Differences in Quit Attempts, Successful Quits, Methods, and Motivations in a Longitudinal Cohort of Adult Tobacco Users by Sexual Orientation
Differences in Quit Attempts, Successful Quits, Methods, and Motivations in a Longitudinal Cohort of Adult Tobacco Users by Sexual Orientation
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DOI：
10.1093/ntr/ntab116
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发表时间：
2021-06-01
影响因子：
4.7
通讯作者：
Wewers, Mary Ellen
中科院分区：
文献类型：
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作者：
Patterson, Joanne G.;Hinton, Alice;Wewers, Mary Ellen
简介：性少数（SM）烟草使用者不太可能成功戒烟比异性恋者，但很少有证据表明，随着时间的推移，在这一人群的戒烟行为。目的和方法：我们的研究探讨戒烟的动机，尝试，和方法在纵向队列的成年烟草使用者的性取向。参与者（N = 1177）完成访谈，每6个月至48个月，并报告戒烟尝试（24小时无烟草），成功戒烟（7天点戒烟率），动机和方法。卡方和Fisher精确检验评估了异性恋和SM取向，性别和戒烟结果的差异（仅戒烟成功与成功戒烟）。结果：异性恋和SM成人的戒烟率相似。超过一半的人在48个月内尝试戒烟至少一次，但很少有人保持禁欲（SM：16.9%;异性恋：12.1%）。大多数人使用尼古丁替代疗法（SM：31.9%;异性恋：26.1%）或烟草产品替代（SM：27.7%;异性恋：21.2%）。很少有人使用退出热线（SM：4.3%;异性恋：1.3%）或基于互联网的程序（SM：6.4%;异性恋：1.3%）。戒烟动机包括健康问题，家庭和身体健康。报告成功戒烟的参与者比24小时戒烟者更有可能报告家庭成员戒烟。在参与者报告成功戒烟，更多的SM比异性恋参与者报告说，同事戒烟（55.6%对33.1%，p = 0.009）。结论：我们发现在我们的样本中，异性恋和SM烟草使用者之间的差异不大。许多人反复尝试戒烟，但很少有人使用基于证据的方法。利用在线戒烟计划，健康信息和家庭成员进行量身定制的戒烟干预可能有助于SM和异性恋烟草使用者成功戒烟。
Introduction: Sexual minority (SM) tobacco users are less likely to successfully quit than heterosexuals, yet little evidence describes cessation behaviors in this population over time.Aims and Methods: Our study investigated quit motivations, attempts, and methods in a longitudinal cohort of adult tobacco users by sexual orientation. Participants (N = 1177) completed interviews every 6 months through 48 months and reported quit attempts (24-hour tobacco free), successful quits (7-day point prevalence abstinence), motivations, and methods. Chi-squared and Fisher's exact tests assessed differences by heterosexual and SM orientation, gender, and quit outcome (attempt-only vs. successful quit).Results: Quit rates were similar for heterosexual and SM adults. Over half attempted to quit at least once over 48 months, but few remained abstinent (SM: 16.9%; heterosexual: 12.1%). Most used nicotine replacement therapy (SM: 31.9%; heterosexual: 26.1%) or tobacco product substitution (SM: 27.7%; heterosexual: 21.2%). Few used quitlines (SM: 4.3%; heterosexual: 1.3%) or Internet-based programs (SM: 6.4%; heterosexual: 1.3%). Quit motivations included health concerns, family, and physical fitness. Participants reporting a successful quit were more likely to report a household member quit smoking than 24-hour quit attempters. Among participants reporting a successful quit, more SM than heterosexual participants reported that a coworker quit smoking (55.6% vs. 33.1%, p = .009).Conclusions: We found few differences between heterosexual and SM tobacco users in our sample. Many repeatedly attempt to quit, yet few used evidence-based methods. Leveraging online quit programs, health messages, and family members in tailored cessation interventions may help SM and heterosexual tobacco users successfully quit.