Intentions and Attempts to Quit Smoking among Sexual Minoritized Adult Smokers After Exposure to the
Tuesday, May 24, 2022
Posted by: Natalia Gromov
Wang
Y, Duan Z, Emery SL, et al.
Intentions and Attempts to
Quit Smoking among Sexual Minoritized Adult Smokers After Exposure to the Tips
From Former Smokers Campaign.
JAMA Netw Open.
2022;5(5):e2211060. Published 2022 May 2.
doi:10.1001/jamanetworkopen.2022.11060
Importance. Significant
disparities exist in smoking behaviors by sexual minority status in the US.
Objective. To
examine potential differences in the associations between exposure to the Tips
From Former Smokers (Tips) campaign and intentions and attempts to quit smoking
by sexual minority status.
Design, setting, and
participants. This cross-sectional study used data from
the wave 5 survey of the Population Assessment of Tobacco and Health study.
Data from 8072 adults who were currently established cigarette smokers were
collected from December 2018 to November 2019 and analyzed in August 2021. The
Population Assessment of Tobacco and Health study is an ongoing cohort study
representative of the noninstitutionalized US population. Sample weights were
applied to account for the complex sampling strategies.
Exposures. Dichotomized
self-reported frequent Tips exposure (often and very often) and infrequent
exposure (never, rarely, and sometimes).
Main outcomes and
measures. Outcomes were intention to quit within 12
months, any serious quit attempts in the past 12 months, and number of serious
quit attempts in the past 12 months. Multivariate logistic and ordinal logistic
regressions were used to estimate the weighted associations between exposure
and each outcome. Interactions between Tips exposure and sexual minority status
were examined to explore potential differences.
Results. A
total of 8072 participants (mean [SD] age, 44.7 [14.8] years; 3888 [53.2%]
male; 4962 [67.4%] non-Hispanic White; and 915 [9.5%] sexual minoritized
individuals [ie, those who identified as lesbian, gay, bisexual, or another
minoritized sexual identity]) were included. Frequent Tips exposure was
associated with higher odds of quit intentions and attempts overall (adjusted
odds ratio [aOR], 1.25; 95% CI, 1.07-1.46 for intention to quit within 12 months;
aOR, 1.26; 95% CI, 1.08-1.47 for serious quit attempts in the past 12 months;
and aOR, 1.24; 95% CI, 1.06-1.44 for number of serious quit attempts in the
past 12 months). These associations were significantly stronger for
heterosexual smokers than sexual minoritized smokers, as indicated by the
significant interaction terms (aOR, 0.58; 95% CI, 0.36-0.96 for intention to
quit within 12 months; aOR, 0.41; 95% CI, 0.24-0.70 for serious quit attempts
in the past 12 months; and aOR, 0.40; 95% CI, 0.24-0.67 for number of serious
quit attempts in the past 12 months). Subgroup analysis showed that
heterosexual smokers who reported frequent Tips exposure were more likely to
intend to quit within 12 months (aOR, 1.29; 95% CI, 1.10-1.53), have had any
serious quit attempts in the past 12 months (aOR, 1.34; 95% CI, 1.13-1.58), and
have had more serious quit attempts (aOR, 1.32; 95% CI, 1.12-1.54) than
heterosexual smokers who reported infrequent exposure. In contrast, there was
no association for sexual minoritized smokers (aOR, 0.82; 95% CI, 0.52-1.30 for
intention to quit within 12 months; aOR, 0.65; 95% CI, 0.39-1.07 for serious
quit attempts in the past 12 months; and aOR, 0.62; 95% CI, 0.38-1.00 for
number of serious quit attempts in the past 12 months).
Conclusions and
relevance. These findings suggest that significant
differences exist in the associations between Tips exposure and quit intentions
or attempts by sexual minority status. More targeted campaign content for
sexual minoritized smokers may be needed to increase quit intentions and
attempts among this group.
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