Smoking Intervention Practices in Texas Healthcare Centers with Sexual and Gender Minority Patients

Overview

Journal Health Behav Policy Rev

Date 2023 Feb 13

PMID 36778530

Authors

Matthew Taing

Kathy Le

Maggie Britton

Tzuan A Chen

Michael C Parent

Irene Tami-Maury

Isabel Martinez Leal

Anastasia Rogova

Bryce Kyburz

Teresa Williams

Mayuri Patel

Lorraine R Reitzel

Affiliations

Soon will be listed here.

Abstract

Objectives: This study evaluated the use of evidence-based practices (EBPs) for smoking cessation in centers providing behavioral healthcare for patient populations that included some proportion of sexual and gender minorities (SGMs).

Methods: Healthcare providers from 75 healthcare centers across Texas serving SGMs with behavioral health needs participated in a survey assessing their center's tobacco control policies and practices.

Results: Nearly half (N = 36) of participating centers had a comprehensive tobacco-free workplace policy, 30.67% employed ≥1 tobacco treatment specialist, 73.91% employed ≥1 prescriber, 80.82% mandated screening for patient tobacco use at intake, and 57.53% provided a template for tobacco use assessments. Overall, 70.67% of providers asked patients about smoking status, 69.33% advised patients to quit, 64.00% assessed patients' interest in quitting, 58.67% assisted patients with quit attempts, and 36.00% arranged follow-up. Providers' ability to tailor interventions for special populations like SGMs ranged from very low/0 to very high/10 (M = 4.63 ± 2.59).

Conclusions: There are opportunities to improve policy implementation, standardization and usage of evidence-based interventions, and intervention tailoring within settings providing care to SGM patients in Texas to better address their tobacco use inequities.

Citing Articles

Texas tobacco quitline knowledge, attitudes, and practices within healthcare agencies serving individuals with behavioral health needs: A multimethod study.

Britton M, Rogova A, Chen T, Martinez Leal I, Kyburz B, Williams T Prev Med Rep. 2023; 35:102256.

PMID: 37752980 PMC: 10518765. DOI: 10.1016/j.pmedr.2023.102256.

Influence of Provider and Leader Perspectives about Concurrent Tobacco-Use Care during Substance-Use Treatment on Their Tobacco Intervention Provision with Clients: A Mixed-Methods Study.

Britton M, Martinez Leal I, Jafry M, Chen T, Rogova A, Kyburz B Int J Environ Res Public Health. 2023; 20(7).

PMID: 37047876 PMC: 10094458. DOI: 10.3390/ijerph20075260.

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