Tobacco use and cessation among a household-based sample of US urban men who have sex with men

Am J Public Health. 2005 Jan;95(1):145-51. doi: 10.2105/AJPH.2003.021451.


Objectives: We examined tobacco use and cessation among a probability sample of urban men who have sex with men (MSM) living in 4 large US cities.

Methods: Of the 2402 men who were eligible for follow-up from a previously recruited probability sample, 1780 (74%) completed tobacco surveys between January and December 1999.

Results: Current smoking rates were higher for urban MSM (31.4%; 95% confidence interval [CI]=28.6%, 34.3%) than for men in the general population (24.7%; 95% CI=21.2%, 28.2%). Among MSM, 27% were former smokers. A complex set of sociodemographic, tobacco-related, and other factors were associated with cessation.

Conclusions: Results support earlier reports that smoking rates are higher for MSM compared with men in the general population. Findings related to cessation underscore the need to target tobacco control efforts for MSM.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Data Collection
  • Educational Status
  • Homosexuality, Male*
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Probability
  • Smoking / epidemiology*
  • Smoking Cessation / statistics & numerical data*
  • United States / epidemiology
  • Urban Population