{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T09:49:01Z","timestamp":1770976141586,"version":"3.50.1"},"reference-count":25,"publisher":"American Public Health Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p> Objectives. To examine whether the state-level LGBT+ (lesbian, gay, bisexual, transgender, and other identities) legal protections where LGBT+ youths and young adults reside are associated with cigarette and e-cigarette use. <\/jats:p><jats:p> Methods. We drew LGBT+ respondents (aged 15\u201331 years; n\u2009=\u20091255) from a national, probability-based survey conducted from August to December 2023. We scored each state for LGBT+ equality on a scale from restrictive to protective based on the Movement Advancement Project\u2019s 2023 policy environment. Using weighted logistic regression models, we examined the relationship between current (past 30-day) cigarette and e-cigarette use and state LGBT+ equality protections, controlling for demographics and state tobacco control expenditure. <\/jats:p><jats:p> Results. LGBT+ individuals in protective policy states had 65% lower odds (odds ratio [OR]\u2009=\u20090.35; 95% confidence interval [CI]\u2009=\u20090.16, 0.78) of current cigarette use, and 56% lower odds (OR\u2009=\u20090.44; 95% CI\u2009=\u20090.25, 0.79) of current e-cigarette use compared with those in restrictive policy states. <\/jats:p><jats:p> Conclusions. LGBT+ individuals living in protective policy environments had lower odds of current cigarette and e-cigarette use, consistent with theoretical relationships between stress, discrimination, and harmful health behaviors. <\/jats:p><jats:p> Public Health Implications. Protective policies may alleviate tobacco use disparities among the LGBT+ community. ( Am J Public Health. 2025;115(6):945\u2013953. https:\/\/doi.org\/10.2105\/AJPH.2025.308008 ) <\/jats:p>","DOI":"10.2105\/ajph.2025.308008","type":"journal-article","created":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T21:01:25Z","timestamp":1740690085000},"page":"945-953","source":"Crossref","is-referenced-by-count":2,"title":["Cigarette and E-Cigarette Use Among LGBT+ Youths and Young Adults According to Strength of State-Level LGBT+ Equality Protections"],"prefix":"10.2105","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-0451","authenticated-orcid":false,"given":"Elexis C.","family":"Kierstead","sequence":"first","affiliation":[{"name":"All authors are with Truth Initiative\u2019s Schroeder Institute, Washington, DC."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7565-7977","authenticated-orcid":false,"given":"Stephanie N.","family":"Yoon","sequence":"additional","affiliation":[{"name":"All authors are with Truth Initiative\u2019s Schroeder Institute, Washington, DC."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madison L.","family":"Iskra","sequence":"additional","affiliation":[{"name":"All authors are with Truth Initiative\u2019s Schroeder Institute, Washington, DC."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara A.","family":"Schillo","sequence":"additional","affiliation":[{"name":"All authors are with Truth Initiative\u2019s Schroeder Institute, Washington, DC."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer M.","family":"Kreslake","sequence":"additional","affiliation":[{"name":"All authors are with Truth Initiative\u2019s Schroeder Institute, Washington, DC."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2023.101579"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2021.1972315"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.23736\/S0391-1772.18.01995-7"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1007\/s13178-023-00851-x"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1080\/19361653.2020.1821276"},{"key":"bib8","unstructured":"Trevor Project.  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