Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
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Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
.

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Objetivo. Verificar la relación entre el tabaquismo, edad, escolaridad y la autopercepción vocal de mujeres trans. Métodos. Estudio observacional transversal cuantitativo realizado con 24 mujeres trans mayores de 18 años, que viven en su género afirmado durante 6 meses. Para la recolección de datos se utilizaron preguntas seleccionadas de la versión portuguesa traducida y autorizada del Trans Woman Voice Questionnaire (TWVQ) y datos sobre edad, educación, ocupación y tabaquismo. Todas las variables se analizaron descriptivamente y la asociación con el tabaquismo se realizó mediante las pruebas Chi-cuadrado de Pearson, Exacta de Fisher, T de Student y Mann Whitney, con un nivel de significación del 5%. Resultados. La edad promedio de las muj... Ver más

Guardado en:

Revista de Investigación e Innovación en Ciencias de la Salud

2665-2056

Abreu, Ana Clara Oliveira

Valente Junior, Cirley Novais

de Medeiros, Adriane Mesquita

FUNDACION UNIVERSITARIA MARIA CANO

10.46634/riics.197

5

2023-11-30

24

36

Colombia

Tabaquismo

personas transgénero

disforia de género

patología del habla y lenguaje

tono

calidad vocal

autopercepción vocal

identidad social

voz ideal

Revista de Investigación e Innovación en Ciencias de la Salud - 2023

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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country_str Colombia
collection Revista de Investigación e Innovación en Ciencias de la Salud
title Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
spellingShingle Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
Abreu, Ana Clara Oliveira
Valente Junior, Cirley Novais
de Medeiros, Adriane Mesquita
Tabaquismo
personas transgénero
disforia de género
patología del habla y lenguaje
tono
calidad vocal
autopercepción vocal
identidad social
voz ideal
Smoking
transgender people
gender dysphoria
voice
speech-language pathology
pitch
vocal quality
vocal self-perception
social identity
ideal voice
title_short Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
title_full Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
title_fullStr Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
title_full_unstemmed Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
title_sort relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
description Objetivo. Verificar la relación entre el tabaquismo, edad, escolaridad y la autopercepción vocal de mujeres trans. Métodos. Estudio observacional transversal cuantitativo realizado con 24 mujeres trans mayores de 18 años, que viven en su género afirmado durante 6 meses. Para la recolección de datos se utilizaron preguntas seleccionadas de la versión portuguesa traducida y autorizada del Trans Woman Voice Questionnaire (TWVQ) y datos sobre edad, educación, ocupación y tabaquismo. Todas las variables se analizaron descriptivamente y la asociación con el tabaquismo se realizó mediante las pruebas Chi-cuadrado de Pearson, Exacta de Fisher, T de Student y Mann Whitney, con un nivel de significación del 5%. Resultados. La edad promedio de las mujeres trans fue de 28,2 +/- 6,5 (rango 21 - 48). La mayoría de las participantes (41,6%) había terminado la escuela secundaria con carreras muy diversas. Respecto al tabaquismo, el 58,3% de las mujeres fuman actualmente o han fumado al menos 100 cigarrillos en su vida. Hubo una asociación estadísticamente significativa entre el tabaquismo y la edad (p = 0,001), en la que la edad promedio entre los fumadores (24,9 años) fue menor que la de los no fumadores (32,9 años). No hubo significación estadística entre el tabaquismo, la educación y la autopercepción vocal. Solo 9 (37,5%) mujeres trans actualmente consideran su voz femenina y 17 (70,7%) dijeron que la voz ideal podría sonar más femenina. Limitación. La pequeña casuística puede haber limitado la identificación de diferencias entre los grupos analizados a través de pruebas estadísticas. Conclusión. El tabaquismo fue alto entre las mujeres trans, especialmente las más jóvenes. La autopercepción vocal no fue estadísticamente diferente entre los grupos de fumadores y no fumadores. La mayoría de las mujeres trans dijeron que sus voces podrían sonar más femeninas, especialmente las fumadoras.
