TOBACCO CESSATION AMONG LGBTQ We have no conflicts of interest to - - PowerPoint PPT Presentation

▶
tobacco cessation
SMART_READER_LITE
LIVE PREVIEW

TOBACCO CESSATION AMONG LGBTQ We have no conflicts of interest to - - PowerPoint PPT Presentation

Feb 06, 2023 364 likes •1k views

QUEER & QUITTING: TOBACCO CESSATION AMONG LGBTQ 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

slide-1
SLIDE 1

QUEER & QUITTING: TOBACCO CESSATION AMONG LGBTQ

slide-2
SLIDE 2

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.

slide-3
SLIDE 3

WHO WE ARE

slide-4
SLIDE 4

Southeastern Pennsylvania Tobacco Control Project (SEPA TCP)

  • 7 Counties
  • 21 service providers:
  • Healthcare

systems

  • Community-

based

  • rganizations
slide-5
SLIDE 5

Services:

  • Tobacco Dependence Treatment
  • Compliance with youth tobacco sale laws
  • Advocacy
  • Policy technical assistance
  • Worksites
  • Multi-Unit Housing
  • Young Lungs at Play
  • SEPA Wellness Coalition

Southeastern Pennsylvania Tobacco Control Project (SEPA TCP)

slide-6
SLIDE 6

Services:

  • Youth tobacco use prevention
  • Tobacco Resistance Unit
  • Advocacy Institute #RealTalkTobacco
  • Education and Outreach in GSAs

Southeastern Pennsylvania Tobacco Control Project (SEPA TCP)

slide-7
SLIDE 7

Youth Empowerment and Advocacy

slide-8
SLIDE 8

Youth Empowerment and Advocacy

slide-9
SLIDE 9

WE ARE PRO-SMOKER

slide-10
SLIDE 10

MAIN SOURCES

  • Center for Disease Control and Prevention (cdc.gov)
  • American Lung Association (lung.org)
  • Truth Initiative Key Facts about Tobacco Use in LGBT Community

(truthinitiative.org)

  • Southeastern Pennsylvania Tobacco Control Project data
  • 2016 Philadelphia Region of Pennsylvania LGBTQA Community

Health Needs Assessment Results (William Way LGBT Community Center; LGBT Health Link)

  • LGBT Health Link (LBGThealthlink.org)
  • This Free Life (thisfreelife.betobaccofree.hhs.gov)
slide-11
SLIDE 11

LGBTQ ISSUES

HIV/AIDS Mental Health Bullying, Violence, & Discrimination Suicide STIs Housing Healthcare Access Tobacco Use

slide-12
SLIDE 12

LGBTQ ISSUES

Tobacco Use

Tobacco is the leading cause of preventable death in the U.S. Accounts for 393,000 deaths each year Accounts for 30,000 LGBT deaths each year

slide-13
SLIDE 13

TOBACCO IS AN “LGBTQ ISSUE”

20.6% of LGBTQ use tobacco products in the U.S.

?

  • f lesbian and bisexual women 16-24 smoke

?

  • f LGBTQ smokers want to quit.

48% 90%

Lesbian and bisexual women (of all ages) smoke 9.7 times the rate of straight women.

slide-14
SLIDE 14

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%

slide-15
SLIDE 15

WHY IS TOBACCO SO PREVALENT?

Stress Social and cultural norms Other contributing health factors Targeted by the tobacco industry

slide-16
SLIDE 16

WHY IS TOBACCO SO PREVALENT?

stress

slide-17
SLIDE 17

WHY IS TOBACCO SO PREVALENT?

social and cultural norms

slide-18
SLIDE 18

WHY IS TOBACCO SO PREVALENT?

  • ther contributing health factors
  • Insurance
  • Mental health
  • Homelessness
  • HIV
slide-19
SLIDE 19

OTHER HEALTH FACTORS – INSURANCE Less likely to be insured (p<.05)

43.5% of LGBTQ in Philly region are not out to

their health providers

slide-20
SLIDE 20

OTHER HEALTH FACTORS – MENTAL HEALTH More likely to have mental health issues (p<.05) Tobacco is 71% higher among adults with mental illness.

slide-21
SLIDE 21

OTHER HEALTH FACTORS – HOUSING Tobacco use is 310% higher among houseless adults

20-40% of houseless youth are LGBTQ

slide-22
SLIDE 22

OTHER HEALTH FACTORS – HIV

slide-23
SLIDE 23

WHY IS TOBACCO SO PREVALENT?

targeted by the tobacco industry

slide-24
SLIDE 24
slide-25
SLIDE 25

83.4% of

LGBTQ don’t appreciate that the tobacco industry advertises to the LGBTQ community

slide-26
SLIDE 26

36% of LGBT smokers

smoke menthol cigarettes vs.

