Tobacco Cessation and Prevention Interventions for Sexual and/or Gender Minority-identified People a
Friday, March 17, 2023
Posted by: Natalia Gromov
McQuoid
J, Durazo A, Mooney E, Heffner J, Tan ASL, Kong AY, Clifton S, Horn E.
Tobacco Cessation and
Prevention Interventions for Sexual and/or Gender Minority-identified People
and the Theories that Underpin Them: A Scoping Review.
Nicotine Tob Res. 2023 Jan 31:ntad018. doi: 10.1093/ntr/ntad018. Epub ahead of
print. PMID: 36721977.
Introduction. This
scoping review takes stock of the social and behavior change theories that have
underpinned tobacco interventions tailored to sexual and/or gender minority
(SGM) people and reflects on the need to target contextually-based drivers of
SGM tobacco use inequities.
Methods. Data
sources were Medline (Ovid), Scopus, PubMed, Google Scholar (01/01/1946 -
10/27/2022). Peer-reviewed publications in English from anywhere in the world
describing SGM-tailored tobacco cessation and/or prevention interventions were
independently identified by a librarian and screened by the first and third
authors. 367 articles were extracted; an additional 2 were found by hand
searching. 369 articles were assessed for eligibility. Exclusion criteria were:
not an intervention, review article, not SGM-tailored or tobacco-focused. We
documented intervention name, intervention components, theoretical frameworks
cited in reference to intervention design and/or implementation, and evaluation
outcomes. All authors provided input on theoretical framework categorization.
Results. We
identified 22 publications corresponding to 15 unique interventions.
Individual-level behavior change theories (i.e., those focusing on
within-person behavior change processes) were the most prominent. Among these,
the Transtheoretical Model was the most frequently utilized, while Social
Inoculation Theory, Theory of Reasoned Action, and Theory of Psychological
Reactance were also employed. A minority of interventions referenced frameworks
that more explicitly engaged with SGM people's social contexts, namely, Theory
of Diffusion of Innovations and Minority Stress Model.
Conclusions. Future
SGM-tailored tobacco interventions should leverage both the strengths of
individual-level behavior change theories and those of frameworks that
understand tobacco use inequities as indivisible from place, context, and
policy.
Implications. This
scoping review describes the theoretical underpinnings of sexual and/or gender
minority (SGM)-tailored tobacco interventions published in the peer-review
literature in English. It reflects on the need for greater utilization of
social and behavior change theoretical frameworks that can engage with unique
drivers of SGM tobacco use and barriers to cessation.
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