142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Psychosocial obstacles to smoking cessation attempts among young sexual minority women

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 12:45 PM - 1:00 PM

José Arturo Bauermeister, MPH, PhD , Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI
Emily Pingel, MPH , Center for Sexuality and Health Disparities (SexLab), University of Michigan School of Public Health, Ann Arbor, MI
Emily Youatt, MPH , Sexuality & Health Lab (SexLab), University of Michigan School of Public Health, Ann Arbor, MI
Michelle Johns, MPH , Health Behavior and Health Education, University of Michigan, Ann Arbor, MI
Background: Sexual minority women (SMW; i.e., women who identify their sexuality as lesbian, bisexual, or something other (e.g., queer) than heterosexual) report greater smoking behaviors than their heterosexual counterparts across all ages.  This smoking disparity may be attributable in part to a sexuality-related stressors (e.g., internalized homophobia) and lower coping resources (e.g., emotional regulation, diminished social support).

Methods: Using data from a cross-sectional web-survey of young SMW who smoke (N=323; ages 18-24), we conducted a multivariate logistic regression to examine the relationship between SMW’s quit attempts in the prior year and sociodemographic characteristics (i.e., race/ethnicity, sexual identity, age, urbanicity), general (i.e., daily hassles) and sexuality-specific stressors (i.e., internalized homophobia), and coping resources (i.e., emotional regulation and social support).

Results: Over 45% of smokers in the sample reported attempting to quit smoking in the prior year. Bisexual (OR=1.98) women were more likely to have attempted to quit than lesbian counterparts. Women with greater emotional regulation difficulties (OR=2.17) were more likely to report a quit attempt in the prior year. Conversely, women who were younger (OR=.86) and reported greater internalized homophobia (OR=.44) were less likely to report a quit attempt in the prior year. We found no other statistical associations at p<.05.

Conclusions: Based on these findings, we underscore the need to examine and address the sexuality-specific risk correlates acting as barriers in SMW’s quit attempts and propose cessation intervention recommendations for young SMW.

Learning Areas:

Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the psychosocial correlates associated with smoking cessation intentions among young adult sexual minority women. Identify the importance of considering sexuality-related stressors as part of smoking cessation efforts for sexual minority women.

Keyword(s): Lesbian, Gay, Bisexual and Transgender (LGBT), Tobacco Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Bauermeister is the John G. Searle Assistant Professor of Health Behavior and Health Education (HBHE), and Director of the Center for Sexuality & Health Disparities (SexLab) at the School of Public Health. His primary research interests focus on HIV/AIDS, sexuality and health, LGBT health disparities, and interpersonal prevention and health promotion strategies for adolescents and young adults. He has published on the importance of ecological approaches to reduce HIV/AIDS risk.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.