29% of straight smokers

smoke menthol cigarettes

slide-27
SLIDE 27

In 2014, tobacco companies spent $9.1 billion to market their products.

ACTIVITY: Cost of Smoking

U.S. Federal Trade Commission (FTC). Cigarette Report for 2014, 2016, https://www.ftc.gov/system/files/documents/reports/federal-tradecommission-cigarette-report-2014-federal- trade-commission-smokeless-tobacco-report/ftc_cigarette_report_2014.pdf; FTC, Smokeless Tobacco Report for 2014, 2016, https://www.ftc.gov/system/files/documents/reports/federal-trade-commission-cigarette- report-2014-federal-tradecommission-smokeless-tobacco-report/ftc_smokeless_tobacco_report_2014.pdf [Data for top 5 manufacturers only].

That’s nearly $25 million EVERY DAY.

slide-28
SLIDE 28

ACTIVITY: Cost of Smoking

U.S. Federal Trade Commission (FTC). Cigarette Report for 2014, 2016, https://www.ftc.gov/system/files/documents/reports/federal-tradecommission-cigarette-report-2014-federal- trade-commission-smokeless-tobacco-report/ftc_cigarette_report_2014.pdf; FTC, Smokeless Tobacco Report for 2014, 2016, https://www.ftc.gov/system/files/documents/reports/federal-trade-commission-cigarette- report-2014-federal-tradecommission-smokeless-tobacco-report/ftc_smokeless_tobacco_report_2014.pdf [Data for top 5 manufacturers only].

slide-29
SLIDE 29

In Minnesota, the average cost

  • f a pack of cigarettes is $8.10

ACTIVITY: Cost of Smoking

slide-30
SLIDE 30

A person who smokes a half a pack per day spends: Daily: $ 4.05 Weekly: $ 28.35 Monthly: $ 121.50 Annually: $ 1,478.25

ACTIVITY: Cost of Smoking

slide-31
SLIDE 31

A person who smokes a pack per day spends: Daily: $ 8.10 Weekly: $ 56.70 Monthly: $ 243.00 Annually: $ 2,956.50

ACTIVITY: Cost of Smoking

slide-32
SLIDE 32

One Year: $ 2,956.50 Five Years: $ 14,782.50 Ten Years: $ 29,565.00 Twenty Years: $ 59,130.00 Thirty Years: $ 88,695.00 Forty Years: $118,260.00 Fifty Years: $147,825.00

What is one smoker is worth to the tobacco industry?

slide-33
SLIDE 33
  • Assume we are all LGBTQ.
  • 20.6% of us smoke
  • Over 50 years, this room

would be worth…. Ho How mu w much h is is th this is conf

  • nfere

erence nce wor

  • rth

th to the

  • the tob
  • bac

acco co in indu dustr try? y?

slide-34
SLIDE 34

How w much h is s th the LGB GBTQ TQ co commun munity ity wor

  • rth

th to

  • th

the tobac

  • bacco

co ind ndus ustr try? y?

LGBT people spend an estimated $7.9 billion on tobacco products annually. That is about 65 times more money than pro- equality funders spend on all LGBT issues combined.

slide-35
SLIDE 35

BIG TOBACCO TARGETS VULNERABLE COMMUNITIES

Race/Ethnicity Prevalence

American Indian/Alaska Native 21.9% Multiple Races 20.2% Black/African American 16.7% White 16.6% Hispanic 10.1% Asian 7.0%

slide-36
SLIDE 36

BIG TOBACCO TARGETS VULNERABLE COMMUNITIES

slide-37
SLIDE 37

BIG TOBACCO TARGETS VULNERABLE COMMUNITIES

GRAPH SOURCE: American Lung Association, Smokefree Communities Project, The LGBT Community – A Priority Population for Tobacco Control

slide-38
SLIDE 38

ACTIVITY: Chemicals in Cigarettes

  • There are approximately 600 chemicals

in cigarettes.

  • When burned, they create more than

7,000 chemicals.