description_eng Objective. To verify the relationship between smoking, age, schooling, and the vocal self-perception of trans women. Methods. Cross-sectional observational quantitative study conducted with 24 trans women over 18 years old, living in their affirmed gender for a minimum of 6 months. Data collection involved selected questions from the translated and authorized Portuguese version of the Trans Woman Voice Questionnaire (TWVQ) and information regarding age, education, occupation, and smoking status. All variables were analyzed descriptively, and the association with smoking was assessed using Pearson's Chi-square, Fisher's Exact, Student's T, and Mann-Whitney tests, with a significance level of 5%. Results. The mean age of trans women was 28.2 +/- 6.5 years (range: 21 - 48). Most participants (41.6%) had completed their high school education and pursued diverse careers. Regarding smoking habits, 58.3% of women were either current smokers or had smoked at least 100 cigarettes in their lifetime. A statistically significant association was found between smoking and age (p = 0.001), with smokers having a lower average age (24.9 years) compared to nonsmokers (32.9 years). However, no statistical significance was observed between smoking, education, and self-perception of vocal femininity. Only 9 (37.5%) trans women perceived their voices as feminine, while 17 (70.7%) desired a more feminine-sounding voice. Limitation. The limited sample size in this study may have constrained the ability to detect significant differences between the analyzed groups using statistical tests. Conclusion. The smoking prevalence was notably high among younger trans women. However, there was no statistically significant difference in vocal self-perception between those who smoked and those who did not. The majority of trans women expressed a desire for their voices to sound more feminine, particularly among smokers.
author Abreu, Ana Clara Oliveira
Valente Junior, Cirley Novais
de Medeiros, Adriane Mesquita
author_facet Abreu, Ana Clara Oliveira
Valente Junior, Cirley Novais
de Medeiros, Adriane Mesquita
topicspa_str_mv Tabaquismo
personas transgénero
disforia de género
patología del habla y lenguaje
tono
calidad vocal
autopercepción vocal
identidad social
voz ideal
topic Tabaquismo
personas transgénero
disforia de género
patología del habla y lenguaje
tono
calidad vocal
autopercepción vocal
identidad social
voz ideal
Smoking
transgender people
gender dysphoria
voice
speech-language pathology
pitch
vocal quality
vocal self-perception
social identity
ideal voice
topic_facet Tabaquismo
personas transgénero
disforia de género
patología del habla y lenguaje
tono
calidad vocal
autopercepción vocal
identidad social
voz ideal
Smoking
transgender people
gender dysphoria
voice
speech-language pathology
pitch
vocal quality
vocal self-perception
social identity
ideal voice
citationvolume 5
citationissue 2
publisher Fundación Universitaria María Cano
ispartofjournal Revista de Investigación e Innovación en Ciencias de la Salud
source https://riics.info/index.php/RCMC/article/view/197
language eng
format Article
rights https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
Revista de Investigación e Innovación en Ciencias de la Salud - 2023
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
info:eu-repo/semantics/openAccess
http://purl.org/coar/access_right/c_abf2
