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Neurodivergent SGM YAs may experience greater minority stress (from dual-minoritized identities) and tobacco use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A 2023 survey assessed neurodivergence (defined as attention-deficit hyperactivity disorder [ADHD] or a learning-related condition), minority stressors (mental health symptoms, internalized SGM stigma, SGM community connectedness), and tobacco use (past-month cigarette, e-cigarette, any tobacco product use; number of products used) among SGM YAs (aged 18-34) in the United States. Multivariable regression examined associations of neurodivergence with minority stressors and tobacco use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among SGM YAs (N\u2009=\u20091115;\n                      <jats:italic>M<\/jats:italic>\n                      <jats:sub>age<\/jats:sub>\n                      \u2009=\u200925.34 [SD\u2009=\u20094.84]; 65.2% bisexual+, 29.5% monosexual, 4.8% another identity; 52.2% cisgender women, 29.8% cisgender men, 17.2% gender minority), 36.1% reported neurodivergence, 23.4% reported current cigarette use, 30.0% e-cigarette use, and 40.4% any tobacco use. On average, participants reporting current tobacco use used 2 to 3 products (\n                      <jats:italic>M<\/jats:italic>\n                      \u2009=\u20092.06 [SD\u2009=\u20091.25]). Neurodivergence was associated with higher odds of experiencing mental health symptoms (aOR\u2009=\u20091.53, 95% CI [1.19-1.95]), cigarette use (aOR\u2009=\u20091.48, 95% CI [1.07-2.05]), e-cigarette use (aOR\u2009=\u20091.80, 95% CI [1.35-2.42]), and any tobacco product use (aOR\u2009=\u20091.63, 95% CI [1.23-2.17]). Mental health symptoms were associated with cigarette (aOR\u2009=\u20091.63, 95% CI [1.19-2.25]), e-cigarette (aOR\u2009=\u20091.58, 95% CI [1.19-2.11]), and any tobacco product use (aOR\u2009=\u20091.48, 95% CI [1.13-1.96]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Neurodivergent SGM YAs (vs those without ADHD or learning-related conditions) may have greater risk for mental health symptoms and related tobacco use, underscoring the need for appropriate and culturally competent mental healthcare to reduce tobacco use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342251338946","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T11:55:16Z","timestamp":1751025316000},"page":"939-949","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Neurodivergence, Minority Stress, and Tobacco Use in a Sample of US Sexual and Gender Minoritized Young Adults"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7193-8720","authenticated-orcid":false,"given":"Erin A.","family":"Vogel","sequence":"first","affiliation":[{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA"},{"name":"Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences, Oklahoma City, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9552-0732","authenticated-orcid":false,"given":"Katelyn F.","family":"Romm","sequence":"additional","affiliation":[{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA"},{"name":"Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences, Oklahoma City, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DJ","family":"McMaughan","sequence":"additional","affiliation":[{"name":"School of Community Health Sciences, Counseling and Counseling Psychology, Oklahoma State University, Stillwater, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassidy R.","family":"LoParco","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Palash","family":"Bhanot","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia A.","family":"Cavazos-Rehg","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Szlyk","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Kasson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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, DC, USA"},{"name":"George Washington Cancer Center, George Washington University, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"Measuring Sex, Gender Identity, and Sexual Orientation","author":"National Academies of Sciences, Engineering, and Medicine, Division of Behavioral and Social Sciences and Education, Committee on National Statistics, Committee on Measuring Sex Gender Identity and Sexual Orientation","year":"2022","unstructured":"National Academies of Sciences, Engineering, and Medicine, Division of Behavioral and Social Sciences and Education, Committee on National Statistics, Committee on Measuring Sex Gender Identity and Sexual Orientation. 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