Comparing smoking behavior between female-to-male and male-to-female transgender adults
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Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston School of Public Health, United States
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, United States
Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, United States
Equality Texas, Houston, United States
Irene Tamí-Maury   

Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston School of Public Health,1200 Pressler St., Houston, TX 77030, United States
Publication date: 2020-01-14
Submission date: 2019-08-16
Final revision date: 2019-11-18
Acceptance date: 2019-11-22
Tob. Prev. Cessation 2020;6(January):2
This study aimed to assess the association between current smoking and gender identity among transgender individuals.

Data were collected using a cross-sectional survey distributed among transgender individuals attending the Houston Pride Festival and those seeking care at a local transgender health clinic. Relevant variables were compared between female-to-male (FTM) and maleto- female (MTF) transgender individuals using χ2, Fisher’s exact, and two-sample t-tests, when appropriate. Gender identity was used to predict current smoking status using logistic regression, adjusting for other sociodemographic determinants.

The study sample (N=132) comprised 72 MTF (54.5%) and 60 FTM (45.5%) transgender individuals. Mean age of participants was 31.8 years. The sample was racially and ethnically diverse: 45.8% Caucasian, 25.2% Hispanic/Latino, 16.8% African American, and 12.2% other. Current smoking prevalence was 26.7% and 13.9% among FTM and MTF individuals, respectively. Transgender individuals were more likely to self-report current smoking if they were FTM (OR=3.76; 95% CI: 1.17–12.06; p=0.026) or were insured (OR=4.49; 95% CI: 1.53– 13.18; p=0.006).

This study reports on important findings by examining intragroup differences in smoking behavior among the transgender population. However, further research is needed for tailoring smoking prevention and cessation interventions for transgender subgroups.

The authors thank transgender individuals seeking care at the clinic of Hunter A. Hammill, and those attending the 2015 Houston Pride Festival for their participation in this study. The authors are also grateful to Hiba Zwiya, for her assistance during the submission of this manuscript.
The authors have each completed and submitted an ICMJE form for disclosure of potential conflicts of interest. The authors declare that they have no competing interests, financial or otherwise, related to the current work. J. Blalock reports grants from Cancer Prevention & Research Institute of Texas, University of Texas MD Anderson Cancer Center Lung Moon Shot and National Institutes of Health, and grants from Arnold Foundation, outside the submitted work.
This research was supported in part by: the National Institutes of Health through a Cancer Center Support Grant (P30CA16672) to The University of Texas MD Anderson Cancer Center; an MD Anderson Institutional Research Grant to principal investigator I. Tamí-Maury; and a Cancer Prevention Fellowship to A. Sharma (Cancer Prevention and Research Institute of Texas Grant Award RP170259, PI: S Chang).
Not commissioned; externally peer reviewed.
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