references_eng World Health Organization. Tabacco. Geneva: World Health Organization; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco 2. Drope J, Schluger N, Cahn Z, et al. The Tobacco Atlas. Atlanta: American Cancer Society and Vital Strategies; 2018. 56 p. Available from: https://www.drugsandalcohol.ie/30821/ 3. Scherübl H. Tabakrauchen und Krebsrisiko. DMW - Deutsche Medizinische Wochenschrift [Internet]. 2021;146(6):412–17. doi: http://dx.doi.org/10.1055/a-1216-7050 4. Rezk-Hanna M, Benowitz NL. Cardiovascular Effects of Hookah Smoking: Potential Implications for Cardiovascular Risk. Nicotine Tob Res [Internet]. 2019;21(9):1151–61. doi: http://dx.doi.org/10.1093/ntr/nty065 5. Wheaton AG, Liu Y, Croft JB, VanFrank B, Croxton TL, Punturieri A, et al. Chronic Obstructive Pulmonary Disease and Smoking Status — United States, 2017. MMWR Morb Mortal Wkly Rep [Internet]. 2019;68(24):533–38.doi: http://dx.doi.org/10.15585/mmwr.mm6824a1 6. Ford PJ, Rich AM. Tobacco Use and Oral Health. Addiction [Internet]. 2021;116(12):3531–40. doi: http://dx.doi.org/10.1111/add.15513 7. Vučičević Boras V, Fučić A, Baranović S, Blivajs I, Milenović M, Bišof V, et al. Environmental and behavioural head and neck cancer risk factors. Cent Eur J Public Health [Internet]. 2019;27(2):106–9. doi: http://dx.doi.org/10.21101/cejph.a5565 8. Buchting FO, Emory KT, Scout, Kim Y, Fagan P, Vera LE, et al. Transgender Use of Cigarettes, Cigars, and E-Cigarettes in a National Study. Am J Prev Med [Internet]. 2017;53(1): e1–7. doi: http://dx.doi.org/10.1016/j.amepre.2016.11.022 9. Sawyer AN, Bono RS, Kaplan B, Breland AB. Nicotine/tobacco use disparities among transgender and gender diverse adults: Findings from wave 4 PATH data. Drug Alcohol Depend [Internet]. 2022;232:109268. doi: http://dx.doi.org/10.1016/j.drugalcdep.2022.109268 10. Heffner JL, Mull KE, Watson NL, McClure JB, Bricker JB. Long-Term Smoking Cessation Outcomes for Sexual Minority Versus Nonminority Smokers in a Large Randomized Controlled Trial of Two Web-Based Interventions. Nicotine Tob Res [Internet]. 2020;22(9):1596–604. doi: http://dx.doi.org/10.1093/ntr/ntz112 11. Raghuwanshi N, Mundra A, Dubey NK, Godha S, Mundra R. Multimodal Analysis of Dysphonia in Smokers: A Two Year Comprehensive Study. Indian J Otolaryngol Head Neck Surg [Internet]. 2021;74(Suppl 3):4948–53. doi: http://dx.doi.org/10.1007/s12070-021-02419-w 12. Hashibe M, Boffetta P, Zaridze D, Shangina O, Szeszenia-Dabrowska N, Mates D, et al. Contribution of Tobacco and Alcohol to the High Rates of Squamous Cell Carcinoma of the Supraglottis and Glottis in Central Europe. Am J Epidemiol [Internet]. 2007;165(7):814–20. doi: http://dx.doi.org/10.1093/aje/kwk066 13. Pinto AGL, Crespo AN, Mourão LF. Influence of smoking isolated and associated to multifactorial aspects in vocal acoustic parameters. Braz J Otorhinolaryngol [Internet]. 2014;80(1):60-7. doi: http://dx.doi.org/10.5935/1808-8694.20140013 14. Ferreira LP, Heringer MRC, Pompeu ATS, Pedra AM, Latorre M do RD de O. Harmful Effects of Tobacco and Marijuana Smoking on College students’ voices. Distúrb comun [Internet]. 2016;28(1):102-13. Available from: https://revistas.pucsp.br/index.php/dic/article/view/23698 15. Hancock AB, Krissinger J, Owen K. Voice Perceptions and Quality of Life of Transgender People. J Voice [Internet]. 2011;25(5):553–8. doi: http://dx.doi.org/10.1016/j.jvoice.2010.07.013 16. Barra BGA, Gusmão ÚM de AS, Araújo ANB de. Self-perception of voice in transgender people. Revista CEFAC [Internet]. 2020;22(4). doi: http://dx.doi.org/10.1590/1982-0216/20202244819 17. Kidd JD, Dolezal C, Bockting WO. The Relationship Between Tobacco Use and Legal Document Gender-Marker Change, Hormone Use, and Gender-Affirming Surgery in a United States Sample of Trans-Feminine and Trans-Masculine Individuals: Implications for Cardiovascular Health. LGBT Health [Internet]. 