francisco o. buchting, ph.d. research administrator epidemiology, policy & economic sciences...
TRANSCRIPT
Francisco O. Buchting, Ph.D.Francisco O. Buchting, Ph.D.Research AdministratorResearch Administrator
Epidemiology, Policy & Economic SciencesEpidemiology, Policy & Economic Sciences
Tobacco-Related DiseaseResearch Program
LGBT Communities and Tobacco:LGBT Communities and Tobacco:History, Knowledge Gaps, and ChallengesHistory, Knowledge Gaps, and Challenges
OverviewOverview Research and PolicyResearch and Policy In the beginning . . . In the beginning . . . Key milestones and Key milestones and
Knowledge gapsKnowledge gaps Working with LGBT (of Working with LGBT (of
color)color)
Research and PolicyResearch and Policy Research findings are a cornerstone to Research findings are a cornerstone to
making or justifying policy – health, making or justifying policy – health, education, employment, housing, etc …education, employment, housing, etc …
LGBT communities are growing and LGBT communities are growing and increasingly becoming complex increasingly becoming complex Coming out – Queer YouthComing out – Queer Youth FamiliesFamilies Diversity – race/ethnicity, gender, religion, Diversity – race/ethnicity, gender, religion,
immigrationimmigration SESSES TechnologyTechnology
Research and PolicyResearch and Policy Making federal, state, and local Making federal, state, and local
policy for allocating resources policy for allocating resources targeted at specific targeted at specific communities/groups is a communities/groups is a combination of available resources, combination of available resources, politics, group mobilization, data, politics, group mobilization, data, etc.etc. Research data has been used to justify Research data has been used to justify
the increase or decrease in allocation the increase or decrease in allocation of dedicated or targeted resourcesof dedicated or targeted resources
Tobacco ControlTobacco Control A Comprehensive A Comprehensive
ApproachApproachResearch
Education & Intervention
Public Policy
LGBT Communities and LGBT Communities and TobaccoTobacco
“Running Down the Way Up” “Running Down the Way Up”
““In the beginning there was nothing. In the beginning there was nothing.
God said, 'Let there be light!' And there God said, 'Let there be light!' And there was light. was light.
There was still nothing, but you could There was still nothing, but you could see it a whole lot better.”see it a whole lot better.”
Ellen DeGeneres
In the Beginning . . .In the Beginning . . .
In the Beginning . . .In the Beginning . . . Community knowledge vs. scientific Community knowledge vs. scientific
knowledgeknowledge Research enterprise and the studying of Research enterprise and the studying of
LGBT communitiesLGBT communities Findings:Findings:
LGBs smoke at higher rates LGBs smoke at higher rates T rates - community knowledgeT rates - community knowledge Queer youth smoke at higher ratesQueer youth smoke at higher rates LGBTs of color – community knowledgeLGBTs of color – community knowledge
HEALTH DISPARITIESHEALTH DISPARITIES
Research Key Research Key MilestonesMilestones
Prevalence/epidemiologyPrevalence/epidemiology Queer youthQueer youth
Remafedi – (1987), N=29Remafedi – (1987), N=29 Faulkner (1998) & Garofalo (1998), Faulkner (1998) & Garofalo (1998),
MA Youth Risk Behavior SurveyMA Youth Risk Behavior Survey Paul (study ended 2004), qualitativePaul (study ended 2004), qualitative Youth Risk Behavior Surveillance, 2003; MMWR Youth Risk Behavior Surveillance, 2003; MMWR
2004, 53:SS22004, 53:SS2
Higher smoking ratesHigher smoking rates
Research Key Research Key MilestonesMilestones Prevalence/epidemiologyPrevalence/epidemiology
AdultsAdults Bradford (1994) publication, L & B women, Bradford (1994) publication, L & B women,
N=1925N=1925 Stall/Greenwood (1999), G & B men, N=2593Stall/Greenwood (1999), G & B men, N=2593 Skinner & Otis (1996) – L & G, N=1067Skinner & Otis (1996) – L & G, N=1067 CHIS (2003)CHIS (2003) Bye/Gruskin (2005) – TCS, TRDRP – Population Bye/Gruskin (2005) – TCS, TRDRP – Population
base statewide RDD study in CAbase statewide RDD study in CA
Higher smoking ratesHigher smoking rates Ryan et al (2001) – Lit reviewRyan et al (2001) – Lit review
