Smoking Cessation Treatment Preferences, Intentions, and Behaviors Among a Large Sample of Colorado Gay, Lesbian, Bisexual, and Transgendered Smokers

Division of Cancer Prevention & Control, University of Colorado Cancer Center, 13001 East 17th Place, Mail Stop F542, Aurora, CO 80045, USA.
Nicotine & Tobacco Research (Impact Factor: 3.3). 01/2012; 14(8):910-8. DOI: 10.1093/ntr/ntr303
Source: PubMed


Little is known about preferences, intentions, and behaviors regarding evidence-based cessation treatment for smoking cessation among gay, lesbian, bisexual, and transgendered (GLBT) adults.
We obtained and analyzed questionnaire responses from GLBT smokers (n= 1,633) surveyed in 129 GLBT-identified Colorado venues and online during 2007.
Most respondents (80.4%) smoked daily. Nearly one-third smoked 20 or more cigarettes/day. Fewer than half (47.2%) had attempted quitting in the previous year, and only 8.5% were preparing to quit in the next month. More than one-fourth (28.2%) of quit attempters had used nicotine replacement therapy (NRT), and a similar proportion said they intended to use NRT in their next quit attempt. Lesbians were significantly less likely than gay men to have used or intend to use NRT. One-fourth of respondents said they were uncomfortable talking to their doctor about quitting smoking. Four factors (daily smoking, ever having used NRT, a smoke-free home rule, and comfort asking one's doctor for cessation advice) were associated with preparation to quit smoking. Conclusions: GLBT self-identification was not associated with lower than average acceptance of evidence-based smoking cessation strategies, especially NRT, but a large minority of GLBT smokers were unlikely to seek cessation assistance through clinical encounters. Public health campaigns should focus on supporting motivation to quit and providing nonclinical access to evidence-based treatments.

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Available from: Arnold Levinson, Nov 27, 2015
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    • "With regard to treatment seeking, data collected from a large (í µí± = 1633) convenience sample of current LGBT smokers suggested that the majority (75%) were willing to talk with their providers about access to smoking cessation treatments [17]. About one-quarter of those respondents indicated their intention to use nicotine replacement therapy (NRT) during their next quit attempt [17], a rate consistent with the general population of smokers [18]. Taken together, these findings suggest both a receptivity to and an opportunity for further engaging LGBT smokers in smoking cessation efforts. "
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