2018;5(7):401–11. doi: http://dx.doi.org/10.1089/lgbt.2018.0103 18. Masumori N, Nakatsuka M. Cardiovascular Risk in Transgender People with Gender-Affirming Hormone Treatment. Circ Rep [Internet]. 2023;5(4):105–13. doi: http://dx.doi.org/10.1253/circrep.cr-23-0021 19. Dewes JO. Snowball Sampling and Respondent-Driven Sampling: a description of the methods [undergraduate thesis]. [Porto Alegre (RG)]: Universidade Federal do Rio Grande do Sul; 2013. 53 p. Available from: https://lume.ufrgs.br/handle/10183/93246 20. Santos HH de ANM dos, Aguiar AG de O, Baeck HE, Van Borsel J. Translation and preliminary evaluation of the Brazilian Portuguese version of the Transgender Voice Questionnaire for male-to-female transsexuals. CoDAS [Internet]. 2015;27(1):89–96. doi: http://dx.doi.org/10.1590/2317-1782/20152014093 21. 21.Dacakis G, Davies S, Oates JM, Douglas JM, Johnston JR. Development and Preliminary Evaluation of the Transsexual Voice Questionnaire for Male-to-Female Transsexuals. J Voice [Internet]. 2013;27(3):312–20. doi: http://dx.doi.org/10.1016/j.jvoice.2012.11.005 22. Pan American Health Organization: PAHO/WHO. Guías para el control y monitoreo de la epidemia tabaquica. PAHO/WHO; 1996. 120 p. 23. Ministério da Saúde. Vigitel Brasil 2019. Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2019. Ministério da Saúde; 2020. 137 p. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/cartilhas/2019/vigitel-brasil-2019-vigilancia-fatores-risco-pdf/view 24. Tamí-Maury I, Sharma A, Chen M, Blalock J, Ortiz J, Weaver L, et al. Comparing smoking behavior between female-to-male and male-to-female transgender adults. Tob Prev Cessat [Internet]. 2020 Jan 14;6:1-6. doi: http://dx.doi.org/10.18332/tpc/114513 25. Gamarel KE, Mereish EH, Manning D, Iwamoto M, Operario D, Nemoto T. Minority Stress, Smoking Patterns, and Cessation Attempts: Findings From a Community-Sample of Transgender Women in the San Francisco Bay Area. Nicotine Tob Res [Internet]. 2015;18(3):306–13. doi: http://dx.doi.org/10.1093/ntr/ntv066 26. Delahanty J, Ganz O, Hoffman L, Guillory J, Crankshaw E, Farrelly M. Tobacco use among lesbian, gay, bisexual and transgender young adults varies by sexual and gender identity. Drug Alcohol Depend [Internet]. 2019;201:161–70. doi: http://dx.doi.org/10.1016/j.drugalcdep.2019.04.013 27. Ferreira LP, Guerra JR, Loiola CM, De Assis Moura Ghirardi AC. Relationship between vocal symptoms in college students and their possible causes. Int Arch Otorhinolaryngol [Internet]. 2013;16(3):306–12. doi: http://dx.doi.org/10.7162/s1809-97772012000300002 28. Barbosa REC, Fonseca GC. Prevalência de tabagismo entre professores da Educação Básica no Brasil, 2016. Cad. Saúde Pública [Internet]. 2019;35(suppl 1). doi: http://dx.doi.org/10.1590/0102-311x00180217 29. Devóglio LL, Corrente JE, Borgato MH, Godoy I de. Smoking among female sex workers: prevalence and associated variables. J bras pneumol [Internet]. 2017;43(1):6–13. doi: http://dx.doi.org/10.1590/s1806-37562016000000162 30. Silva Costa MC, Souza Monteiro CF, Guedes da Silva Junior FJ, De Araujo Lima LA. Women in tobacco consumption and risk factors associated. Rev Enferm UFPI [Internet]. 2017 Mar 28;6(1):20-5. doi: http://dx.doi.org/10.26694/reufpi.v6i1.5736 31. do Amaral Júnior OL, Braccini Fagundes ML, Menegazzo GR, do Amaral Giordani JM. Desigualdades socioeconômicas associadas ao hábito de fumar em brasileiros com 50 anos ou mais. Revista de Atenção à Saúde. 2020; 18(66):172-82. Available from: https://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/7263 32. Ayoub MR, Larrouy-Maestri P, Morsomme D. The Effect of Smoking on the Fundamental Frequency of the Speaking Voice. J Voice [Internet]. 2019;33(5):802.e11-802.e16. doi: http://dx.doi.org/10.1016/j.jvoice.2018.04.001 33. Chadwick KA, Coleman R, Andreadis K, Pitti M, Rameau A. Outcomes of Gender‐Affirming Voice and Communication Modification for Transgender Individuals. Laryngoscope [Internet]. 