  • At least 69 of these chemicals are

known carcinogens, and many are poisonous.

slide-39
SLIDE 39

ACTIVITY: Chemicals in Cigarettes

Acetone

slide-40
SLIDE 40

ACTIVITY: Chemicals in Cigarettes

Formaldehyde

slide-41
SLIDE 41

ACTIVITY: Chemicals in Cigarettes

Arsenic

slide-42
SLIDE 42

ACTIVITY: Chemicals in Cigarettes

Butane

slide-43
SLIDE 43

ACTIVITY: Chemicals in Cigarettes

Cadmium Lead

slide-44
SLIDE 44

ACTIVITY: Chemicals in Cigarettes

Carbon Monoxide

slide-45
SLIDE 45

ACTIVITY: Chemicals in Cigarettes

Methanol

slide-46
SLIDE 46

ACTIVITY: Chemicals in Cigarettes

Acetic Acid

slide-47
SLIDE 47

ACTIVITY: Chemicals in Cigarettes

Ammonia

slide-48
SLIDE 48

FREEDOM FROM SEXUALITY AND GENDER NORMS, FREEDOM FROM TOBACCO ADDICTION

slide-49
SLIDE 49

TOBACCO & LGBTQ CLIENTS IN SEPA 8,201 clients 257 LGBTQ clients 48% of straight/cisgender clients quit ? of LGBTQ clients quit 29%

slide-50
SLIDE 50

~3% of SEPA’s tobacco cessation clients are LGBTQ ~3% of SEPA residents identify as LGBTQ

OUR PROJECT

24.5% of SEPA’s LGBTQ residents smoke

slide-51
SLIDE 51

Subcontracts: bcontracts: Targeted outreach to LGBTQ communities in Southeastern PA

slide-52
SLIDE 52
  • Direct messaging for prevention and cessation to

the LGBTQ community

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

Targeted outreach to LGBTQ communities in Southeastern PA

slide-53
SLIDE 53

Education and Outreach in Schools

Approach:

  • Educational

presentations and discussions with Gay/Straight Alliances

  • LGBT Smoke Free Youth

Art Project

slide-54
SLIDE 54

Education and Outreach in Schools

Goals:

  • Educate LGBTQ youth about the dangers of tobacco use
  • Empower LGBTQ youth to:
  • Educate their peers about the dangers of tobacco

use

  • Advocate against deceptive and discriminatory

marketing practices of the tobacco industry

  • Provide a space for LGBTQ youth to creatively express

their feelings about tobacco use

slide-55
SLIDE 55

Education and Outreach at Gay Bars

Goals:

  • Create clusters of nonsmokers in LGBTQ spaces
  • Begin to make the case for gay bars to implement

tobacco-free policies Approach:

  • LGBT Smoke-Free Stickers and Bracelets
  • Drag Queen Outreach
slide-56
SLIDE 56

EDUCATION/OUTREACH AT DRAG SHOWS

slide-57
SLIDE 57
  • GOAL: To create LGBT smoke-free spaces

to reduce the social pressure to smoke

  • In 2017, PA had 8 (out of 19) Smoke-

Free Pride Events

  • Southeastern PA:
  • New Hope Pride and Parade
  • Reading Pride
  • Chester County Pride
  • Lancaster County Pride

Smok

  • ke-Fre

ree e Pr Prid ide Event Events: s:

slide-58
SLIDE 58
  • Sponsor festivals to support

the effort needed to make them smoke-free events

  • Signage
  • Policy creation and

announcement

  • Booth/table space
  • Speaking slot on stage
  • Outreach and cessation

presence

Smok

  • ke-Fre

ree e Pr Prid ide Event Events: s:

slide-59
SLIDE 59
  • SEPA Wellness Coalition

Training (offered CE’s)

  • Individual trainings for sites
  • Training for all staff
  • Technical assistance around
  • rganizational policies

Cul ultur ural al Compe mpetenc ence Traini aining ng for for TDT provide viders: s:

slide-60
SLIDE 60

LGBTQ STARS TALK TOBACCO

slide-61
SLIDE 61

TOBACCO IS AN LGBTQ ISSUE 62.6% don’t agree that LGBTQ people smoke

more than the general population. (PA)

slide-62
SLIDE 62

Jamie Magee Health Promotion Council JAMAGEE@PHMC.ORG Mara Aussendorf Research & Evaluation Group at Public Health Management Corporation MAUSSENDORF@PHMC.ORG