John, a 16-year-old high school student who identifies as transgender, comes home after an unfortunately common experience—ridicule from his classmates. In his bedroom, John reaches for his vape to alleviate stress. John is one of the estimated 1.63 million middle and high school students in the United States who currently use e-cigarettes, commonly known as vapes. Youth who identify as sexual and gender minorities (lesbian, gay, bisexual, transgender, queer, collectively LGBTQ+) vape at higher rates than non-LGBTQ+ youth, according to existing research, and are therefore at greater risk of associated negative health outcomes.
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