A Qualitative Examination of Tobacco Use and Smoking Cessation Among Gender Minority Adults

Author:

Sun Christina J1ORCID,Doran Kye M2,Sevelius Jae M3,Bailey Steffani R4

Affiliation:

1. Division of Behavioral, Family, and Population Health, College of Nursing, University of Colorado Anschutz Medical Campus , Aurora, CO , USA

2. Oregon Health and Science University-Portland State University School of Public Health , Portland, OR , USA

3. Department of Psychiatry, Columbia University , New York, NY , USA

4. Department of Family Medicine, Oregon Health and Science University , Portland, OR , USA

Abstract

Abstract Background Despite the elevated prevalence of smoking among gender minority adults, little is known about the factors that influence their tobacco use and cessation. Purpose We identified and examined factors that influence tobacco use and cessation for gender minority adults, using a conceptual framework based on the Model of Gender Affirmation and Gender Minority Stress Model. Methods Nineteen qualitative, semi-structured in-depth interviews were conducted with gender minority adults who smoke or no longer smoke and were recruited from the Portland, OR metropolitan area. Interviews were audio-recorded, professionally transcribed, and analyzed utilizing thematic analysis. Results Four main themes were generated. Gender minority adults smoke to cope with general and gender minority-specific stressors. Smoking was described as a social behavior that was influenced and sustained by community and interpersonal relationships. Smoking cessation was motivated by health concerns (both general and gender minority-specific) and moderated by conducive life circumstances. Recommendations for tobacco cessation interventions highlighted the importance and role of social support. Participants expressed a strong desire for gender minority-specific tobacco cessation programs. There are unique and complex factors that contribute to the higher prevalence of smoking observed among gender minority adults. Conclusions Tobacco cessation interventions are urgently needed for this population and should be tailored to address the unique factors that impact tobacco use and cessation among gender minority people to increase the likelihood of success.

Funder

Agency for Healthcare Research and Quality

Publisher

Oxford University Press (OUP)

Subject

Psychiatry and Mental health,General Psychology

Reference58 articles.

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4. Transgender use of cigarettes, cigars, and e-cigarettes in a national study;Buchting;Am J Prev Med.,2017

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