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

项目总结。 性和性别少数(SGM)青年，包括女同性恋者、男同性恋者、双性恋者、变性人和同性恋 可能会启动Vaping，目前Vape比美国的非SGM青年更多。显著蒸发 增加开始吸烟和使用多种烟草的风险，从而增加与烟草有关的风险 疾病。因此，在SGM青年中更高的电子烟流行率将扩大与烟草相关的健康 晚年生活中的差异。针对一般青年人群的反蒸发运动可能不能充分解决 SGM青少年对Vaping的基本信念和态度。在证据研究方面有一个关键的空白- 以文化为基础和量身定做的干预措施，以减少SGM青年人口中的汽化启动。我们的长- 长期目标是减少SGM人群中的烟草使用和与烟草相关的健康差距。这个 SMART项目的目标(社交媒体反蒸发信息，以减少性行为和性行为中的终端使用 性别少数青少年)是评估针对SGM量身定做的社交媒体干预的有效性 防止在13-18岁的SGM青年中启动蒸发。我们的中心假设是，在文化上量身定做 反蒸发社交媒体信息将比非定制信息更有效地防止蒸发 在SGM青年中进行启蒙。这项工作的科学前提是基于文化剪裁的原则 在弱势人群的健康交流中，健康公平促进模式，以及信息 影响框架。我们正在开发和评估社交媒体干预，因为SGM的年轻人 社交媒体的使用率很高，而且比非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。 作为SGM人群的一员。我们的具体目标是：1)探索突出的信仰和文化定制偏好 与在SGM青年中发起汽化有关，以告知社交媒体反汽化信息的发展， 2)确定有希望的反蒸发信息和文化定制战略，以减少以下方面的蒸发启动 SGM青少年，以及3)评估反复接触SGM定制的反蒸发社交媒体的有效性 关于在SGM青年中随后开始使用电子烟的信息。我们正在开发和评估一种文化上的 采用质的研究方法和调查实验，量身定做的社交媒体干预。我们将进行 与包括SGM组织领导人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、测试和实施干预措施，以确保干预措施的可行性和可接受性。 影响：研究结果将为SGM量身定制的反蒸发社会的相对有效性提供证据 媒体干预，以减少SGM青年的蒸发启动，而不是非量身定制的信息。这项研究 调查结果和方法将为减少SGM和其他弱势群体在蒸发方面的差异的努力提供参考 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.