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，变性人和酷儿， 可能会开始vaping和目前vape比非SGM青年在美国。Vaping显著 增加了开始吸烟和使用混合烟草的风险， 疾病。因此，SGM青年中vaping的流行率较高将扩大与烟草相关的健康 生活中的差异。为一般青年人口设计的反电子烟运动可能无法完全解决 SGM青少年对vaping的潜在信念和态度。在证据的研究上有一个关键的空白- 基于文化和量身定制的干预措施，以减少SGM青年人口中的vaping启动。我们长久以来- 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异。的 SMART项目的目标（社交媒体反电子烟信息，以减少性和性行为中的ENDS使用） 性别少数群体青少年）是为了评估SGM量身定制的社交媒体干预的有效性， 防止13-18岁的SGM青少年开始使用电子烟。我们的核心假设是， 反电子烟社交媒体信息将比非定制信息更有效地防止电子烟 在SGM青年中开展活动。这项工作的科学前提是基于文化剪裁的原则 在弱势群体的健康传播中，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，因为SGM青年有一个 社交媒体使用率高，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，以解决健康差距问题， 作为SGM的人口。我们的具体目标是：1）探索突出的信念和文化剪裁偏好 与SGM青年中的vaping启动有关，以告知社交媒体反vaping信息的发展， 2)确定有前途的反电子烟信息和文化定制策略，以减少电子烟的开始， SGM青年，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 关于SGM青年随后开始吸电子烟的信息。我们正在开发和评估一种文化上的 使用定性研究方法和调查实验进行量身定制的社交媒体干预。我们会进行 与包括SGM组织领导在内的利益相关者进行快速反馈，以提供有关信息的信息 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：调查结果将为SGM量身定制的反电子烟社交网络的比较有效性提供证据 媒体干预，以减少SGM青年与非定制信息之间的vaping启动。研究 调查结果和方法将为减少SGM和其他弱势群体之间的vaping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.