ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2025
Assessing Tobacco Harm Perceptions Among Transgender and Nonbinary Adults: Results From a Community Informed State-Wide Survey.
Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Forms of transphobia and their influence on health outcomes among transgender, nonbinary, and gender diverse individuals: a global systematic review.International journal of transgender health · 2025Article
- Prevalence and Associations of Current Cigarette Smoking Among Latinx Transgender and Gender Diverse Adults Living in Puerto Rico and Florida: A Secondary Data Analysis.Tobacco use insights · 2025Article
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Authors and funding
11 authors.
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Abstract
introductionEpidemiologic data have documented elevated levels of smoking and vaping among transgender and nonbinary (trans) adults. Yet, knowledge about nicotine and tobacco harm perceptions are not well understood within this population.
methodsUtilizing data from a community-informed study conducted among transgender adults in Washington state from March to April 2023, we explored gender differences in the distribution of tobacco harm perceptions (knowledge, addiction, and harm perceptions). Using logistic and multinomial regression models, we tested predictors and correlates of accurate and inaccurate harm perceptions controlling for age, race, income, health care information trust, current cigarette use, e-cigarette use, and depression and anxiety symptoms.
resultsA total of 770 trans individuals completed the survey. Overall, 83.6% identified as a woman, 8.7% as a man, and 7.7% as nonbinary, gender nonconforming, or genderqueer. Almost half (43.64%), identified as cigarette users and 14.55% as e-cigarette users. The vast majority of study participants (93.25%) incorrectly believed that nicotine causes cancer and that cigarettes with lower levels of nicotine were less harmful to a person's health than regular cigarettes (69.87%). Experiencing elevated symptoms of depression, and having lower income were associated with more inaccurate perceptions about tobacco-related harms and addiction potential.
conclusionsDirect messaging is needed to inform transgender individuals that nicotine is not the primary chemical in cigarettes that causes cancer and that nicotine is the primary chemical responsible for addiction. Trans women and nonbinary individuals may need specific messaging regarding the perceived risks and harms of tobacco use.
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