abstract: 'Background: Transgender and Gender Diverse (TGD) populations have

  current cigarette/e-cigarette/cigar use rates ranging from 32.6\% to

  39.7\%. Importantly, while some studies have reported tobacco use as

  significantly higher among TGD versus cisgender individuals in

  multivariate analyses, others have reported no significant differences.

  The present study used data from wave 4 of the Population Assessment of

  Tobacco and Health (PATH) study, a large, nationally representative U.S.

  study, to examine relationships among sociodemographic characteristics,

  internal and external factors, and tobacco use behaviors, with a focus

  on TGD individuals.

  Methods: Data were from 33,628 adults from the PATH study''s wave 4

  (collected December 2016-January 2018). Multivariable logistic

  regression models examined differences in current tobacco use

  (cigarettes, electronic nicotine products, and cigars) between TGD and

  cisgender individuals through the replication of previous work using

  PATH data, as well as evaluating the role of other internal and external

  factors.

  Results: TGD individuals were 2-3 times more likely than cisgender

  individuals to report current nicotine/tobacco use, even after

  adjustment for potential confounders. TGD individuals tended to have

  lower income and education and be more likely to endorse a sexual

  minority identity than their cisgender counterparts; meanwhile, lower

  income, less education, and lesbian/gay and bisexual identities were

  significant predictors of nicotine/tobacco use, independent of TGD

  identity.

  Conclusions: Present findings underscore the high rates of

  nicotine/tobacco use in the TGNC community and emphasize the necessity

  of TGD-focused research methods and measures, access to quality medical

  care, and policy aimed at minimizing marginalization and

  nicotine/tobacco use disparities experienced by TGD communities.'
affiliation: 'Sawyer, AN (Corresponding Author), 100W Franklin St,Suite 200, Richmond,
  VA 23220 USA.

  Sawyer, Ashlee N.; Bono, Rose S.; Breland, Alison B., Virginia Commonwealth Univ,
  Dept Psychol, Ctr Study Tobacco Prod, Box 2018, Richmond, VA 23284 USA.

  Sawyer, Ashlee N.; Bono, Rose S.; Breland, Alison B., Virginia Commonwealth Univ,
  Dept Hlth Behav \& Policy, Sch Med, Richmond, VA USA.

  Kaplan, Bekir, Johns Hopkins Bloomberg Sch Publ Hlth, Inst Global Tobacco Control,
  Dept Hlth Behav \& Soc, Baltimore, MD USA.'
article-number: '109268'
author: Sawyer, Ashlee N. and Bono, Rose S. and Kaplan, Bekir and Breland, Alison
  B.
author-email: sawyeran@vcu.edu
author_list:
- family: Sawyer
  given: Ashlee N.
- family: Bono
  given: Rose S.
- family: Kaplan
  given: Bekir
- family: Breland
  given: Alison B.
da: '2023-09-28'
doi: 10.1016/j.drugalcdep.2022.109268
earlyaccessdate: JAN 2022
eissn: 1879-0046
files: []
issn: 0376-8716
journal: DRUG AND ALCOHOL DEPENDENCE
keywords: 'Transgender and gender diverse (TGD); Transgender and gender

  non-conforming (TGNC); Gender minorities; Nicotine and tobacco use;

  Adults; Population Assessment of Tobacco and Health (PATH) study'
keywords-plus: 'MINORITY STRESS; UNITED-STATES; MENTAL-HEALTH; TOBACCO USE; GAY;

  DISCRIMINATION; SAMPLE; INDIVIDUALS; CIGARETTES; CESSATION'
language: English
month: MAR 1
number-of-cited-references: '43'
papis_id: 4c733624cc99cd908cf5e88890d97574
ref: Sawyer2022nicotinetobaccouse
times-cited: '7'
title: 'Nicotine/tobacco use disparities among transgender and gender diverse adults:
  Findings from wave 4 PATH data'
type: article
unique-id: WOS:000820117400006
usage-count-last-180-days: '0'
usage-count-since-2013: '3'
volume: '232'
web-of-science-categories: Substance Abuse; Psychiatry
year: '2022'