title: Smoking cessation treatment preferences, intentions, and behaviors among a large sample of Colorado gay, lesbian, bisexual, and transgendered smokers.
abstract: BACKGROUND
  Little is known about preferences, intentions, and behaviors regarding evidence-based cessation treatment for smoking cessation among gay, lesbian, bisexual, and transgendered (GLBT) adults.
  
  
  METHODS
  We obtained and analyzed questionnaire responses from GLBT smokers (n= 1,633) surveyed in 129 GLBT-identified Colorado venues and online during 2007.
  
  
  RESULTS
  Most respondents (80.4%) smoked daily. Nearly one-third smoked 20 or more cigarettes/day. Fewer than half (47.2%) had attempted quitting in the previous year, and only 8.5% were preparing to quit in the next month. More than one-fourth (28.2%) of quit attempters had used nicotine replacement therapy (NRT), and a similar proportion said they intended to use NRT in their next quit attempt. Lesbians were significantly less likely than gay men to have used or intend to use NRT. One-fourth of respondents said they were uncomfortable talking to their doctor about quitting smoking. Four factors (daily smoking, ever having used NRT, a smoke-free home rule, and comfort asking one's doctor for cessation advice) were associated with preparation to quit smoking.
  
  
  CONCLUSIONS
  GLBT self-identification was not associated with lower than average acceptance of evidence-based smoking cessation strategies, especially NRT, but a large minority of GLBT smokers were unlikely to seek cessation assistance through clinical encounters. Public health campaigns should focus on supporting motivation to quit and providing nonclinical access to evidence-based treatments.
authors.affiliation: Division of Cancer Prevention & Control, University of Colorado Cancer Center, 13001 East 17th Place, Mail Stop F542, Aurora, CO 80045, USA. arnold.levinson@ucdenver.edu
authors.forename: Arnold H
authors.initials: AH
authors.lastname: Levinson
authors.forename: Nancy
authors.initials: N
authors.lastname: Hood
authors.forename: Rajeev
authors.initials: R
authors.lastname: Mahajan
authors.forename: Rebecca
authors.initials: R
authors.lastname: Russ
mesh_terms: D000293:Adolescent; D000328:Adult; D001727:Bisexuality / Q000523:psychology / Q000706:statistics & numerical data; D003120:Colorado; D019317:Evidence-Based Medicine; D005260:Female; D006293:Health Promotion; D018452:Homosexuality, Female / Q000523:psychology / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009538:Nicotine / Q000627:therapeutic use*; D012907:Smoking / Q000453:epidemiology / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D063106:Transgender Persons / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D009538:Nicotine