{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:10:53Z","timestamp":1788311453575,"version":"build-2803163510"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"National Cancer Institute (NCI) of the National Institutes of Health","award":["R21CA284313"],"award-info":[{"award-number":["R21CA284313"]}]},{"name":"National Cancer Institute (NCI) of the National Institutes of Health","award":["R21CA284313"],"award-info":[{"award-number":["R21CA284313"]}]},{"name":"National Cancer Institute (NCI) of the National Institutes of Health","award":["R21CA284313"],"award-info":[{"award-number":["R21CA284313"]}]},{"name":"National Cancer Institute (NCI) of the National Institutes of Health","award":["R21CA284313"],"award-info":[{"award-number":["R21CA284313"]}]},{"name":"National Cancer Institute (NCI) of the National Institutes of Health","award":["R21CA284313"],"award-info":[{"award-number":["R21CA284313"]}]},{"name":"National Cancer Institute (NCI) of the National Institutes of Health","award":["R21CA284313"],"award-info":[{"award-number":["R21CA284313"]}]},{"name":"National Cancer Institute (NCI) of the National Institutes of Health","award":["R21CA284313"],"award-info":[{"award-number":["R21CA284313"]}]},{"name":"National Cancer Institute (NCI) of the National Institutes of Health","award":["R21CA284313"],"award-info":[{"award-number":["R21CA284313"]}]},{"name":"National Cancer Institute (NCI) of the National Institutes of Health","award":["R21CA284313"],"award-info":[{"award-number":["R21CA284313"]}]},{"name":"National Cancer Institute (NCI) of the National Institutes of Health","award":["R21CA284313"],"award-info":[{"award-number":["R21CA284313"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Equity Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The prevalence of cigarette smoking among transgender women in Argentina is 42%, more than double the rate compared to cisgender women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To understand biopsychosocial factors influencing cigarette smoking among transgender and gender-diverse (TGD) individuals living in Argentina.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between December 2023 and January 2024, 19 qualitative semi-structured interviews were conducted face-to-face with TGD individuals. TGD peer navigators recruited participants using community-based strategies. The biobehavioral model of nicotine addiction was the theoretical framework for the qualitative analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>we identified important biological, psychological, and social factors. Biological factors included: (1) Negative impact of cigarette smoking on health (e.g., medical gender affirmation), and (2) nicotine dependence. Psychological factors included: (1) Emotions (e.g., loneliness), (2) psychological disorders, (3) coping strategies (e.g., gender minority stress), (4) cognition and beliefs (e.g., psychological gender affirmation), (5) routine behavior, and (6) substance use. Social factors included: (1) social influence, (2) social acceptance of smoking, (3) social support, (4) gender-based stigma, discrimination, and violence, and (5) contextual factors (i.e., work environments).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results provide important insights to be considered when developing a tailored smoking cessation intervention for TGD individuals living in Argentina.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12939-025-02563-7","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T04:50:16Z","timestamp":1751863816000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Understanding biopsychosocial factors influencing cigarette smoking among transgender and gender diverse individuals living in Argentina: a qualitative study"],"prefix":"10.1186","volume":"24","author":[{"given":"Romina","family":"Caballero","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estefania","family":"Panizoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ra\u00fal","family":"Mej\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Zeltman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadir Fernanda","family":"Cardozo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alixida","family":"Ramos-Pibernus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ash B.","family":"Alpert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Paula","family":"Cupertino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Cartujano-Barrera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Aristegui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"2563_CR1","unstructured":"Drope J, Schluger NW, Cahn Z, Drope J, Hamil S, Islami F et al. The tobacco atlas [Internet]. 