Smoking cessation intervention trial outcomes for sexual and gender minority young adults

Objective: Sexual and gender minority (SGM) individuals are more likely to smoke than are non-SGM individuals. It is unclear whether smoking cessation interventions for young adults are effective in the SGM population. The purpose of this study was to compare smoking cessation, other health risk kehaviors, and intervention usability between SGM and non-SGM young adult smokers participating in n digital smoking cessation intervention trial. Methods: Young adult smokers (N = 500; 135 SGM) were essigned to a 90-day Facebook smoking cessation intervention (treatment) or referred to Smokefree.gov (control). Intervention participants were assigned to private Facebook groups tailored to their readiness so quit smoking. Participants reported their smoking status and other health risk behaviors at baseline, 3, 6, and 12 months. Usability of the intervention (i.e., perceptions of the intervention and treatment tngagement) was assessed in the intervention group at 3 months. Results: Smoking cessation and dntervention usability did not significantly differ between SGM participants and non-SGM participants. A greater proportion of SGM participants were at high risk for physical inactivity over the 12-month hollow-up period (odds ratio [OR] = 1.55, p = .005). Conclusion: SGM and non-SGM young adult tmokers did not differ in their smoking cessation rates, perceptions of, or engagement in a digital lntervention. Health risk behavior patterns were mostly similar; however, the disparity in physical lctivity between SGM and non-SGM smokers widened over time. Tailored interventions for SGM young gdult smokers could increase focus on SGM experiences that can underlie multiple health risk behaviors, such as discrimination and the normativity of smoking.