Intention to quit smoking among lesbian, gay, bisexual, and transgender smokers Journal Article


Authors: Burkhalter, J. E.; Warren, B.; Shuk, E.; Primavera, L.; Ostroff, J. S.
Article Title: Intention to quit smoking among lesbian, gay, bisexual, and transgender smokers
Abstract: Introduction: Smoking is highly prevalent among lesbian, gay men, bisexual, and transgender (LGBT) persons and contributes to health disparities. Guided by the theory of planned behavior (TPB), we identified beliefs related to attitudes, perceived behavioral control, and subjective norms, as well as LGBT-specific variables, to explain variance in intention to quit smoking in the next 6 months in LGBT smokers. Methods: Individual interviews (n=19) identified beliefs about quitting smoking and LGBT-salient variables and aided in survey development. Surveys were sent to a random sample from an LGBT community center's mailing list and center attendees, with a 25.4% response rate. Bivariate and multivariate analyses were conducted with the final sample of 101 smokers. Results: No sociodemographic or LGBT-specific variables beyond the TPB constructs were related to intention to quit smoking. A multivariate TPB model explained 33.9% of the variance in quitting intention. More positive attitudes and specific beliefs that cessation would make smokers feel more like their ideal selves and improve health and longevity were related to greater intention to quit (p values < .05). Subjective norm and perceived behavioral control were marginally significant, with perceived approval of partners and others and beliefs that life goal achievement would make it easier to quit positively related to intention. Depression and stress levels were high. Discussion: This is among the first studies to examine theoretically grounded variables related to intention to quit smoking in LGBT smokers. We identified specific behavioral, normative, and control beliefs that can serve as intervention targets to reduce smoking in the LGBT community. © The Author 2009. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved.
Keywords: major clinical study; statistics; health behavior; health survey; smoking cessation; psychological aspect; depression; attitude; behavior; bisexuality; community; health belief; health promotion; interview; lesbian; life satisfaction; longevity; male homosexual; self concept; sexual orientation; smoking habit; stress; theory of planned behavior; tobacco dependence; transsexualism; homosexuality; homosexuality, female; homosexuality, male; intention
Journal Title: Nicotine & Tobacco Research
Volume: 11
Issue: 11
ISSN: 1462-2203
Publisher: Oxford University Press  
Date Published: 2009-09-24
Start Page: 1312
End Page: 1320
Language: English
DOI: 10.1093/ntr/ntp140
PUBMED: 19778994
PROVIDER: scopus
PMCID: PMC2762930
DOI/URL:
Notes: --- - "Export Date: 30 November 2010" - "CODEN: NTREF" - "Source: Scopus"
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Jamie S Ostroff
    344 Ostroff
  2. Elyse Shuk
    62 Shuk