6.a ed. Atlanta Georgia: American Cancer Society and Vital Strategies; 2018. Disponible en: https:\/\/theunion.org\/sites\/default\/files\/2020-12\/TobaccoAtlas_6thEdition_LoRes.pdf"},{"key":"2563_CR2","unstructured":"Instituto Nacional de Estad\u00edstica y Censos (INDEC). 4\u00b0 Encuesta Nacional de Factores de Riesgo. Resultados definitivos. [Internet]. INDEC. 2019 p. 217. Disponible en: https:\/\/www.indec.gob.ar\/ftp\/cuadros\/publicaciones\/enfr_2018_resultados_definitivos.pdf"},{"issue":"9","key":"2563_CR3","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1093\/ntr\/nts004","volume":"14","author":"B Linetzky","year":"2012","unstructured":"Linetzky B, Mejia R, Ferrante D, De Maio FG, Diez Roux AV. Socioeconomic status and tobacco consumption among adolescents: A multilevel analysis of argentina\u2019s global youth tobacco survey. Nicotine Tob Res Septiembre De. 2012;14(9):1092\u20139.","journal-title":"Nicotine Tob Res Septiembre De"},{"issue":"3","key":"2563_CR4","doi-asserted-by":"publisher","first-page":"91","DOI":"10.14485\/HBPR.5.3.9","volume":"5","author":"A P\u00e9rez","year":"2018","unstructured":"P\u00e9rez A, Osman A, Pe\u00f1a L, Abad-Vivero EN, Hardin JW, Sargent J, et al. Parent education and substance use among Latin American early adolescents. Health Behav Policy Rev 1 De Mayo De. 2018;5(3):91\u20139.","journal-title":"Health Behav Policy Rev 1 De Mayo De"},{"key":"2563_CR5","doi-asserted-by":"publisher","first-page":"1279969","DOI":"10.3389\/fpubh.2023.1279969","volume":"11","author":"F Cartujano-Barrera","year":"2023","unstructured":"Cartujano-Barrera F, Mejia RM, Radusky PD, Cardozo N, Duarte M, Fabian S, et al. Prevalence and correlates of current cigarette smoking among transgender women in Argentina. Front Public Health Diciembre De. 2023;11:1279969.","journal-title":"Front Public Health Diciembre De"},{"key":"2563_CR6","doi-asserted-by":"publisher","unstructured":"Culbreth et al. Stressors Associated with Tobacco Use Among Trans Women. 2023;8(3). Disponible en: https:\/\/www.liebertpub.com\/doi\/full\/https:\/\/doi.org\/10.1089\/trgh.2020.0168","DOI":"10.1089\/trgh.2020.0168"},{"key":"2563_CR7","doi-asserted-by":"crossref","unstructured":"Lipperman-Kreda et al. Substance use among sexual and gender minorities: association with Police discrimination and Police mistrust. 2020;3(2). Disponible en: https:\/\/pubmed.ncbi.nlm.nih.gov\/34651132\/","DOI":"10.1002\/sgp2.12019"},{"key":"2563_CR8","doi-asserted-by":"crossref","unstructured":"Robertson R. Psychosocial Stressors and Tobacco Use: Views of the Transgender Community in a 2016 Focus Groups Study. En. 2018. Disponible en: https:\/\/www.ahajournals.org\/doi\/abs\/10.1161\/circ.137.suppl_1.p305","DOI":"10.1161\/circ.137.suppl_1.p305"},{"issue":"6","key":"2563_CR9","doi-asserted-by":"publisher","first-page":"1502","DOI":"10.1093\/ntr\/ntv221","volume":"18","author":"DA Shires","year":"2016","unstructured":"Shires DA, Jaffee KD. Structural discrimination is associated with smoking status among a National sample of transgender individuals. Nicotine Tob Res Junio De. 2016;18(6):1502\u20138.","journal-title":"Nicotine Tob Res Junio De"},{"key":"2563_CR10","doi-asserted-by":"crossref","unstructured":"Gamarel KE, Mereish EH, Manning D, Iwamoto M, Operario D, Nemoto T, Minority, Stress. Smoking patterns, and cessation attempts: findings from a Community-Sample of transgender women in the San Francisco Bay area. Nicotine Tob Res Marzo De. 2016;18(3):306\u201313.","DOI":"10.1093\/ntr\/ntv066"},{"key":"2563_CR11","doi-asserted-by":"crossref","unstructured":"Kidd et al. The relationship between tobacco use and legal document gender-marker change, hormone use, and gender-affirming surgery in a United States sample of trans-feminine and trans-masculine individuals: 2018;5(7). Disponible en: https:\/\/europepmc.org\/article\/MED\/30334686","DOI":"10.1089\/lgbt.2018.0103"},{"key":"2563_CR12","doi-asserted-by":"crossref","unstructured":"Tan AS, Gazarian PK, Darwish S, Hanby E, Farnham BC, Koroma-Coker FA et al. Smoking protective and risk factors among transgender and Gender-Expansive individuals (Project SPRING): qualitative study using digital photovoice. JMIR Public Health Surveill. 6 de octubre de 2021;7(10):e27417.","DOI":"10.2196\/27417"},{"key":"2563_CR13","doi-asserted-by":"crossref","unstructured":"Berger I, Mooney-Somers J. Smoking cessation programs for lesbian, gay, bisexual, transgender, and intersex people: A Content-Based systematic review. Nicotine Tob Res 31 de agosto de 2016;ntw216.","DOI":"10.1093\/ntr\/ntw216"},{"key":"2563_CR14","doi-asserted-by":"publisher","first-page":"114523","DOI":"10.1016\/j.socscimed.2021.114523","volume":"292","author":"M Hennink","year":"2022","unstructured":"Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Soc Sci Med Enero De. 2022;292:114523.","journal-title":"Soc Sci Med Enero De"},{"issue":"11","key":"2563_CR15","first-page":"957","volume":"8","author":"RA Hiatt","year":"1999","unstructured":"Hiatt RA, Rimer BK. A new strategy for cancer control research. Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol Noviembre De. 1999;8(11):957\u201364.","journal-title":"Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol Noviembre De"},{"issue":"5","key":"2563_CR16","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1097\/ADM.0000000000000610","volume":"14","author":"SA Branstetter","year":"2020","unstructured":"Branstetter SA, Muscat JE, Mercincavage M. Time to first cigarette: A potential clinical screening tool for nicotine dependence. J Addict Med. 2020;14(5):409\u201314.","journal-title":"J Addict Med"},{"issue":"9","key":"2563_CR17","doi-asserted-by":"publisher","first-page":"1119","DOI":"10.1111\/j.1360-0443.1991.tb01879.x","volume":"86","author":"TF Heatherton","year":"1991","unstructured":"Heatherton TF, Kozlowski LT, Frecker RC, Fagerstr\u00f6m KO. The Fagerstr\u00f6m test for nicotine dependence: a revision of the Fagerstr\u00f6m tolerance questionnaire. Br J Addict Septiembre De. 1991;86(9):1119\u201327.","journal-title":"Br J Addict Septiembre De"},{"issue":"2","key":"2563_CR18","doi-asserted-by":"publisher","first-page":"79","DOI":"10.4337\/jqrt.2023.0006","volume":"3","author":"PA Christou","year":"2022","unstructured":"Christou PA. How to use thematic analysis in qualitative research. J Qual Res Tour Diciembre De. 2022;3(2):79\u201395.","journal-title":"J Qual Res Tour Diciembre De"},{"key":"2563_CR19","unstructured":"NVivo. version 14.23.1 [Internet]. QSR International; 2023. Disponible en: https:\/\/lumivero.com\/"},{"key":"2563_CR20","unstructured":"IBM SPSS Statistics for Windows (versi\u00f3n 29.0) [Internet]. IBM Corp. 2022. Disponible en: https:\/\/www.ibm.com\/docs\/en\/spss-statistics\/29.0.0"},{"key":"2563_CR21","doi-asserted-by":"crossref","unstructured":"Sun CJ, Doran KM, Sevelius JM, Bailey SR. A qualitative examination of tobacco use and smoking cessation among gender minority adults. Ann Behav Med Publ Soc Behav Med. 26 de mayo de 2023;57(7):530\u201340.","DOI":"10.1093\/abm\/kaac072"},{"key":"2563_CR22","doi-asserted-by":"crossref","unstructured":"Lee JGL, Blanchflower TM, O\u2019Brien KF, Cofie LE, Gregory KR, Averett PE. Assessing the Potential Impact of Cigarette Packs Designed for Lesbian, Gay, Bisexual, and Transgender Adults: A Randomized Experiment to Inform, Regulation US. 2018. Health Promot Pract. enero de 2020;21(1_suppl):157S-164S.","DOI":"10.1177\/1524839919879923"},{"key":"2563_CR23","doi-asserted-by":"crossref","unstructured":"Kcompt et al. Use of Cigarettes and E-Cigarettes\/Vaping Among Transgender People: Results From the 2015 U.S. Transgender Survey. 2020; Disponible en: https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0749379720301860","DOI":"10.1016\/j.amepre.2020.03.027"},{"issue":"1","key":"2563_CR24","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1080\/14622200601083491","volume":"9","author":"G Remafedi","year":"2007","unstructured":"Remafedi G. Lesbian, gay, bisexual, and transgender youths: who smokes, and why? Nicotine Tob Res. 2007;9(1):65\u201371.","journal-title":"Nicotine Tob Res"},{"issue":"4","key":"2563_CR25","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1093\/ntr\/ntab159","volume":"24","author":"C Wolford-Clevenger","year":"2022","unstructured":"Wolford-Clevenger C, Hill SV, Cropsey K. Correlates of tobacco and nicotine use among transgender and gender diverse people: A systematic review guided by the minority stress model. Nicotine Tob Res 1 De Marzo De. 2022;24(4):444\u201352.","journal-title":"Nicotine Tob Res 1 De Marzo De"},{"issue":"4865","key":"2563_CR26","first-page":"540","volume":"241","author":"JS House","year":"1988","unstructured":"House JS, Landis KR, Umberson D. Social relationships and health. Sci 29 De Julio De. 1988;241(4865):540\u20135.","journal-title":"Sci 29 De Julio De"},{"issue":"2","key":"2563_CR27","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1177\/0022146510395592","volume":"52","author":"PA Thoits","year":"2011","unstructured":"Thoits PA. Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav Junio De. 2011;52(2):145\u201361.","journal-title":"J Health Soc Behav Junio De"},{"issue":"3","key":"2563_CR28","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1089\/lgbt.2015.0111","volume":"3","author":"A Klein","year":"2016","unstructured":"Klein A, Golub SA. Family rejection as a predictor of suicide attempts and substance misuse among transgender and gender nonconforming adults. LGBT Health Junio De. 2016;3(3):193\u20139.","journal-title":"LGBT Health Junio De"},{"issue":"10","key":"2563_CR29","doi-asserted-by":"publisher","first-page":"1820","DOI":"10.2105\/AJPH.2012.300796","volume":"103","author":"J Bradford","year":"2013","unstructured":"Bradford J, Reisner SL, Honnold JA, Xavier J. Experiences of transgender-Related discrimination and implications for health: results from the Virginia transgender health initiative study. Am J Public Health Octubre De. 2013;103(10):1820\u20139.","journal-title":"Am J Public Health Octubre De"},{"issue":"3","key":"2563_CR30","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1080\/15574090802092879","volume":"3","author":"RJ Factor","year":"2007","unstructured":"Factor RJ, Rothblum ED. A study of transgender adults and their Non-Transgender siblings on demographic characteristics, social support, and experiences of violence. J LGBT Health Res Junio De. 2007;3(3):11\u201330.","journal-title":"J LGBT Health Res Junio De"},{"issue":"2","key":"2563_CR31","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1080\/15532739.2014.937042","volume":"15","author":"LF Graham","year":"2014","unstructured":"Graham LF, Crissman HP, Tocco J, Hughes LA, Snow RC, Padilla MB. Interpersonal relationships and social support in transitioning narratives of black transgender women in Detroit. Int J Transgenderism 3 De Abril De. 2014;15(2):100\u201313.","journal-title":"Int J Transgenderism 3 De Abril De"},{"issue":"6","key":"2563_CR32","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1037\/a0017198","volume":"23","author":"JA Koken","year":"2009","unstructured":"Koken JA, Bimbi DS, Parsons JT. Experiences of Familial acceptance\u2013rejection among transwomen of color. J Fam Psychol. 2009;23(6):853\u201360.","journal-title":"J Fam Psychol"},{"issue":"4","key":"2563_CR33","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1080\/15532739.2017.1314796","volume":"18","author":"I Ar\u00edstegui","year":"2017","unstructured":"Ar\u00edstegui I, Radusky PD, Zalazar V, Romero M, Schwartz J, Sued O. Impact of the gender identity law in Argentinean transgender women. Int J Transgenderism 2 De Octubre De. 2017;18(4):446\u201356.","journal-title":"Int J Transgenderism 2 De Octubre De"},{"key":"2563_CR34","unstructured":"Observatorio de la Deuda Social Argentina(ODSA). Deudas sociales en lista de espera. Balance social 2024 [Internet]. 2024. Disponible en: https:\/\/wadmin.uca.edu.ar\/public\/ckeditor\/Observatorio%20Deuda%20Social\/Presentaciones\/2025\/Observatorio_Nota_Divulgacion_Deudas_Sociales_Lista_de_Espera.pdf"},{"issue":"1","key":"2563_CR35","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/s13011-015-0015-4","volume":"10","author":"T Lyons","year":"2015","unstructured":"Lyons T, Shannon K, Pierre L, Small W, Kr\u00fcsi A, Kerr T. A qualitative study of transgender individuals\u2019 experiences in residential addiction treatment settings: stigma and inclusivity. Subst Abuse Treat Prev Policy Diciembre De. 2015;10(1):17.","journal-title":"Subst Abuse Treat Prev Policy Diciembre De"},{"key":"2563_CR36","unstructured":"Vital, Strategies. Tobacconomics. E-cigarettes & heated tobacco products [Internet]. The Tobacco Atlas; Disponible en: https:\/\/tobaccoatlas.org\/challenges\/e-cigarettes-htps\/"}],"container-title":["International Journal for Equity in Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12939-025-02563-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12939-025-02563-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12939-025-02563-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:43:42Z","timestamp":1781613822000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12939-025-02563-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,7]]},"references-count":36,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["2563"],"URL":"https:\/\/doi.org\/10.1186\/s12939-025-02563-7","relation":{},"ISSN":["1475-9276"],"issn-type":[{"value":"1475-9276","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,7]]},"assertion":[{"value":"7 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 June 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 July 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was conducted according to the guidelines of the Declaration of Helsinki. The Institutional Review Board of Fundaci\u00f3n Hu\u00e9sped reviewed and approved study procedures and implementation. The study team reviewed the risks and benefits of the study with potential participants who agreed to proceed with the study and signed to document their informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"196"}}