{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T08:40:04Z","timestamp":1774341604228,"version":"3.50.1"},"reference-count":58,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T00:00:00Z","timestamp":1674432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Limited studies have examined disparities in e-cigarette use among Black\/African American adults by sexual identity and whether the relationship between symptoms of anxiety\/depression and e-cigarette use varies by sexual identity. We examined the association between e-cigarette use behaviors (never, former, and current use) and anxiety\/depression among a nationally representative sample of Black\/African American adults who identified as a sexual minority (lesbian\/gay, bisexual, and others) or heterosexual individuals. We combined cross-sectional data from the 2011 to 2020 Health Information National Trends Survey (n = 6267), which is a nationally representative data set. We computed weighted e-cigarette use prevalence and multinomial logistic regression results (never use compared with former and current use, respectively). Among Blacks\/African Americans, a larger percentage of sexual minority individuals compared with heterosexual individuals reported former and current e-cigarette use. Among sexual minorities, lesbian\/gay individuals reported higher former e-cigarette use, whereas bisexual individuals reported higher current e-cigarette use. Among sexual minority individuals, moderate symptoms of anxiety\/depression, compared with no symptoms of anxiety\/depression, were associated with a higher likelihood of former e-cigarette use. Among heterosexuals, moderate symptoms of anxiety\/depression were also associated with a higher likelihood of former e-cigarette use, while mild and severe symptoms of anxiety\/depression were associated with current e-cigarette use compared with no symptoms of anxiety\/depression. The intersection between sexual identity and anxiety\/depression influenced e-cigarette use behaviors in different ways among Black\/African Americans. The findings reinforce the heterogeneity within the Black\/African American population, indicating the dangers of not considering subgroup differences as a standard part of public health research practice.<\/jats:p>","DOI":"10.3390\/ijerph20032078","type":"journal-article","created":{"date-parts":[[2023,1,24]],"date-time":"2023-01-24T01:29:45Z","timestamp":1674523785000},"page":"2078","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Association between E-Cigarette Use Behaviors and Anxiety\/Depression among Black\/African American Adults Based on Sexual Identity"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5834-0268","authenticated-orcid":false,"given":"David","family":"Adzrago","sequence":"first","affiliation":[{"name":"Center for Health Promotion and Prevention Research, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa B.","family":"Harrell","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Human Genetics & Environmental Sciences, UTHealth Austin School of Public Health, Austin, TX 78701, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayo","family":"Fujimoto","sequence":"additional","affiliation":[{"name":"Center for Health Promotion and Prevention Research, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antwan","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Sociology, and Department of Epidemiology, The George Washington University, Washington, DC 20052, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Michael","family":"Wilkerson","sequence":"additional","affiliation":[{"name":"Center for Health Promotion and Prevention Research, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.15585\/mmwr.mm6946a4","article-title":"Tobacco product use among adults\u2014United States, 2019","volume":"69","author":"Cornelius","year":"2020","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1093\/ntr\/ntv237","article-title":"Patterns of electronic cigarette use among adults in the United States","volume":"18","author":"Delnevo","year":"2016","journal-title":"Nicotine Tob. Res."},{"key":"ref_3","unstructured":"Villarroel, M.A., Cha, A.E., and Vahratian, A. 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