2021;132(8):1615–21. doi: http://dx.doi.org/10.1002/lary.29946 34. McNeill EJM, Wilson JA, Clark S, Deakin J. Perception of Voice in the Transgender Client. J Voice [Internet]. 2008;22(6):727–33. doi: http://dx.doi.org/10.1016/j.jvoice.2006.12.010 35. Kim H-T. Vocal Feminization for Transgender Women: Current Strategies and Patient Perspectives. Int J Gen Med [Internet]. 2020;13:43–52. doi: http://dx.doi.org/10.2147/ijgm.s205102 36. Santos JDP dos, Silveira DV, Oliveira DF de, Caiaffa WT. Instrumentos para avaliação do tabagismo: uma revisão sistemática. Ciênc saúde coletiva [Internet]. 2011;16(12):4707–20. doi: http://dx.doi.org/10.1590/s1413-81232011001300020 37. Lopes FM, Peuker AC, Bizarro L. Viés atencional em fumantes. Psico. 2008;39(3):382-90. Available from: https://revistaseletronicas.pucrs.br/ojs/index.php/revistapsico/article/view/4462 38. World Health Organization. MPOWER: A policy package to reverse the tobacco epidemic. Geneva: WHO; 2008. 41 p. Available from: https://www.afro.who.int/publications/mpower-policy-package-reverse-tobacco-epidemic
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spelling Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
Objetivo. Verificar la relación entre el tabaquismo, edad, escolaridad y la autopercepción vocal de mujeres trans. Métodos. Estudio observacional transversal cuantitativo realizado con 24 mujeres trans mayores de 18 años, que viven en su género afirmado durante 6 meses. Para la recolección de datos se utilizaron preguntas seleccionadas de la versión portuguesa traducida y autorizada del Trans Woman Voice Questionnaire (TWVQ) y datos sobre edad, educación, ocupación y tabaquismo. Todas las variables se analizaron descriptivamente y la asociación con el tabaquismo se realizó mediante las pruebas Chi-cuadrado de Pearson, Exacta de Fisher, T de Student y Mann Whitney, con un nivel de significación del 5%. Resultados. La edad promedio de las mujeres trans fue de 28,2 +/- 6,5 (rango 21 - 48). La mayoría de las participantes (41,6%) había terminado la escuela secundaria con carreras muy diversas. Respecto al tabaquismo, el 58,3% de las mujeres fuman actualmente o han fumado al menos 100 cigarrillos en su vida. Hubo una asociación estadísticamente significativa entre el tabaquismo y la edad (p = 0,001), en la que la edad promedio entre los fumadores (24,9 años) fue menor que la de los no fumadores (32,9 años). No hubo significación estadística entre el tabaquismo, la educación y la autopercepción vocal. Solo 9 (37,5%) mujeres trans actualmente consideran su voz femenina y 17 (70,7%) dijeron que la voz ideal podría sonar más femenina. Limitación. La pequeña casuística puede haber limitado la identificación de diferencias entre los grupos analizados a través de pruebas estadísticas. Conclusión. El tabaquismo fue alto entre las mujeres trans, especialmente las más jóvenes. La autopercepción vocal no fue estadísticamente diferente entre los grupos de fumadores y no fumadores. La mayoría de las mujeres trans dijeron que sus voces podrían sonar más femeninas, especialmente las fumadoras.
Objective. To verify the relationship between smoking, age, schooling, and the vocal self-perception of trans women. Methods. Cross-sectional observational quantitative study conducted with 24 trans women over 18 years old, living in their affirmed gender for a minimum of 6 months. Data collection involved selected questions from the translated and authorized Portuguese version of the Trans Woman Voice Questionnaire (TWVQ) and information regarding age, education, occupation, and smoking status. All variables were analyzed descriptively, and the association with smoking was assessed using Pearson's Chi-square, Fisher's Exact, Student's T, and Mann-Whitney tests, with a significance level of 5%. Results. The mean age of trans women was 28.2 +/- 6.5 years (range: 21 - 48). Most participants (41.6%) had completed their high