title: Can Smoke-Free Policies Reduce Tobacco Use Disparities of Sexual and Gender Minorities in Missouri?
abstract: OBJECTIVE
  The purpose of this study is to explore the associations between smoke-free policies, current and former smoking status, personal smoking restrictions, and intention to quit among sexual and gender minority (SGM) and non-SGM individuals in Missouri.
  
  
  OBJECTIVE
  The current analysis derives from the Out, Proud and Healthy project. Chi-squares examined differences between SGM (N = 2210) and non-SGM (N = 586) respondents and former (N = 836) and current (N = 1960) smokers on smoking-related variables. Odds ratios and 95% confidence intervals from logistic regression identified variables associated with former (vs. current) smoking.
  
  
  RESULTS
  SGM current smokers (25%) were significantly more likely than SGM former smokers (19%) to live in a community without a smoke-free policy. Among SGM current smokers, significantly greater intention to quit was seen in those living in a smoke-free community with a smoke-free policy of two or more years (94%) compared with those living in a community without a smoke-free policy (76%).
  
  
  CONCLUSIONS
  Living in an area with smoke-free policies is related to greater intention to quit among SGM current smokers, greater support for smoke-free policies, and lower smoking prevalence for this community. The SGM community may collectively accrue greater public health benefits from the adoption of smoke-free policies than the non-SGM community.
  
  
  CONCLUSIONS
  Prior to this study, no data are available regarding current and former smoking status among SGM individuals following the implementation of a local smoke-free policy. The purpose of this study was to explore the relationship between smoke-free policies, current and former smoking status, and intention to quit among SGM and non-SGM individuals in Missouri. This study finds evidence of lower current smoking prevalence and greater intentions to quit among SGM current smokers who live in communities with smoke-free policies. The SGM community may collectively accrue greater public health benefits from the adoption of smoke-free policies than the non-SGM community.
authors.affiliation: Department of Health Sciences, University of Missouri, Columbia, MO.
authors.forename: Jenna
authors.initials: J
authors.lastname: Wintemberg
authors.affiliation: Department of Family and Community Medicine, University of Missouri, Columbia, MO.
authors.forename: Jane A
authors.initials: JA
authors.lastname: McElroy
authors.affiliation: Department of Medical Research, University of Missouri, Columbia, MO.
authors.forename: Bin
authors.initials: B
authors.lastname: Ge
authors.affiliation: Department of Family and Community Medicine, University of Missouri, Columbia, MO.
authors.forename: Kevin D
authors.initials: KD
authors.lastname: Everett
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008923:Missouri / Q000453:epidemiology; D000072339:Sexual and Gender Minorities; D019529:Sexuality; D061845:Smoke-Free Policy / Q000331:legislation & jurisprudence*; D012907:Smoking / Q000453:epidemiology* / Q000208:ethnology; D016540:Smoking Cessation / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires