{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T10:46:54Z","timestamp":1782470814353,"version":"3.54.5"},"reference-count":46,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["134128-IRG-19-142-01"],"award-info":[{"award-number":["134128-IRG-19-142-01"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100024521","name":"oklahoma tobacco settlement endowment trust","doi-asserted-by":"publisher","award":["No. R22-03"],"award-info":[{"award-number":["No. R22-03"]}],"id":[{"id":"10.13039\/100024521","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"national cancer institute","doi-asserted-by":"publisher","award":["P30CA225520"],"award-info":[{"award-number":["P30CA225520"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp; Addiction Journal"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Sexual minority young adults (SMYAs) report higher rates of tobacco use compared to heterosexual YAs, with emerging evidence suggesting that rural-residing SMYAs may be particularly at-risk. However, little is known about whether tobacco use motives differ by geographic residence and how they relate to tobacco use outcomes among SMYAs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analyzed 2 waves of survey data among 549 SMYAs (ages 18-25; 67.4% female) residing in Oklahoma and surrounding states. Multivariable linear and logistic regressions examined associations of: (1) rural\u2013urban residence (based on residential zip code) with tobacco use motives (ie, social, self-enhancement, boredom relief, affect regulation); and (2) rural\u2013urban residence and tobacco use motives with tobacco use outcomes (ie, past-month cigarette use and e-cigarette use frequency, single vs polytobacco use and nicotine dependence severity), controlling for sociodemographics. All analyses were conducted among female and male SMYAs, separately.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among female SMYAs, rural (vs urban) residence was associated with higher boredom relief and affect regulation motives, which were associated with more frequent cigarette use and greater nicotine dependence. Among male SMYAs, rural residence was associated with lower social and self-enhancement motives and greater nicotine dependence. However, social and self-enhancement motives were not associated with nicotine dependence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Findings suggest that interventions promoting healthier coping strategies and increasing access to inclusive social and recreational spaces may help reduce tobacco use among rural female SMYAs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342261426098","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T09:30:54Z","timestamp":1774258254000},"page":"782-793","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Distinct Motives for Tobacco Use Among Rural Versus Urban Residing Sexual Minority Young Adults in Oklahoma and Surrounding States"],"prefix":"10.1177","volume":"47","author":[{"given":"Mahalaxmi","family":"Das","sequence":"first","affiliation":[{"name":"Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences, OK, USA"},{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"McKenna","family":"Nhem","sequence":"additional","affiliation":[{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mia E.","family":"John","sequence":"additional","affiliation":[{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin A.","family":"Vogel","sequence":"additional","affiliation":[{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, OK, USA"},{"name":"Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences, 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, OK, USA"},{"name":"Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.19022"},{"key":"e_1_3_2_3_2","volume-title":"Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General","author":"National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health","year":"2012","unstructured":"National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. 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