|3R01CA260831-02S1 Interpret this number
|Rutgers Biomedical And Health Sciences
|Evaluating Sexual Orientation and Gender Identity Measurement Methods to Improve Research on Cigarette Relighting
This application is being submitted in response to the Notice of Special Interest (NOSI) identified as “NOT-CA-
23-032.” Cigarette relighting—extinguishing, saving, and later relighting unfinished cigarettes—is a complex and
prevalent behavior that may increase toxicant exposure and negatively impact cessation outcomes. Relighting
is particularly common among populations who bear a disproportionate burden of tobacco-related morbidity and
mortality, and our preliminary work suggests that this includes sexual and gender minority (SGM) individuals
who smoke. Yet, there is no published research on relighting among these individuals. While the parent R01 is
designed to fill important gaps in the research on relighting prevalence, correlates, and its impact on toxicant
exposure and cessation, it is not designed to examine relighting behaviors among SGM individuals specifically.
Historically, lack of national measurement standards for sexual orientation identity and gender identity (SOGI)
has led to heterogeneity in SOGI measurement, resulting in inconsistent estimates of risk behaviors and health
outcomes among SGM populations. To address this, the National Academies of Science, Engineering, and
Medicine (NASEM) released an NIH-commissioned report on SOGI measurement in 2022 that provided
recommendations for measuring SOGI, as well as an accounting of knowledge gaps and future research needs,
which include assessing the effects of SOGI question wording and order on response behaviors. For this project,
we propose a survey experiment that will directly address research needs described in this report and augment
the parent R01 by enabling estimation of relighting and correlates of relighting among SGM individuals.
Specifically, we will embed a 2x2x2 between-subjects online survey experiment into an existing serial, cross-
sectional web-based study to examine the impact of SOGI question order and response options on survey
response behaviors (Aim 1) and assess the impact of SOGI measurement choices on estimates of relighting
behaviors and correlates among SGM populations (Aim 2). The proposed study will be the first to examine
correlates and prevalence of relighting behaviors among SGM individuals and will inform and improve SOGI
measurement, which is essential for identifying SGM populations and addressing the factors that lead to
disparate health outcomes among these individuals.
None. See parent grant details.