Project SMART: Social Media Anti-vaping Messages to Reduce ENDS Use Among Sexual and Gender Minority Teens

项目摘要。 性和性别少数（SGM）青年，包括女同性恋、男同性恋、双性恋、跨性别者和酷儿更多 在美国，与非 SGM 青少年相比，他们更有可能开始吸电子烟，并且目前正在吸电子烟。明显吸电子烟 增加开始吸烟和使用多种烟草的风险，从而增加与烟草相关的风险 疾病。因此，SGM 青少年中电子烟的流行率较高，将扩大与烟草相关的健康 以后生活中的差距。专为普通年轻人设计的反电子烟运动可能无法完全解决 SGM青少年对电子烟的基本信念和态度。证据研究存在严重差距—— 基于文化的定制干预措施，以减少 SGM 年轻人开始吸电子烟的情况。我们的长期 短期目标是减少 SGM 人群中的烟草使用和与烟草相关的健康差异。的 SMART 项目的目标（社交媒体反电子烟信息，以减少性和吸烟者中电子尼古丁传送系统的使用） 性别少数青少年）旨在评估SGM量身定制的社交媒体干预措施的有效性 防止SGM 13-18岁青少年开始吸电子烟。我们的中心假设是文化定制 反电子烟社交媒体消息将比非定制消息更有效地防止电子烟 SGM青年中的启蒙。这项工作的科学前提是基于文化剪裁的原则 弱势群体健康传播、健康公平促进模式和信息 影响框架。我们正在开发和评估社交媒体干预措施，因为SGM青年有一个 社交媒体的使用率很高，并且比非 SGM 青年更有可能上网获取健康信息。 此外，社交媒体越来越多地用于健康促进，以解决健康差距和健康问题。 属于 SGM 人群。我们的具体目标是： 1) 探索显着的信仰和文化定制偏好 与SGM青少年开始吸电子烟有关，以告知社交媒体反电子烟信息的发展， 2) 确定有前景的反电子烟信息和文化定制策略，以减少人们开始吸电子烟的情况 SGM青少年，以及3）评估反复接触SGM定制的反电子烟社交媒体的有效性 有关SGM青少年随后开始吸电子烟的信息。我们正在开发和评估文化 使用定性研究方法和调查实验定制社交媒体干预。我们将进行 与包括 SGM 组织领导在内的利益相关者进行快速循环反馈，以提供有关信息的意见 设计、测试和干预实施，以确保干预的可行性和可接受性。 影响：研究结果将为 SGM 定制的反电子烟社交活动的相对有效性提供证据 媒体干预与非定制信息相比，可减少 SGM 青少年开始吸电子烟的机会。该研究 调查结果和方法将为减少 SGM 和其他弱势群体之间电子烟使用差异的努力提供信息 青年人口。

PROJECT SUMMARY. Sexual and gender minority (SGM) youth, inclusive of lesbian, gay, bisexual, transgender, and queer are more likely to initiate vaping and currently vape than non-SGM youth in the United States. Vaping significantly increases the risks of initiating cigarette smoking and poly-tobacco use, and consequently tobacco-related illnesses. Higher prevalence of vaping among SGM youth will therefore widen tobacco-related health disparities later in life. anti-vaping campaigns designed for the general youth population may not fully address SGM youths' underlying beliefs and attitudes toward vaping. There is a critical gap in research on evidence- based and culturally tailored interventions to reduce vaping initiation in the SGM youth population. Our long- term goal is to reduce tobacco use and tobacco-related health disparities among SGM populations. The objective of Project SMART (Social Media Anti-vaping Messages to Reduce ENDS Use Among Sexual and Gender Minority Teens) is to evaluate the effectiveness of an SGM-tailored social media intervention to prevent vaping initiation among SGM youth ages 13-18 years. Our central hypothesis is that culturally tailored anti-vaping social media messages will be more effective than non-tailored messages to prevent vaping initiation among SGM youth. The scientific premise for this work is based on the principles of cultural tailoring in health communication for vulnerable populations, the Health Equity Promotion Model, and the Message Impact Framework. We are developing and evaluating a social media intervention because SGM youth have a high rate of social media use and are more likely to go online for health information than non-SGM youth. Social media, moreover, are increasingly used for health promotion to address health disparities and well- being of SGM populations. Our specific aims are: 1) Explore salient beliefs and cultural tailoring preferences related to vaping initiation among SGM youth to inform the development of social media anti-vaping messages, 2) Identify promising anti-vaping messages and cultural tailoring strategies to reduce vaping initiation among SGM youth, and 3) Evaluate the effectiveness of repeated exposure to SGM-tailored anti-vaping social media messages on subsequent vaping initiation among SGM youth. We are developing and evaluating a culturally tailored social media intervention using qualitative research methods and survey experiments. We will conduct rapid-cycle feedback with stakeholders including SGM organization leaders to provide input on the message design, testing, and intervention implementation to ensure feasibility and acceptability of the intervention. Impact: Findings will provide evidence for the comparative effectiveness of an SGM-tailored anti-vaping social media intervention to reduce vaping initiation among SGM youth versus non-tailored messages. The study findings and approach will inform efforts to reduce disparities in vaping among SGM and other vulnerable youth populations.