Department of Psychiatry.
Department of Mental Health.
Health Psychol. 2019 Jan;38(1):12-20. doi: 10.1037/hea0000698. Epub 2018 Nov 29.
Sexual and gender minority (SGM) individuals are more likely to smoke than are non-SGM individuals. It is unclear whether smoking cessation interventions for young adults are effective in the SGM population. The purpose of this study was to compare smoking cessation, other health risk behaviors, and intervention usability between SGM and non-SGM young adult smokers participating in a digital smoking cessation intervention trial.
Young adult smokers ( = 500; 135 SGM) were assigned to a 90-day Facebook smoking cessation intervention (treatment) or referred to Smokefree.gov (control). Intervention participants were assigned to private Facebook groups tailored to their readiness to quit smoking. Participants reported their smoking status and other health risk behaviors at baseline, 3, 6, and 12 months. Usability of the intervention (i.e., perceptions of the intervention and treatment engagement) was assessed in the intervention group at 3 months.
Smoking cessation and intervention usability did not significantly differ between SGM participants and non-SGM participants. A greater proportion of SGM participants were at high risk for physical inactivity over the 12-month follow-up period (odds ratio [OR] = 1.55, = .005).
SGM and non-SGM young adult smokers did not differ in their smoking cessation rates, perceptions of, or engagement in a digital intervention. Health risk behavior patterns were mostly similar; however, the disparity in physical activity between SGM and non-SGM smokers widened over time. Tailored interventions for SGM young adult smokers could increase focus on SGM experiences that can underlie multiple health risk behaviors, such as discrimination and the normativity of smoking. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
性少数群体（SGM）个体比非 SGM 个体更有可能吸烟。目前尚不清楚针对年轻成年人的戒烟干预措施在 SGM 人群中是否有效。本研究的目的是比较参与数字戒烟干预试验的 SGM 和非 SGM 年轻成年吸烟者的戒烟成功率、其他健康风险行为和干预可接受性。
将年轻成年吸烟者（n=500；135 名 SGM）分配到 90 天的 Facebook 戒烟干预（治疗）或 Smokefree.gov（对照）。干预参与者被分配到针对其戒烟准备程度定制的私人 Facebook 群组。参与者在基线、3 个月、6 个月和 12 个月报告他们的吸烟状况和其他健康风险行为。在干预组中，在 3 个月时评估干预的可接受性（即对干预的看法和治疗参与度）。
SGM 参与者和非 SGM 参与者在戒烟成功率和干预可接受性方面没有显著差异。在 12 个月的随访期间，SGM 参与者中有更高比例的人存在身体活动不足的高风险（比值比[OR] = 1.55，p=.005）。
SGM 和非 SGM 年轻成年吸烟者在他们的戒烟率、对数字干预的看法或参与度方面没有差异。健康风险行为模式大多相似；然而，SGM 和非 SGM 吸烟者之间的身体活动差异随着时间的推移而扩大。为 SGM 年轻成年吸烟者量身定制的干预措施可以更加关注可能导致多种健康风险行为（如歧视和吸烟的规范性）的 SGM 体验。（PsycINFO 数据库记录（c）2018 APA，保留所有权利）。