school education and pursued diverse careers. Regarding smoking habits, 58.3% of women were either current smokers or had smoked at least 100 cigarettes in their lifetime. A statistically significant association was found between smoking and age (p = 0.001), with smokers having a lower average age (24.9 years) compared to nonsmokers (32.9 years). However, no statistical significance was observed between smoking, education, and self-perception of vocal femininity. Only 9 (37.5%) trans women perceived their voices as feminine, while 17 (70.7%) desired a more feminine-sounding voice. Limitation. The limited sample size in this study may have constrained the ability to detect significant differences between the analyzed groups using statistical tests. Conclusion. The smoking prevalence was notably high among younger trans women. However, there was no statistically significant difference in vocal self-perception between those who smoked and those who did not. The majority of trans women expressed a desire for their voices to sound more feminine, particularly among smokers.
Abreu, Ana Clara Oliveira
Valente Junior, Cirley Novais
de Medeiros, Adriane Mesquita
Tabaquismo
personas transgénero
disforia de género
voz
patología del habla y lenguaje
tono
calidad vocal
autopercepción vocal
identidad social
voz ideal
Smoking
transgender people
gender dysphoria
voice
speech-language pathology
pitch
vocal quality
vocal self-perception
social identity
ideal voice
5
2
Artículo de revista
Journal article
2023-11-30T16:21:14Z
2023-11-30T16:21:14Z
2023-11-30
text/html
text/xml
application/pdf
Fundación Universitaria María Cano
Revista de Investigación e Innovación en Ciencias de la Salud
2665-2056
https://riics.info/index.php/RCMC/article/view/197
10.46634/riics.197
https://doi.org/10.46634/riics.197
eng
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
Revista de Investigación e Innovación en Ciencias de la Salud - 2023
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
24
36
World Health Organization. Tabacco. Geneva: World Health Organization; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco 2. Drope J, Schluger N, Cahn Z, et al. The Tobacco Atlas. Atlanta: American Cancer Society and Vital Strategies; 2018. 56 p. Available from: https://www.drugsandalcohol.ie/30821/ 3. Scherübl H. Tabakrauchen und Krebsrisiko. DMW - Deutsche Medizinische Wochenschrift [Internet]. 2021;146(6):412–17. doi: http://dx.doi.org/10.1055/a-1216-7050 4. Rezk-Hanna M, Benowitz NL. Cardiovascular Effects of Hookah Smoking: Potential Implications for Cardiovascular Risk. Nicotine Tob Res [Internet]. 2019;21(9):1151–61. doi: http://dx.doi.org/10.1093/ntr/nty065 5. Wheaton AG, Liu Y, Croft JB, VanFrank B, Croxton TL, Punturieri A, et al. Chronic Obstructive Pulmonary Disease and Smoking Status — United States, 2017. MMWR Morb Mortal Wkly Rep [Internet]. 2019;68(24):533–38.doi: http://dx.doi.org/10.15585/mmwr.mm6824a1 6. Ford PJ, Rich AM. Tobacco Use and Oral Health. Addiction [Internet]. 2021;116(12):3531–40. doi: http://dx.doi.org/10.1111/add.15513 7. Vučičević Boras V, Fučić A, Baranović S, Blivajs I, Milenović M, Bišof V, et al. Environmental and behavioural head and neck cancer risk factors. Cent Eur J Public Health [Internet]. 2019;27(2):106–9. doi: http://dx.doi.org/10.21101/cejph.a5565 8. Buchting FO, Emory KT, Scout, Kim Y, Fagan P, Vera LE, et al. Transgender Use of Cigarettes, Cigars, and E-Cigarettes in a National Study. Am J Prev Med [Internet]. 2017;53(1): e1–7. doi: http://dx.doi.org/10.1016/j.amepre.2016.11.022 9. Sawyer AN, Bono RS, Kaplan B, Breland AB. Nicotine/tobacco use disparities among transgender and gender diverse adults: Findings from wave 4 PATH data. Drug Alcohol Depend [Internet]. 2022;232:109268. doi: http://dx.doi.org/10.1016/j.drugalcdep.2022.109268 10. Heffner JL, Mull KE, Watson NL, McClure JB, Bricker JB. 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