Psychological, Normative, and Environmental Barriers to Tobacco Cessation that Disproportionally Imp
Tuesday, January 19, 2021
Posted by: Natalia Gromov
Wheldon
CW, Wiseman KP.
Psychological, Normative,
and Environmental Barriers to Tobacco Cessation that Disproportionally Impact
Sexual Minority Tobacco Users.
Nicotine Tob Res. 2020 Dec 22:ntaa268. doi: 10.1093/ntr/ntaa268. Epub ahead of
print. PMID: 33349870.
Introduction.
Sexual minority populations-particularly gay/lesbian and bisexual women-use
tobacco at higher rates than their heterosexual peers. Evidence-based
biopsychosocial interventions for tobacco cessation are available; however,
research is lacking on the specific barriers to tobacco cessation in these
populations. The purpose of this study is to describe the psychological,
normative, and environmental barriers to cessation that disproportionally
impact sexual minority tobacco users.
Methods.
Data from wave 1 of the Population Assessment of Tobacco and Health was used to
explore differences by sexual identity across psychosocial barriers and
facilitators of tobacco cessation. The analytic sample consisted of current
tobacco users (including cigarettes, e-cigarettes, cigars, cigarillos, pipes,
hookah, dissolvable snus, and smokeless products). Psychosocial
barriers/facilitators were modeled using logistic regression analyses,
controlling for age, race/ethnicity, poverty, education, census region, and
urbanicity and were stratified by sex. Models accounted for the complex study
design and nonresponse.
Results.
Substance use and internalizing/externalizing behavioral problems were more
common among gay/bisexual men. Bisexual, but not gay/lesbian, women also had
higher odds of these behavioral problems. Bisexual men and women reported less
normative pressure to quit than their heterosexual peers (no differences in
gay/lesbian tobacco users). Gay men had more environmental barriers to quit,
being more likely to receive tobacco promotion materials and live with another
tobacco user.
Conclusions.
Several barriers to tobacco cessation were identified as disproportionally
impacting sexual minority groups in this study; however, there were
considerable differences between sexual minority men and women, as well as
between gay and bisexual participants.
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