Joseph G L Lee1, Alicia K Matthews2, Cramer A McCullen3, Cathy L Melvin4. 1. Department of Health Behavior, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: jose.lee@unc.edu. 2. Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois. 3. Gillings School of Global Public Health, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. 4. Department of Public Health Sciences, College of Medicine, Medical University of South Carolina, Charleston, South Carolina.
Abstract
CONTEXT: Lesbian, gay, bisexual, and transgender (LGBT) people are at increased risk for the adverse effects of tobacco use, given their high prevalence of use, especially smoking. Evidence regarding cessation is limited. To determine if efficacious interventions are available and to aid the development of interventions, a systematic review was conducted of grey and peer-reviewed literature describing clinical, community, and policy interventions, as well as knowledge, attitudes, and behaviors regarding tobacco use cessation among LGBT people. EVIDENCE ACQUISITION: Eight databases for articles from 1987 to April 23, 2014, were searched. In February-November 2013, authors and researchers were contacted to identify grey literature. EVIDENCE SYNTHESIS: The search identified 57 records, of which 51 were included and 22 were from the grey literature; these were abstracted into evidence tables, and a narrative synthesis was conducted in October 2013-May 2014. Group cessation curricula tailored for LGBT populations were found feasible to implement and show evidence of effectiveness. Community interventions have been implemented by and for LGBT communities, although these interventions showed feasibility, no rigorous outcome evaluations exist. Clinical interventions show little difference between LGBT and heterosexual people. Focus groups suggest that care is needed in selecting the messaging used in media campaigns. CONCLUSIONS: LGBT-serving organizations should implement existing evidence-based tobacco-dependence treatment and clinical systems to support treatment of tobacco use. A clear commitment from government and funders is needed to investigate whether sexual orientation and gender identity moderate the impacts of policy interventions, media campaigns, and clinical interventions.
CONTEXT: Lesbian, gay, bisexual, and transgender (LGBT) people are at increased risk for the adverse effects of tobacco use, given their high prevalence of use, especially smoking. Evidence regarding cessation is limited. To determine if efficacious interventions are available and to aid the development of interventions, a systematic review was conducted of grey and peer-reviewed literature describing clinical, community, and policy interventions, as well as knowledge, attitudes, and behaviors regarding tobacco use cessation among LGBT people. EVIDENCE ACQUISITION: Eight databases for articles from 1987 to April 23, 2014, were searched. In February-November 2013, authors and researchers were contacted to identify grey literature. EVIDENCE SYNTHESIS: The search identified 57 records, of which 51 were included and 22 were from the grey literature; these were abstracted into evidence tables, and a narrative synthesis was conducted in October 2013-May 2014. Group cessation curricula tailored for LGBT populations were found feasible to implement and show evidence of effectiveness. Community interventions have been implemented by and for LGBT communities, although these interventions showed feasibility, no rigorous outcome evaluations exist. Clinical interventions show little difference between LGBT and heterosexual people. Focus groups suggest that care is needed in selecting the messaging used in media campaigns. CONCLUSIONS: LGBT-serving organizations should implement existing evidence-based tobacco-dependence treatment and clinical systems to support treatment of tobacco use. A clear commitment from government and funders is needed to investigate whether sexual orientation and gender identity moderate the impacts of policy interventions, media campaigns, and clinical interventions.
Authors: M Huber; B Ledergerber; R Sauter; J Young; J Fehr; A Cusini; M Battegay; A Calmy; C Orasch; D Nicca; E Bernasconi; R Jaccard; L Held; R Weber Journal: HIV Med Date: 2012-01-18 Impact factor: 3.180
Authors: Irene Tamí-Maury; Mi-Ting Lin; Hillary L Lapham; Judy H Hong; Catherine Cage; Sanjay Shete; Ellen R Gritz Journal: Am J Addict Date: 2015-05-23
Authors: Robert W S Coulter; James E Egan; Suzanne Kinsky; M Reuel Friedman; Kristen L Eckstrand; Jessica Frankeberger; Barbara L Folb; Christina Mair; Nina Markovic; Anthony Silvestre; Ron Stall; Elizabeth Miller Journal: Pediatrics Date: 2019-08-19 Impact factor: 7.124
Authors: Phoenix Alicia Matthews; Amanda C Blok; Joseph G L Lee; Brian Hitsman; Lisa Sanchez-Johnsen; Karriem Watson; Elizabeth Breen; Raymond Ruiz; Melissa A Simon; Marian Fitzgibbon; Laura C Hein; Robert Winn Journal: Transl Behav Med Date: 2018-09-08 Impact factor: 3.046
Authors: Kristen Emory; Francisco O Buchting; Dennis R Trinidad; Lisa Vera; Sherry L Emery Journal: Nicotine Tob Res Date: 2019-03-30 Impact factor: 4.244
Authors: Alicia K Matthews; Elizabeth Breen; Anna Veluz-Wilkins; Christina Ciecierski; Melissa Simon; Diane Burrell; Brian Hitsman Journal: Prog Community Health Partnersh Date: 2019
Authors: Erin A Vogel; Johannes Thrul; Gary L Humfleet; Kevin L Delucchi; Danielle E Ramo Journal: Health Psychol Date: 2018-11-29 Impact factor: 4.267
Authors: Kristi E Gamarel; Christopher W Kahler; Ji Hyun Lee; Sari L Reisner; Ethan H Mereish; Alicia K Matthews; Don Operario Journal: Prev Med Date: 2015-10-24 Impact factor: 4.018