Evidence map›Paper›PMID 41124757›Full record

ArticleAddictive behaviors2026

Associations of rural-urban residence with daily experiences of minority stress and tobacco use among sexual minority young adults.

Katelyn F Romm, Clark Gilford, Mahalaxmi Das, McKenna Nhem, Erin A Vogel, Amy M Cohn

Abstract read
In one paragraph

Article in Addictive behaviors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Katelyn F RommTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA; Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences, Oklahoma City, OK, USA. Electronic address: katelyn-romm@ouhsc.edu.
Clark GilfordTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA.
Mahalaxmi DasTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA; Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences, Oklahoma City, OK, USA.
McKenna NhemTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA.
Erin A VogelTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA; Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences, Oklahoma City, OK, USA.
Amy M CohnTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA; Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences, Oklahoma City, OK, USA.

Funding

Tissue Pathology Shared ResourceP30CA225520 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Michael S. Businelle · 2018 to 2026
$27.1M
NCI NIH HHS P30 CA225520
6 · The paper itself

Abstract

introductionRural- vs. urban-residing sexual minority young adults (SMYAs) display higher tobacco use rates. Less work has identified minority stressors that contribute to geographic disparities in use, particularly at the daily level.

methodsWe analyzed 2024 baseline and 14 days of daily survey data among 60 SMYAs (ages 18-34) reporting current tobacco use. Multilevel regression-based models with random intercepts and slopes examined between-person effects of rural-urban residence on daily minority stress (i.e., negative affect, positive affect, upsetting parent interactions, upsetting peer interactions, microaggressions) and daily tobacco use (aggregated across cigarettes, e-cigarettes, large cigars, little cigars/cigarillos, smokeless tobacco, nicotine pouches, hookah) and within-person effects of daily minority stress on same-day and next-day tobacco use, controlling for sociodemographics (i.e., age, sexual identity, gender identity, sex at birth, race and ethnicity).

resultsAmong this sample of 60 SMYAs (M

conclusionsMinority stress experiences may impact SMYAs' concurrent and subsequent tobacco use. These daily minority stress experiences and tobacco use episodes occur more often and at higher levels among rural- (vs. urban-) residing SMYAs, highlighting the need for interventions focused on promoting adaptive coping in response to minority stressors in real time, particularly for rural-residing SMYAs.

Indexed as

Minority GroupsRural PopulationSexual and Gender MinoritiesStress, PsychologicalTobacco UseUrban PopulationAdolescentAdultFemaleHumansMaleYoung AdultDaily assessmentsGeographic disparitiesMinority stressSexual minority young adultsTobacco use

Identifiers

PMID41124757
PMCPMC12715810

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.