the need for public health messaging interventions targeting SMYAs in rural communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jrh.70016","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T23:45:10Z","timestamp":1742341510000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Rural\u2013urban movement and stability in relation to minority stress\u2010related factors, tobacco norms, and tobacco use among a sample of US sexual minority\u2010identifying young adults"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9552-0732","authenticated-orcid":false,"given":"Katelyn F.","family":"Romm","sequence":"first","affiliation":[{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center University of Oklahoma Health Sciences  Oklahoma City Oklahoma USA"},{"name":"Department of Pediatrics, College of Medicine University of Oklahoma Health Sciences  Oklahoma City Oklahoma USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin A.","family":"Vogel","sequence":"additional","affiliation":[{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center University of Oklahoma Health Sciences  Oklahoma City Oklahoma USA"},{"name":"Department of Pediatrics, College of Medicine University of Oklahoma Health Sciences  Oklahoma City Oklahoma USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia A.","family":"Cavazos\u2010Rehg","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla J.","family":"Berg","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health George Washington University  Washington District of Columbia USA"},{"name":"George Washington Cancer Center George Washington University  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.19022"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.19365"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol\u20102021\u2010056544"},{"key":"e_1_2_8_5_1","unstructured":"USDHHS.PATH Study Data Tables and Figures: Wave 1\u20135 (2013\u20102019). 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