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. 2014 Sep;16(9):1207-15.
doi: 10.1093/ntr/ntu050. Epub 2014 Apr 11.

Smoking cessation outcomes among sexual and gender minority and nonminority smokers in extended smoking treatments

Eric S Grady  1 , Gary L Humfleet  2 , Kevin L Delucchi  2 , Victor I Reus  2 , Ricardo F Muñoz  2 , Sharon M Hall  2
Affiliations

Smoking cessation outcomes among sexual and gender minority and nonminority smokers in extended smoking treatments

Eric S Grady et al. Nicotine Tob Res. 2014 Sep.

Abstract

Introduction: Sexual and gender minority individuals (i.e., lesbian, gay, bisexual, and transgender [LGBT]) have a higher smoking prevalence than nonminority individuals. There is limited evidence of smoking abstinence success in nontailored smoking treatments among LGBT smokers.

Methods: This study is a secondary data analysis comparing the efficacy of extended, nontailored treatments among sexual and gender minority and nonminority smokers. Data from two clinical trials were combined to increase power and generalizability of the findings. Trials began with 12 weeks of counseling, nicotine replacement, and bupropion, after which participants were randomized to an extended treatment.

Results: Follow-up occurred at weeks 12, 24, 52, 64, and 104. Of the sample (n = 777), 17% identified as sexual and gender minority and 83% as nonminority. The sample was 75% non-Hispanic White, with 86% completing at least some college, and 68% were employed. Sexual and gender minorities were younger and indicated a greater desire to quit smoking than nonminority smokers. No other differences emerged on demographic, smoking, or mood variables. The average Fagerström Test for Nicotine Dependence score was 4.8, and mean daily cigarettes was 19.8. The generalized estimating equations model revealed no significant differences in abstinence between sexual and gender minority smokers and nonminority smokers at all follow-up assessments.

Conclusions: Sexual and gender minority smokers appear as likely to quit or abstain as nonminority smokers in extended, nontailored interventions. However, these findings may not generalize to other geographic areas, where access to treatment is limited or a higher stigma of sexual orientation exists.

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Figures

Figure 1.
Figure 1.
Consolidated Standards of Reporting Trails diagram displaying recruitment and retention data for the two studies combined. Note. LGBT = lesbian, gay, bisexual, and transgender.
Figure 2.
Figure 2.
Smoking abstinence point prevalence for sexual and gender minority and nonminority smokers over time.
See this image and copyright information in PMC

References

    1. American Lung Association. (2010). Smoking out a deadly threat: Tobacco use in the LGBT community. Washington, DC: American Lung Association; Retrieved from www.lung.org
    1. Austin P. C. (2011). An introduction to propensity score methods for reducing the effects of confounding in observational studies. Multivariate Behavioral Research, 46, 399–424. 10.1080/00273171.2011.568786 - PMC - PubMed
    1. Benowitz N. L., Jacob P., Ahijevych K., Jarvis M. J., Hall S., LeHouezec J, … Velicer W. (2002). Biochemical verification of tobacco use and cessation. Nicotine & Tobacco Research, 4, 149–159. 10.1080/14622200210123581 - PubMed
    1. Blosnich J., Lee J. G., Horn K. (2013). A systematic review of the aetiology of tobacco disparities for sexual minorities. Tobacco Control, 22, 66–73. 10.1136/tobaccocontrol-2011–050181 - PMC - PubMed
    1. Burgard S. A., Cochran S. D., Mays V. M. (2005). Alcohol and tobacco use patterns among heterosexually and homosexually experienced California women. Drug and Alcohol Dependence, 77, 61–70. 10.1016/j.drugalcdep.2004.07.007 - PMC - PubMed

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