If We Build It, Will They Come? Challenges of Adapting and Implementing a Smoking Cessation Program for the LGBTQ Community in Southcentral Texas




Williams, Ronald D., Jr.
Housman, Jeff M.
McDonald, Jacquelyn D.

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Studies indicate that tobacco use among lesbian, gay, bisexual, transgender, or queer (LGBTQ) community members is consistently higher than the general population. The Last Drag is a tobacco cessation program developed and implemented in 1991 in San Francisco, California, that has shown promise in assisting LGBTQ members with tobacco cessation. This article describes the practical challenges of adapting The Last Drag to be implemented in a southcentral Texas community. Primary challenges included short time line to expected implementation, issues with culturally insensitive language, and barriers to participant recruitment. Acknowledging and overcoming these challenges can assist public health educators who are addressing tobacco cessation in LGBTQ populations.



LGBTQ, health promotion programs, program adaptation, smoking cessation


Williams, R. D., Housman, J. M., & McDonald, J. D. (2020). If we build it, will they come? Challenges of adapting and implementing a smoking cessation program for the LGBTQ community in Southcentral Texas. Health Promotion Practice, 21(1_suppl), pp. 118S-123S.


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