If We Build It, Will They Come? Challenges of Adapting and Implementing a Smoking Cessation Program for the LGBTQ Community in Southcentral Texas

Williams, Ronald D.; Housman, Jeff M.; McDonald, Jacquelyn D

doi:10.1177/1524839919882385

Cited by 6 publications

(7 citation statements)

References 27 publications

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“… 45 The social context of health promotion is known to impact the target health behavior as well as how health interventions are received, play out, and make an impact. 94 For example, Williams et al 95 reflected on a failed attempt to implement a San Francisco-based SGM-tailored tobacco intervention in SGM communities in South Central Texas, reporting the need to address local social, cultural, and political factors when adapting and implementing existing interventions for different regions.…”

Section: Discussionmentioning

confidence: 99%

Tobacco Cessation and Prevention Interventions for Sexual and/or Gender Minority-Identified People and the Theories That Underpin Them: A Scoping Review

McQuoid

Durazo

Mooney

et al. 2023

Nicotine and Tobacco Research

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Introduction This scoping review takes stock of the social and behavior change theories that have underpinned tobacco interventions tailored to sexual and/or gender minority (SGM) people and reflects on the need to target contextually-based drivers of SGM tobacco use inequities. Methods Data sources were Medline (Ovid), Scopus, PubMed, Google Scholar (01/01/1946 – 10/27/2022). Peer-reviewed publications in English from anywhere in the world describing SGM-tailored tobacco cessation and/or prevention interventions were independently identified by a librarian and screened by the first and third authors. 367 articles were extracted; an additional 2 were found by hand searching. 369 articles were assessed for eligibility. Exclusion criteria were: not an intervention, review article, not SGM-tailored or tobacco-focused. We documented intervention name, intervention components, theoretical frameworks cited in reference to intervention design and/or implementation, and evaluation outcomes. All authors provided input on theoretical framework categorization. Results We identified 22 publications corresponding to 15 unique interventions. Individual-level behavior change theories (i.e., those focusing on within-person behavior change processes) were the most prominent. Among these, the Transtheoretical Model was the most frequently utilized, while Social Inoculation Theory, Theory of Reasoned Action, and Theory of Psychological Reactance were also employed. A minority of interventions referenced frameworks that more explicitly engaged with SGM people’s social contexts, namely, Theory of Diffusion of Innovations and Minority Stress Model. Conclusions Future SGM-tailored tobacco interventions should leverage both the strengths of individual-level behavior change theories and those of frameworks that understand tobacco use inequities as indivisible from place, context, and policy. Implications This scoping review describes the theoretical underpinnings of sexual and/or gender minority (SGM)-tailored tobacco interventions published in the peer-review literature in English. It reflects on the need for greater utilization of social and behavior change theoretical frameworks that can engage with unique drivers of SGM tobacco use and barriers to cessation.

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Section: Discussionmentioning

confidence: 99%

Tobacco Cessation and Prevention Interventions for Sexual and/or Gender Minority-Identified People and the Theories That Underpin Them: A Scoping Review

McQuoid

Durazo

Mooney

et al. 2023

Nicotine and Tobacco Research

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“…First, it is well-established that SGM youth are at disproportionately high risk of CC usage [ 41 , 42 ]. Past research also suggests that the SGM population has been the major marketing target of the tobacco industry, resulting in increased difficulties for SGM youth to resist CC usage when such behavior is normalized by the public media [ 44 ]. With the increase in EC usage, recent research underlines that the same aggressive marketing strategy has also been employed by the EC industry and public media.…”

Section: Discussionmentioning

confidence: 99%

“…Such a disparity arises from a wide range of structural vulnerabilities such as unavoidable systemic discrimination and prejudice in education, employment, and health care opportunities [38,39]. Further, these structural vulnerabilities stem from the imbalanced hierarchical social power structure that is responsible for generating and widening the mental health gap between SGM and cis-heterosexual individuals while limiting SGM individuals' accessibility to determinants of health, leaving the SGM population defenseless against risky behaviors such as substance use [39][40][41][42][43][44][45].…”

Section: Principal Findingsmentioning

confidence: 99%

Effects of Tobacco Versus Electronic Cigarette Usage on Nonsuicidal Self-Injury and Suicidality Among Chinese Youth: Cross-Sectional Self-Report Survey Study

