Closing t the L LGBTQ Tob obacc cco U Use e Di Dispari arity - - PowerPoint PPT Presentation

Closing t the L LGBTQ Tob

• bacc

cco U Use e Di Dispari arity G y Gap through C Community- Based P Partnersh ships

JAMI MIE MAG AGEE MARA A AUSSE SEND NDORF O P P O R T U N I T Y C O N F E R E N C E 2 0 1 8

We have no conflicts of interest to disclose. This program is supported by the Pennsylvania Department of Health. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Pennsylvania Department of Health.

WHO WE ARE

Sout utheastern P Pennsylvania Tob

• bacco C
• Con
• ntrol P

Proj

• ject (SEPA TC

TCP)

• 7 Counties
• 21 service providers:
• Healthcare

systems

• Community-

based

• rganizations

The number one preventable cause of death for LGBTQ people is…

TOBACCO USE.

Who smokes at higher rates?

SOURCES LGB General Population

CDC

20.6% 15.1%

American Lung Association

30.4% 20.6%

Truth Initiative

23.9% 16.6%

Philly Area LGBTQA Community Health Needs Assessment

26.9% 19.9%

Gallup

28% 18%

SAMHSA

32% 20%

Young People

40% of LGB high school

students use at least

• ne type of tobacco product.

That’s 33% higher than among heterosexual students. LGB youth are twice as likely to be daily smokers.

19% of LGB high school

students smoke cigarettes.

3 in 10 LGB youth use

e-cigarettes, which is 25% higher than heterosexual youth.

Transgender People

31% of transgender youth smoke cigarettes. Transgender adults report using any product (cigarettes, cigars, or e- cigarettes) in the past 30 days at higher rates than cisgender adults (39.7% vs 25.1%). In Pennsylvania, transgender community members experience the highest tobacco consumption rates among the LGBTQ sub-communities, greater than 50% in some regions.

The Effects

More than 30,000 LGBT people die from tobacco-related diseases every year. Life expectancy drops 13 to 14 years. Cigarettes kill more people in the U.S. than alcohol, car accidents, suicide, AIDS, homicide, and illegal drugs combined.

Tobacco as it Relates to Other LGBTQ Health Risks

• HIV treatment
• Mental health
• Drug use
• Health services access

“LGBT people who are comfortable asking their doctor for help are 80% more likely to prepare to quit smoking, so healthcare providers can help end these disparities by reaching out to LGBT youth in a culturally-competent and inclusive way.”

• LGBT HealthLink

45% of Philadelphia area LGBTQ people fear a negative reaction by healthcare providers if they were to come out as LBGTQ to them.

LGBTQ Issues (in PA)

When asked to rank the top health challenges affecting the LGBT community, survey participants routinely listed HIV, suicide, depression/anxiety, and bullying at the top and tobacco and cancer near

• r at the bottom despite the overwhelming tobacco usage in

Pennsylvania.

Tobacco & LGBTQ Clients in SEPA’s Tobacco Control Project

8,201 clients 257 LGBTQ clients 46% of straight/cisgender clients quit 19% of LGBTQ clients quit

SEPA TCP Mental Health Data

Mental health issues (anxiety, depression, bipolar disorder, alcohol/drug use, or schizophrenia)

• 66% of LGBTQ participants
• 44% of straight/cis participants

Emotional challenge

• 65% of LGBTQ participants
• 42% of straight/cis participants

Emotional challenges that caused problems with their work, family life, and/or social activities in the past two weeks

• 40% of LGBTQ participants
• 26% of straight/cis participants

Subcontracts: Targeted ed outrea each t to LG LGBTQ BTQ communities i in Southeastern P PA

• Direct messaging for prevention and cessation to the

LGBTQ community

• Educational materials
• Outreach in public schools
• Tables at LGBTQ events
• Outreach in gay bars
• Policy change: Smoke-Free Pride, Smoke-Free Bars
• Cultural Competence Training for TDT providers

Tar argeted o

• utreac

ach t to LGBTQ communit ities ies in n South theas aster ern P PA

Smoke ke-Fre ree Prides

Smoke-free sponsorship of regional pride celebrations has led to ALL SEPA Prides going 100% smoke-free!

Dr Drag O Outr treach

Contracted drag performer works to promote LGBT- smoke free spaces in LGBT bars

GSA T A Tobac bacco-Free A ee Art Show

Co Co-branded H Health P Promo motion C Campaign gn

Cultural Competency Training

• Unique barriers to accessing

healthcare

• Difference in quality of care
• Creating welcoming spaces
• Training for all staff
• Offered continuing training for

staff coalition members’ healthcare sites Offered TA around

• rganizational policies
• Offered CE’s

LGBT People Don’t Have Health Equity

Increased mental health challenges Increased risk behaviors Increased physical health challenges Increased barriers to preventative care Increased Barriers to insurance coverage or insurance access Geographic barriers to some LGBT health needs

Barriers to Care

The data demonstrated that one in four LGBT people in the Lehigh Valley had a negative past experience from a healthcare professional because of their LGBT status Many say they have a fear of going to any healthcare professional as a result Only 30% of LGBT people in the Lehigh Valley say that their doctor is very LGBT-welcoming and only 31% say that their doctor is very

• r extremely knowledgeable about LGBT health

Only 54% are out to ALL their healthcare providers.

Cultural Competency Training Evaluation

• Post-meeting surveys
• 95% of service providers said the training was

useful.

• The number of clients nearly doubled in the

6 months following the training.

On a positive note…

LGBT Pennsylvanians have a stated interest in improving their health!

• Strong interest in active living strategies
• Strong interest in healthy eating strategies
• Strong interest in quitting tobacco
• A majority of LGBT people in every region were not appreciative of

tobacco industry sponsorship / marketing to the LGBT community

• A majority of LGBT people in every region support smoke-free pride

celebrations

Jamie Magee JAMAGEE@PHMC.ORG Mara Aussendorf MAUSSENDORF@PHMC.ORG