Purpose: Sexual and gender minority (SGM) young adults report disproportionately higher rates of tobacco and nicotine product use. This study assessed the role of adverse childhood experiences (ACEs) in nicotine and tobacco product use among SGM young adults.
Methods: A cross-sectional survey was administered to 11,694 college students (ages 18–29 years) between 2017 and 2018 in California, Minnesota, and Texas.
Results: For every additional ACE reported, the odds of cigarette, e-cigarette, and dual use increased for all students, with significantly higher past 30-day cigarette use among ACE-exposed SGM students.
Conclusion: ACEs are an important contributing factor to tobacco-related disparities facing SGM groups.

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Published In

cover image LGBT Health
LGBT Health
Volume 8Issue Number 6August/September 2021
Pages: 433 - 438
PubMed: 34129400


Published in print: August/September 2021
Published online: 23 August 2021
Published ahead of print: 15 June 2021


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Department of Environmental and Occupational Health, University of Nevada, Las Vegas, Las Vegas, Nevada, USA.
Phillip W. Schnarrs, PhD https://orcid.org/0000-0002-9487-7676
Department of Population Health, Dell School of Medicine, University of Texas at Austin, Austin, Texas, USA.
Population Research Center, University of Texas at Austin, Austin, Texas, USA.
Mitchell R. Lunn, MD, MAS
Division of Nephrology, Department of Medicine, Stanford University, Stanford, California, USA.
The PRIDE Study/PRIDEnet, Stanford University School of Medicine, Stanford, California, USA.
Stephanie M. Benjamin, PhD, MPH
Department of Health Sciences, California State University, Northridge, Northridge, California, USA.
Katherine Lust, PhD
Department of Pediatrics and School of Public Health, University of Minnesota, Twin Cities, Minneapolis, Minnesota, USA.
Myriam Forster, PhD, MPH
Department of Health Sciences, California State University, Northridge, Northridge, California, USA.


Address correspondence to: Timothy J. Grigsby, PhD, Department of Environmental and Occupational Health, University of Nevada, Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154, USA [email protected]

Authors' Contributions

T.J.G., M.F., S.M.B., and K.L. were responsible for data collection across sites. T.J.G. and P.W.S. conceptualized the analysis. T.J.G. completed the literature review, performed the statistical analysis, and prepared the first draft of the article. M.F., P.W.S., M.R.L., S.M.B., and K.L. reviewed and made substantive edits to the initial draft. All authors reviewed and approved the final version of the article for submission.

Author Disclosure Statement

No competing financial interests exist.

Funding Information

No funding was received for this article.

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