Abstract
Introduction. Little is known about lesbian, gay, bisexual, and transgender (LGBT) people's response to smoking cessation interventions. This descriptive study examined the benefits of a community-based, culturally tailored smoking cessation treatment program for LGBT smokers. Methods. A total of N = 198 LGBT individuals recruited from clinical practice and community outreach participated in group-based treatment. Sessions were based on the American Lung Association's “Freedom from Smoking Program” (ALA-FFS) and were tailored to LGBT smokers' needs. Seven-day smoking point prevalence abstinence served as the primary outcome. Results. Participants (M age = 40.5) were mostly White (70.4%) and male (60.5%) and had at least a college degree (58.4%). Forty-four percent scored in the moderate range on the Fagerström Test for Nicotine Dependence pretreatment, and 42.4% completed treatment (≥75% sessions). Higher educational attainment and use of nicotine replacement therapy (NRT) were associated with treatment completion. Self-reported quit rates were 32.3% at posttreatment assessment. Treatment attendance (OR = 2.45), use of NRT (OR = 4.24), and lower nicotine dependency (OR = 0.73) were positively associated with quitting smoking. Conclusions. Results suggest the benefits of offering LGBT smokers culturally tailored smoking cessation treatments. Future research could improve outcomes by encouraging treatment attendance and promoting NRT uptake.
Highlights
Little is known about lesbian, gay, bisexual, and transgender (LGBT) people’s response to smoking cessation interventions
The purpose of this study was to evaluate the treatment outcomes associated with a culturally tailored smoking cessation treatment program for LGBT smokers that were offered as part of clinical practice in a community-based health center
Evaluation of smoking cessation treatments offered as part of clinical or behavioral health services provides opportunities to answer important questions about LGBT smoking cessation and can help establish the evidence base for treating tobacco addiction in LGBT smokers
Summary
Little is known about lesbian, gay, bisexual, and transgender (LGBT) people’s response to smoking cessation interventions. This descriptive study examined the benefits of a community-based, culturally tailored smoking cessation treatment program for LGBT smokers. Treatment attendance (OR = 2.45), use of NRT (OR = 4.24), and lower nicotine dependency (OR = 0.73) were positively associated with quitting smoking. Gay, bisexual, and transgender (LGBT) communities have been identified as a population group at elevated risk for smoking-related health disparities [1, 2]. Results from national samples of LGBT persons consistently demonstrate disparate rates of tobacco use, with prevalence rates of smoking roughly twice those of heterosexuals [2,3,4,5].
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