ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2022
Vaping Disparities at the Intersection of Gender Identity and Race/Ethnicity in a Population-Based Sample of Adolescents.
Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 28 citations in OpenAlex.
- Prevalence and factors associated with e-cigarettes consumption among adolescents: A cross-sectional analysis in Latin America and the Caribbean.PLOS global public health · 2026Article
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- Mental Health and Substance Use Disparities by Sexual Orientation and Gender Identity Among Delaware Youth.Delaware journal of public health · 2025Article
- Nicotine and cannabis vaping among early high school adolescents: Disparities of use across sociodemographic characteristics and associations with psychosocial factors.Addictive behaviors reports · 2025Article
- Barriers, facilitators, and best practices for successful vaping prevention campaigns for sexual and gender minority youth.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Perceived discrimination and youth vaping: The role of intersectional identities.Drug and alcohol dependence · 2024Article
- Awareness of electronic cigarette industry practices and their associations with anti-electronic cigarette attitudes among susceptible US young adults.Tobacco control · 2023Article
- Housing status as a social determinant of disparities in adolescent smoking, vaping, and dual use of cigarettes and e-cigarettes.Addictive behaviors · 2023Article
- A Machine Learning Approach Reveals Distinct Predictors of Vaping Dependence for Adolescent Daily and Non-Daily Vapers in the COVID-19 Era.Healthcare (Basel, Switzerland) · 2023Article
- An examination of the social perceptions and vaping preferences of young electronic nicotine delivery system users.Frontiers in public health · 2023Article
- Intersectionality of Sexual Orientation With Race and Ethnicity and Associations With E-Cigarette Use Status Among U.S. Youth.American journal of preventive medicine · 2022Article
- Adolescent Use of Flavored Non-Tobacco Oral Nicotine Products.Pediatrics · 2022Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundTransgender adolescents use vape products (eg, e-cigarettes) at higher rates than cisgender adolescents. Little is known about how these disparities differ from the intersectional perspective of both gender identity and race/ethnicity.
methodsWe examined disparities in past 30-day vaping frequency at the intersection of gender identity and race/ethnicity among adolescents participating in two pooled waves of the population-based California Healthy Kids Survey (N = 953 445; 2017-2019). Generalized linear mixed models included gender identity-by-race/ethnicity interactions and adjusted for potential confounders. Stratified models quantified relationships between gender identity and vaping within race/ethnicity strata and between race/ethnicity and vaping within gender identity strata.
resultsTransgender adolescents of color were more likely to report a higher frequency of vaping than cisgender white adolescents. In models stratified by race/ethnicity, transgender adolescents evidenced greater odds of more frequent vaping than cisgender adolescents of the same race/ethnicity; disparities were greatest between transgender and cisgender Black adolescents (adjusted odds ratio [AOR]: 6.05, 95% CI: 4.76-7.68) and smallest between transgender and cisgender white adolescents (AOR: 1.20, 95% CI: 1.06-1.35). In models stratified by gender identity, disparities were greatest between transgender Black and transgender white adolescents (AOR: 2.85, 95% CI: 2.20-3.70) and smallest between transgender multiracial and transgender white adolescents (AOR: 1.28, 95% CI: 1.05-1.58). Similar, though less consistent, patterns emerged for adolescents of color unsure of their gender identity relative to cisgender white adolescents.
conclusionTransgender adolescents of color may be especially vulnerable to vaping disparities. Future research should identify and intervene on causal mechanisms undergirding disparities. IMPLICATIONS: Research finds that transgender adolescents use vape products at higher rates than their cisgender peers, however, little is known about how patterns of adolescent vaping may differ by both gender identity and race/ethnicity, information needed to inform culturally tailored prevention and control initiatives to decrease adolescent vaping disparities. Our analysis of data from a population-based adolescent health survey finds evidence of magnified disparities in vaping frequency among transgender adolescents of color.
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