Tobacco-Free Policies and Tobacco Cessation Systems at Health Centers Serving Lesbian, Gay, Bisexual, and Transgender Clients

Lee, Joseph G. L.; DeMarco, Megan; Beymer, Matthew R; Shover, Chelsea L.; Bolan, Robert

doi:10.1089/lgbt.2017.0208

Cited by 6 publications

(5 citation statements)

References 22 publications

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“…There are gaps in the implementation of clinical best practices by providers in LGBT-serving health centers. 30,34 In supplemental analyses (results not shown), we found that bisexual adults and sexual minority women were less likely to have health insurance. In addition, prior evidence suggests that sexual minority adults have fewer economic resources due to job selection and employment discrimination.…”

Section: Discussionmentioning

confidence: 80%

“…For example, LGBT-serving health centers should ensure implementation of systems-level interventions to identify and connect individuals who smoke with resources for quitting. 30 Tobacco cessation media campaigns should include targeted efforts to reach sexual minorities. Comprehensive state and federal approaches should follow best practices for including and reaching sexual and gender minorities.…”

Section: Discussionmentioning

confidence: 99%

“…10,11 Interventions and research need to consider the role of unassisted quitting, 26 the costs and benefits of different approaches to promoting cessation, 33 and how to improve implementation of existing systems-level approaches to maximize their reach among sexual minority communities. 30 Additionally, more research is needed to fully understand the reasons for low levels of utilization among sexual minority subgroups. Future work should also consider the effectiveness of different cessation interventions by age.…”

Section: Discussionmentioning

confidence: 99%

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Sexual Orientation, Tobacco Use, and Tobacco Cessation Treatment-Seeking: Results From a National U.S. Survey

McCabe

West

Matthews

et al. 2020

Behavioral Medicine

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Despite higher rates of tobacco use and smoking-related diseases among sexual minorities, tobacco cessation treatment-seeking behaviors (e.g., medication, nicotine replacement products) remain poorly understood across sexual orientation subgroups. This study examines tobacco cessation treatment-seeking behaviors associated with DSM-5 tobacco use disorder (TUD) across the three major sexual orientation dimensions (identity, attraction, behavior) in U.S. adults. Prevalence estimates reflect data collected from a 2012-2013 national sample of adults 18 years and older. More than three-fourths of U.S. adults with TUD had never engaged in tobacco cessation treatment-seeking behaviors, regardless of sexual orientation. Despite having the highest rates of TUD, bisexual men and women had some of the lowest rates of tobacco cessation treatment-seeking. Men who identified as gay, reported same-sex attraction, or same-sex behaviors

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sexual Orientation, Tobacco Use, and Tobacco Cessation Treatment-Seeking: Results From a National U.S. Survey

McCabe

West

Matthews

et al. 2020

Behavioral Medicine

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“…Despite program facilitators' professional experience in tobacco control and services, if one has not worked directly with LGBTQ communities, the importance of having a stakeholder to serve as a program champion is magnified (Mantovani, Pizzolati, & Gillard, 2017). Even health centers who routinely provide tobacco cessation to an LGBTQ population will experience implementation barriers (Lee, DeMarco, Beymer, Shover, & Bolan, 2018), so facilitators with limited experience working with LGBTQ communities will need to develop an appropriate professional network to improve services.…”

Section: > > Implications For Practicementioning

confidence: 99%

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

Williams

Housman

McDonald

2020

Health Promotion Practice

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Studies indicate that tobacco use among lesbian, gay, bisexual, transgender, or queer (LGBTQ) community members is consistently higher than the general population. The Last Drag is a tobacco cessation program developed and implemented in 1991 in San Francisco, California, that has shown promise in assisting LGBTQ members with tobacco cessation. This article describes the practical challenges of adapting The Last Drag to be implemented in a southcentral Texas community. Primary challenges included short time line to expected implementation, issues with culturally insensitive language, and barriers to participant recruitment. Acknowledging and overcoming these challenges can assist public health educators who are addressing tobacco cessation in LGBTQ populations.

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“…These inequities may result from targeted marketing by the tobacco industry, minority stress, alcohol and/or substance co-use, and reduced access to healthcare services [ 4 – 9 ]. Community organizations such as nonprofits, community centers, and community health centers are prime partners for adopting and adapting evidence-based health communication campaigns for delivery among LGBTQ + communities, given their reach and trust among these groups [ 10 – 12 ]. They have tremendous potential for scale; a nationally representative survey found that 19% of nonprofits explicitly focus on LGBTQ + people [ 13 ] and more than 250 LGBTQ + community centers provide community-building, educational, and health services [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

“We’re always an afterthought”- Designing tobacco control campaigns for dissemination with and to LGBTQ +—serving community organizations: a thematic analysis

Ramanadhan

Salvia

Hanby

et al. 2023

Cancer Causes Control

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Purpose Evidence-based health communication campaigns can support tobacco control and address tobacco-related inequities among lesbian, gay, bisexual, transgender, and queer (LGBTQ +) populations. Community organizations focused on LGBTQ + health (e.g., nonprofits, community centers, and community health centers) can be prime channels for delivering evidence-based health communication campaigns. However, it is unclear how to balance the goals of a) designing campaigns to support broad adoption/uptake and b) adaptation addressing the needs of diverse communities and contexts. As part of an effort to support “designing for dissemination,” we explored the key challenges and opportunities staff and leaders of LGBTQ + -serving community organizations encounter when adopting or adapting evidence-based health communication campaigns. Methods A team of researchers and advisory committee members conducted this study, many of whom have lived, research, and/or practice experience with LGBTQ + health. We interviewed 22 staff members and leaders of community organizations serving LGBTQ + populations in the US in early 2021. We used a team-based, reflexive thematic analysis approach. Results The findings highlight the challenges of attempting to use health communication campaigns misaligned with the assets and needs of organizations and community members. The three major themes identified were as follows: (1) available evidence-based health communication campaigns typically do not sufficiently center LGBTQ + communities, (2) negotiation regarding campaign utilization places additional burden on practitioners who have to act as “gatekeepers,” and (3) processes of using health communication campaigns often conflict with organizational efforts to engage community members in adoption and adaptation activities. Conclusions We offer a set of considerations to support collaborative design and dissemination of health communication campaigns to organizations serving LGBTQ + communities: (1) develop campaigns with and for LGBTQ + populations, (2) attend to the broader structural forces impacting campaign recipients, (3) support in-house testing and adaptations, and (4) increase access to granular data for community organizations.

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Tobacco-Free Policies and Tobacco Cessation Systems at Health Centers Serving Lesbian, Gay, Bisexual, and Transgender Clients

Cited by 6 publications

References 22 publications

Sexual Orientation, Tobacco Use, and Tobacco Cessation Treatment-Seeking: Results From a National U.S. Survey

Sexual Orientation, Tobacco Use, and Tobacco Cessation Treatment-Seeking: Results From a National U.S. Survey

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

“We’re always an afterthought”- Designing tobacco control campaigns for dissemination with and to LGBTQ +—serving community organizations: a thematic analysis

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