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Opening the Doors: Addressing LGBT Tobacco Use Disparities with Local Community Coalitions

Opening the Doors: Addressing LGBT Tobacco Use Disparities with Local Community Coalitions. Presented by: Brenda Coley, Anthony Harris, and Kathy Staats. Diverse & Resilient. Public health agency targeting LGBT people in Wisconsin in regards to Health Disparities

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Opening the Doors: Addressing LGBT Tobacco Use Disparities with Local Community Coalitions

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  1. Opening the Doors: Addressing LGBT Tobacco Use Disparities with Local Community Coalitions Presented by: Brenda Coley, Anthony Harris, and Kathy Staats

  2. Diverse & Resilient Public health agency targeting LGBT people in Wisconsin in regards to Health Disparities Community and Partner violence HIV and sexual health Mental Health and Suicide ATODA – Alcohol Tobacco and Other Drug Abuse Prevention

  3. Community Advocates “Where Meeting Basic Needs Inspires Hope” City of Milwaukee Tobacco-Free Alliance

  4. Increase awareness of LGBT disparities with tobacco use • Increase awareness of discrimination as a determinate of health for LGBT people • Increase awareness of strategies to address the tobacco disparity in LGBT communities Presentation Objectives

  5. While about 20.8%* of the Wisconsin adult population smokes, 44% of lesbian, gay, bisexual, and transgender adults in Wisconsin are smokers. * Wisconsin Department of Health Services 2011 Behavioral Risk Factor Surveillance System (BRFSS) Tobacco Fact Sheet LGBT Tobacco Disparity

  6. LGBT Tobacco Disparity • The population of Wisconsin is 5,726,398 • There are 286,320 people ( or 5% of the Wisconsin population*) who are LGBT • About 7.25% of all smokers in Wisconsin – 86,769 people – Are LGBT • This means that 5% of the population of Wisconsin contributes 7.25% of all the smokers in the state. * 5% represents a very conservative estimate of the LGBT population

  7. Why do LGBT People smoke more than the general population? • Minority Stress • Tobacco Industry targeting • Bars, clubs, and festivals as social gathering spaces

  8. Minority Stress • Explains affects of discrimination on an individual’s self esteem. • Challenges adoption consistent preventive health behaviors. • LGBT People of Color, Lesbian & Bisexual members experience multiple minority stressors • Complications of intersection of identities

  9. Negative Coping • Drug use • Overeating • Lack exercise • Isolation Self –Esteem and Self – Efficacy (Lower) Preventive health behaviors Health Disparities Discrimination Multiple Stressors • Race • Sex • Gender Identity • Sexual Orientation Minority Stress Model

  10. Tobacco Industry Targeting • The tobacco industry targets their advertisement to events that LGBT people are more likely to participate in such as the arts, gay festivals and bars

  11. Cultural Competence • Website • www.rm2breathe.org • Quit Line • 1-800-QUIT-NOW Strategies to address LGBT Tobacco Use

  12. Continuum of cultural competency: Readiness Rejection Avoidance Tolerance Acceptance Appreciation

  13. Developing Community Connections

  14. Outreach to the LGBT Community • LGBT Events Such as Pride festivals • Milwaukee • La Crosse • Madison • Green Bay • Eau Claire • Wausau

  15. Outreach to the LGBT Community LGBT Friendly Churches • Open and affirming churches of many denominations exist • UCC – United Church of Christ • MCC – Metropolitan Community Churches • UU – Unitarian Universalist PFLAG Chapters LGBT Student Groups • Middle/High School GSAs • University Resource Centers & Student Orgs

  16. Formal and Informal Partnerships • LGBT Community Centers • Milwaukee LGBT Community Center • OutReach – Madison Community Center • GLBT Partnership in Green Bay and Appleton through Harmony Café • 7 Rivers LGBT Community Center – La Crosse • LGBT Media • LGBT Organizations

  17. What we need to address the disparity • Increase partnerships between tobacco prevention providers and the LGBT community • Use Stages of Change to assess cultural competencies • More education • Increased visibility of LGBT tobacco disparity • More resources for culturally competent programming for the LGBT Community

  18. Questions – Comments - Concerns

  19. Brenda Coley Director of Special Projects Diverse & Resilient bcoley@diverseandresilient.org Anthony Harris Program Coordinator Diverse & Resilient aharris@diverseandresilient.org Kathy Staats Prevention Services Coordinator Community Advocates kstaats@communityadvocates.net

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