Wang,

Xu,

Zhang

et al. 2023

JMIR Public Health Surveill

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Background The increase in tobacco/conventional cigarette (CC) and electronic cigarette (EC) usage among Chinese youth has become a growing public health concern. This is the first large-scale study to compare the impact of CC and EC usage on risk for nonsuicidal self-injury (NSSI) and suicidality in cis-heterosexual and sexual and gender minority (SGM) youth populations in China. Objective This study examines the CC and EC risks for NSSI and suicidality among Chinese youth and compares the extent to which SGM and cis-heterosexual youth’s risks for NSSI and suicidality are influenced by their CC and EC usage and dependence. Methods A total of 89,342 Chinese participants completed a cross-sectional self-report survey in 2021. Sociodemographic information, sexual orientations, gender identities, CC and EC usage, CC and EC dependence, and risks for suicidality and NSSI were assessed. The Mann-Whitney U test and chi-square test were performed for nonnormally distributed continuous variables and categorical variables, respectively. The multivariable linear regression model was used to examine both the influence of CC and EC usage and CC and EC dependence on NSSI and suicidality as well as the interaction effects of CC and EC usage and CC and EC dependence on NSSI and suicidality by group. Results The prevalence of CC usage (P<.001) and dependence (P<.001) among SGM participants was lower than that among their cis-heterosexual counterparts. However, the prevalence of EC usage (P=.03) and EC dependence (P<.001) among SGM participants was higher than that among their cis-heterosexual counterparts. The multivariable linear regression model showed that CC dependence and EC dependence had a unique effect on NSSI and suicidality (CCs: B=0.02, P<.001; B=0.09, P<.001; ECs: B=0.05, P<.001; B=0.14, P<.001, respectively). The interaction effects of (1) CC usage and group type on NSSI and suicidality (B=0.34, P<.001; B=0.24, P=.03, respectively) and dual usage and group type on NSSI and suicidality (B=0.54, P<.001; B=0.84, P<.001, respectively) were significant, (2) CC dependence and group type on NSSI were significant (B=0.07, P<.001), and (3) EC dependence and group type on NSSI and suicidality were significant (B=0.04, P<.001; B=0.09, P<.001, respectively). No significant interaction effect was observed between EC usage and group type on NSSI and suicidality (B=0.15, P=.12; B=0.33, P=.32, respectively) and between CC dependence and group type on suicidality (B=–0.01, P=.72). Conclusions Our study shows evidence of intergroup differences in NSSI and suicidality risks between SGM and cis-heterosexual youth related to CC and EC usage. These findings contribute to the growing literature on CC and EC in cis-heterosexual and SGM populations. Concerted efforts are necessary at a societal level to curb the aggressive marketing strategies of the EC industry and media coverage and to maximize the impact of educational campaigns on EC prevention and intervention among the youth population.

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“…For instance, factors such as limited ability to provide safe learning spaces, difficulties promoting student awareness and acceptance of diversity, and heteronormative policies and procedures have been found to be prohibitive of effective implementation among school-based programmes geared towards SOGD youth (Steck & Perry, 2018 ). Another potential barrier to implementing programming specific to SOGD communities is that individuals may be reluctant to participate in these efforts due to concerns of ‘coming out by proxy’ (Williams et al, 2020 ). Perceptions of interventionists’ lack of cultural competency or likelihood of stigmatizing those participating in prevention efforts may also limit participation from those within SOGD communities, particularly in regions where experiencing society stigma is heightened (Glasgow et al, 2013 ).…”

Section: Recommendations For Enhancing Sogd Sexual Violence Preventionmentioning

confidence: 99%

Preventing sexual violence in sexual orientation and gender diverse communities: A call to action

Blackburn,

Katz,

Oesterle

et al. 2024

European Journal of Psychotraumatology

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Background: Members of the lesbian, gay, bisexual, transgender, queer, and other sexual orientation and gender diverse (SOGD) communities are at disproportionately higher risk for sexual violence compared to cisgender heterosexual people. Despite this elevated risk, relatively few sexual violence prevention efforts effectively reduce these victimization disparities based on sexual orientation or gender identity. Objective: This narrative review provides an overview of the prevalence of sexual violence in the SOGD communities, delineates risk factors for sexual victimization among SOGD community members, and reviews and evaluates existing prevention efforts for the SOGD communities. We outline specific recommendations for ensuring that prevention efforts meet the needs of the SOGD communities. Method: Drawing on ecological systems theory and public health approaches to sexual violence prevention, we outline current approaches and opportunities for preventionists and scholars to push the field forward. Results: There have been promising prevention programmes designed to be implemented within SOGD communities specifically; however, it is important that general primary prevention programmes endeavour to specifically address sexual violence perpetrated against SOGD people. While many packaged programmes that endeavour to prevent sexual violence across all gender identities and sexual orientations are inclusive of SOGD participants, more programming is needed that integrates anti-oppression training to target social norms that perpetuate SOGD-specific rape myths and normalize sexual violence against SOGD community members. Conclusion: Ecological prevention strategies in line with a public health approach for primary prevention may be particularly valuable for reducing victimization disparities based on SOGD status and identity. Comprehensive sexual education and anti-discrimination policies should be considered front-line prevention programming. To assess if these strategies are effective, the implementation of large-scale surveillance surveys that use comprehensive assessments of sexual orientation, gender identity, and sexual violence are needed. Using theoretically grounded implementation strategies for prevention programmes can ensure effective programme delivery.

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If We Build It, Will They Come? Challenges of Adapting and Implementing a Smoking Cessation Program for the LGBTQ Community in Southcentral Texas

Cited by 6 publications

References 27 publications

Tobacco Cessation and Prevention Interventions for Sexual and/or Gender Minority-Identified People and the Theories That Underpin Them: A Scoping Review

Tobacco Cessation and Prevention Interventions for Sexual and/or Gender Minority-Identified People and the Theories That Underpin Them: A Scoping Review

Effects of Tobacco Versus Electronic Cigarette Usage on Nonsuicidal Self-Injury and Suicidality Among Chinese Youth: Cross-Sectional Self-Report Survey Study

Preventing sexual violence in sexual orientation and gender diverse communities: A call to action

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