{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T06:04:45Z","timestamp":1776751485221,"version":"3.51.2"},"reference-count":53,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>The relationship between housing instability and e-cigarette and traditional tobacco use, particularly for sexual minority students, has received little attention. This study investigates the association between housing instability, e-cigarettes, and traditional tobacco use in sexual minorities and heterosexual adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We used 2021 and 2023 Youth Risk Behavior Survey data (n\u2009=\u200923\u2009834). Multivariable logistic regression analyses examined associations of housing instability, sexual identity, and e-cigarette and traditional tobacco use. Using various combinations of sexual identity and housing instability, predicted probabilities of current e-cigarette and traditional tobacco use were estimated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The findings indicated higher e-cigarette and tobacco use among students experiencing housing instability. The intersection of housing instability and sexual identity was significantly associated with e-cigarette and tobacco use. The predicted probability of e-cigarette use was higher among sexual minority male (45.8%) and female (54.8%) students experiencing housing instability compared with heterosexual male (10.6%) and female (14.5%) students not experiencing housing instability. Sexual minority students experiencing housing instability had significantly higher odds of e-cigarette use compared with those with stable housing (odds ratio,\u20094.91; 95% CI,\u20093.14\u20137.69). Sexual minority male and female students experiencing unstable housing had significantly greater odds of e-cigarette and tobacco use compared with their heterosexual peers experiencing unstable housing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Our findings indicate that housing instability may influence the association between sexual identity and e-cigarette and traditional tobacco use, suggesting a unique vulnerability for sexual minority youth experiencing unstable housing. Public health programs addressing housing instability and the specific needs of sexual minority youth could be beneficial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2024-069626","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T20:03:12Z","timestamp":1747944192000},"source":"Crossref","is-referenced-by-count":1,"title":["Housing Instability, E-Cigarette, and Tobacco Use by Sexual Identity in US High Schoolers"],"prefix":"10.1542","volume":"155","author":[{"given":"Sunday","family":"Azagba","sequence":"first","affiliation":[{"name":"The Pennsylvania State University College of Nursing, University Park, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Galappaththige","family":"Sajith de Silva","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University College of Nursing, University Park, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd","family":"Ebling","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University College of Nursing, University Park, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"issue":"1","key":"2026022402530942900_r1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1146\/annurev-publhealth-031210-101218","article-title":"The social determinants of health: coming of age","volume":"32","author":"Braveman","year":"2011","journal-title":"Annu Rev Public Health."},{"issue":"10","key":"2026022402530942900_r2","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.2105\/AJPH.2019.305210","article-title":"Housing as a platform for health and equity: evidence and future directions","volume":"109","author":"Hern\u00e1ndez","year":"2019","journal-title":"Am J Public Health."},{"issue":"8","key":"2026022402530942900_r3","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1002\/jcop.21665","article-title":"How stable is stable? 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