An examination of smoking behavior and opinions about smoke-free environments in a large sample of sexual and gender minority community members.

摘要

Introduction: The purpose of this study is to more completely quantify smoking rate and support for smoke-free policies in private and public environments from a large sample of self-identified sexual and gender minority (SGM) populations. Methods: A targeted sampling strategy recruited participants from 4 Missouri Pride Festivals and online surveys targeted to SGM populations during the summer of 2008. A 24-item survey gathered information on gender and sexual orientation, smoking status, and questions assessing behaviors and preferences related to smoke-free policies. Results: The project recruited participants through Pride Festivals (n=2,676) and Web-based surveys (n=231) representing numerous sexual and gender orientations and the racial composite of the state of Missouri. Differences were found between the Pride Festivals sample and the Web-based sample, including smoking rates, with current smoking for the Web-based sample (22%) significantly less than the Pride Festivals sample (37%; p<.0001). The SGM group (n=2,162) was 1.49 times more likely to be current smokers compared with the study's heterosexual group (n=436; p=.005). Statistically fewer SGM racial minorities (33%) are current smokers compared with SGM Whites (37%; p=.04). Support and preferences for public and private smoke-free environments were generally low in the SGM population. Conclusions: The strategic targeting method achieved a large and diverse sample. The findings of high rates of smoking coupled with generally low levels of support for smoke-free public policies in the SGM community highlight the need for additional research to inform programmatic attempts to reduce tobacco use and increase support for smoke-free environments.Digital Object Identifier http://dx.doi.org/10.1093trtr021