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 necessarily represent the official views of the Pennsylvania Department of Health.
WHO WE ARE
Southeastern Pennsylvania Tobacco Control Project (SEPA TCP) • 7 Counties • 21 service providers: • Healthcare systems • Community- based organizations
Southeastern Pennsylvania Tobacco Control Project (SEPA TCP) Services: Tobacco Dependence Treatment o Compliance with youth tobacco sale laws o Advocacy o Policy technical assistance o • Worksites • Multi-Unit Housing • Young Lungs at Play o SEPA Wellness Coalition
Southeastern Pennsylvania Tobacco Control Project (SEPA TCP) Services: Youth tobacco use prevention o Tobacco Resistance Unit o Advocacy Institute #RealTalkTobacco o Education and Outreach in GSAs o
Youth Empowerment and Advocacy
Youth Empowerment and Advocacy
WE ARE PRO-SMOKER
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)
LGBTQ ISSUES HIV/AIDS STIs Mental Health Housing Bullying, Violence, & Healthcare Access Discrimination Tobacco Use Suicide
LGBTQ ISSUES 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 Tobacco Use
TOBACCO IS AN “LGBTQ ISSUE” 20.6% of LGBTQ use tobacco products in the U.S. ? 48% of lesbian and bisexual women 16-24 smoke Lesbian and bisexual women (of all ages) smoke 9.7 times the rate of straight women. ? 90% of LGBTQ smokers want to quit.
WHO SMOKES AT HIGHER RATES? SOURCES LGB General Population CDC 20.6% 15.1% American Lung 30.4% 20.6% Association Truth Initiative 23.9% 16.6% Philly Area LGBTQA 26.9% 19.9% Community Health Needs Assessment Gallup 28% 18% SAMHSA 32% 20%
WHY IS TOBACCO SO PREVALENT? Stress Social and cultural norms Other contributing health factors Targeted by the tobacco industry
WHY IS TOBACCO SO PREVALENT? stress
WHY IS TOBACCO SO PREVALENT? social and cultural norms
WHY IS TOBACCO SO PREVALENT? • Insurance • Mental health • Homelessness • HIV other contributing health factors
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
OTHER HEALTH FACTORS – MENTAL HEALTH More likely to have mental health issues (p<.05) Tobacco is 71% higher among adults with mental illness.
OTHER HEALTH FACTORS – HOUSING Tobacco use is 310% higher among houseless adults 20-40% of houseless youth are LGBTQ
OTHER HEALTH FACTORS – HIV
WHY IS TOBACCO SO PREVALENT? targeted by the tobacco industry
83.4% of LGBTQ don’t appreciate that the tobacco industry advertises to the LGBTQ community
36% of LGBT smokers smoke menthol cigarettes vs. 29% of straight smokers smoke menthol cigarettes
ACTIVITY: Cost of Smoking In 2014, tobacco companies spent $9.1 billion to market their products. That’s nearly $25 million EVERY DAY. 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].
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].
ACTIVITY: Cost of Smoking In Minnesota, the average cost of a pack of cigarettes is $8.10
ACTIVITY: Cost of Smoking 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 A person who smokes a pack per day spends: Daily: $ 8.10 Weekly: $ 56.70 Monthly: $ 243.00 Annually: $ 2,956.50
What is one smoker is worth to the tobacco industry? 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
Ho How mu w much h is is th this is conf onfere erence nce wor orth th to the o the tob obac acco co in indu dustr try? y? o Assume we are all LGBTQ. o 20.6% of us smoke o Over 50 years, this room would be worth….
How w much h is s th the LGB GBTQ TQ co commun munity ity wor orth th to o th the tobac obacco 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.
BIG TOBACCO TARGETS VULNERABLE COMMUNITIES Race/Ethnicity Prevalence American Indian/Alaska 21.9% Native Multiple Races 20.2% Black/African American 16.7% White 16.6% Hispanic 10.1% Asian 7.0%
BIG TOBACCO TARGETS VULNERABLE COMMUNITIES
BIG TOBACCO TARGETS VULNERABLE COMMUNITIES GRAPH SOURCE: American Lung Association, Smokefree Communities Project, The LGBT Community – A Priority Population for Tobacco Control
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.
ACTIVITY: Chemicals in Cigarettes Acetone
ACTIVITY: Chemicals in Cigarettes Formaldehyde
ACTIVITY: Chemicals in Cigarettes Arsenic
ACTIVITY: Chemicals in Cigarettes Butane
ACTIVITY: Chemicals in Cigarettes Lead Cadmium
ACTIVITY: Chemicals in Cigarettes Carbon Monoxide
ACTIVITY: Chemicals in Cigarettes Methanol
ACTIVITY: Chemicals in Cigarettes Acetic Acid
ACTIVITY: Chemicals in Cigarettes Ammonia
FREEDOM FROM SEXUALITY AND GENDER NORMS, FREEDOM FROM TOBACCO ADDICTION
TOBACCO & LGBTQ CLIENTS IN SEPA 8,201 clients 257 LGBTQ clients 48% of straight/cisgender clients quit ? of LGBTQ clients quit 29%
OUR PROJECT ~3% of SEPA residents ~3% of SEPA’s tobacco identify as LGBTQ cessation clients are LGBTQ 24.5% of SEPA’s LGBTQ residents smoke
Targeted outreach to LGBTQ communities in Southeastern PA Subcontracts: bcontracts:
Targeted outreach to LGBTQ communities in Southeastern PA Direct messaging for prevention and cessation to o 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 o Cultural Competence Training for TDT providers o
Education and Outreach in Schools Approach: o Educational presentations and discussions with Gay/Straight Alliances o LGBT Smoke Free Youth Art Project
Education and Outreach in Schools Goals: Educate LGBTQ youth about the dangers of tobacco use o Empower LGBTQ youth to: o Educate their peers about the dangers of tobacco o use Advocate against deceptive and discriminatory o marketing practices of the tobacco industry Provide a space for LGBTQ youth to creatively express o their feelings about tobacco use
Education and Outreach at Gay Bars Goals: Create clusters of nonsmokers in LGBTQ spaces o Begin to make the case for gay bars to implement o tobacco-free policies Approach: o LGBT Smoke-Free Stickers and Bracelets o Drag Queen Outreach
EDUCATION/OUTREACH AT DRAG SHOWS
Smok oke-Fre ree e Pr Prid ide Event Events: s: GOAL: To create LGBT smoke-free spaces o to reduce the social pressure to smoke In 2017, PA had 8 (out of 19) Smoke- o Free Pride Events Southeastern PA: o New Hope Pride and Parade • Reading Pride • Chester County Pride • Lancaster County Pride •
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