Baskerville Neill Bruce, Shuh Alanna, Wong-Francq Katy, Dash Darly, Abramowicz Aneta
Propel Centre for Population Health Impact, University of Waterloo,Waterloo, Canada.
Nicotine Tob Res. 2017 Aug 1;19(8):960-967. doi: 10.1093/ntr/ntx011.
The prevalence of smoking among LGBTQ youth and young adults (YYAs) is much higher than that of non-LGBTQ young people. The current study explored LGBTQ YYA perceptions of a culturally tailored group smoking cessation counselling program, along with how the intervention could be improved.
We conducted focus groups (n = 24) with 204 LGBTQ YYAs in Toronto and Ottawa, Canada. Open-ended questions focused on their feelings, likes and dislikes, concerns and additional ideas for a culturally tailored group cessation counselling intervention. Focus group transcripts were coded thematically and analyzed.
Overall, YYAs were ambivalent towards the concept of a culturally tailored, group cessation counselling program. Although several participants were attracted to the LGBTQ friendly and social benefits of such a program (eg, good support system), many also had concerns. Particularly, the possibility that other group members might trigger them to smoke was a frequently stated issue. Focus group members also noted lack of motivation to attend the group, and that the group program may be inaccessible depending on where and when the program was offered. Several suggestions were made as to how to ameliorate the expressed issues related to inaccessibility or lack of attractiveness.
This study is among the first to gain the perspectives of LGBTQ YYAs on culturally tailored group cessation strategies in Canada. We identified components of group cessation programs that are both favored and not favored among LGBTQ YYAs, as well as suggestions as to how to make group cessation programs more appealing.
This study is particularly relevant as smoking cessation programs are one of the most commonly offered and published cessation interventions for the LGBTQ community, yet little is understood in terms of preferences of LGBTQ YYA smokers. Given the disparity in the prevalence of smoking among LGBTQ young people compared to their non-LGBTQ peers, research on effective intervention strategies for this population is needed. Findings from this study can assist practitioners and researchers in designing interventions.
女同性恋、男同性恋、双性恋、跨性别者及酷儿青年（LGBTQ青年）和年轻成年人（YYA）中的吸烟率远高于非LGBTQ青年。本研究探讨了LGBTQ YYA对一项针对特定文化群体的戒烟咨询项目的看法，以及如何改进该干预措施。
我们在加拿大多伦多和渥太华对204名LGBTQ YYA进行了焦点小组访谈（共24组）。开放式问题聚焦于他们的感受、喜好、担忧以及对针对特定文化群体的戒烟咨询干预措施的其他想法。对焦点小组访谈记录进行了主题编码和分析。
总体而言，YYA对针对特定文化群体的戒烟咨询项目概念持矛盾态度。尽管一些参与者被此类项目对LGBTQ友好及社交益处（如良好的支持系统）所吸引，但许多人也有所担忧。特别是，其他小组成员可能引发他们吸烟的可能性是一个经常被提及的问题。焦点小组成员还指出参加小组缺乏动力，并且根据项目提供的地点和时间，该小组项目可能无法参与。针对如何改善与无法参与或缺乏吸引力相关的问题提出了一些建议。
本研究是加拿大首批了解LGBTQ YYA对针对特定文化群体的戒烟策略看法的研究之一。我们确定了LGBTQ YYA中既受青睐又不受青睐的戒烟项目组成部分，以及如何使戒烟项目更具吸引力的建议。
本研究尤为重要，因为戒烟项目是为LGBTQ群体最常提供和发表的戒烟干预措施之一，但对于LGBTQ YYA吸烟者的偏好了解甚少。鉴于LGBTQ青年与非LGBTQ同龄人在吸烟率上存在差异，需要针对该人群的有效干预策略研究。本研究结果可协助从业者和研究人员设计干预措施。