Research Key Research Key MilestonesMilestones
CessationCessation Humfleet – NIDA (funded 2004),Humfleet – NIDA (funded 2004),
TRDRP (funded 2006) LGBT internet cessation TRDRP (funded 2006) LGBT internet cessation studystudy
Tobacco DocumentsTobacco Documents Malone – TRDRP, NCI, (2005 - Smith, Offen, Malone)Malone – TRDRP, NCI, (2005 - Smith, Offen, Malone)
Bar StudyBar Study Moore - TRDRP - LGBT Bars (2004, 2006)Moore - TRDRP - LGBT Bars (2004, 2006)
HIV/AIDS – Higher smoking ratesHIV/AIDS – Higher smoking rates www.gaydata.orgwww.gaydata.org
Sell - Columbia U., Kellogg’s Foundation Sell - Columbia U., Kellogg’s Foundation
Knowledge GapKnowledge Gap
National LGBT Communities National LGBT Communities Tobacco Action Plan (2003)Tobacco Action Plan (2003)
www.ttac.org/lgbt/index.htmlwww.ttac.org/lgbt/index.html Report sections on LGBT research, Report sections on LGBT research,
cessation, policycessation, policy LGBT of Color Sampling LGBT of Color Sampling
Methodology Meeting (to be Methodology Meeting (to be published in 2007)published in 2007)
Knowledge GapKnowledge Gap
Social EpidemiologySocial Epidemiology Disease EpidemiologyDisease Epidemiology Cessation Research/Cessation Research/
NeuroscienceNeuroscience PreventionPrevention PolicyPolicy EconomicEconomic
Tobacco industry Tobacco industry documentsdocuments
Ethnographic/Ethnographic/
AnthropologyAnthropology International International
StudiesStudies Understudied areasUnderstudied areas OtherOther
Research AreasResearch Areas
LGBT and Tobacco Research AreasLGBT and Tobacco Research AreasWith Hardly Any Ongoing WorkWith Hardly Any Ongoing Work LGBTs of colorLGBTs of color TransgenderTransgender Impact of homophobia – Impact of homophobia –
individual and system levelsindividual and system levels Queer youthQueer youth Tobacco’s health burden on LGBT Tobacco’s health burden on LGBT
communities / health disparitiescommunities / health disparities SHS impact on LGBT communitiesSHS impact on LGBT communities Low SES LGBTsLow SES LGBTs
HighlightsHighlights 1990 – Mautner Project, first Lesbian 1990 – Mautner Project, first Lesbian
smoking cessation groupsmoking cessation group 1991 – CLASH founded in SF1991 – CLASH founded in SF Last Drag – community cessation groups Last Drag – community cessation groups 1993 - Home for Little Wanderers’ TEGLY 1993 - Home for Little Wanderers’ TEGLY
(first queer youth cessation program)(first queer youth cessation program) 1994 – Increase TI activity in the LGBT 1994 – Increase TI activity in the LGBT
communities communities 1995 – PM launches “gay vague ad” in 1995 – PM launches “gay vague ad” in
gay publicationgay publication
Parliament ad in Details, Cosmopolitan,Madamoiselle, Penthouse, 1995
Parliament ad in Out magazine,1995
HighlightsHighlights 1998 - CLASH commissions guide on 1998 - CLASH commissions guide on
Ethical Funding for LGBT & HIV Ethical Funding for LGBT & HIV Community Based OrganizationCommunity Based Organization
2000 - “we the people of PM” ads2000 - “we the people of PM” ads 2002 – 12002 – 1stst LGBT Tobacco Control and LGBT Tobacco Control and
Research SummitResearch Summit 2003 American Legacy funds a number 2003 American Legacy funds a number
of LGBT projects of LGBT projects 2004 – four states add sexual orientation 2004 – four states add sexual orientation
question to Quitline intakequestion to Quitline intake 2006 – 12006 – 1stst smoke free Pride - Santa Cruz, smoke free Pride - Santa Cruz,
CACA
Key MilestonesKey Milestones MeetingsMeetings
““Alive With Pleasure!”, CLASH/CDC, 1996Alive With Pleasure!”, CLASH/CDC, 1996 American Legacy Foundation, DC, 2000American Legacy Foundation, DC, 2000 LGBT Tobacco Summit, SF/CA, 2002 LGBT Tobacco Summit, SF/CA, 2002
(Boston, 2003; Chicago, 2005; DC, 2006) (Boston, 2003; Chicago, 2005; DC, 2006) CDC – LGBT/ATS, GA, 2003CDC – LGBT/ATS, GA, 2003 LGBT National Action Plan, DC, 2003LGBT National Action Plan, DC, 2003 LGBT of Color Sampling Methodology LGBT of Color Sampling Methodology
Meeting, DC, 2006Meeting, DC, 2006 Next summit in Oct. 2007 before NCTOH Next summit in Oct. 2007 before NCTOH
ChallengesChallenges The question or questionsThe question or questions
Depends on purposeDepends on purpose No agreement yetNo agreement yet www.gaydata.orgwww.gaydata.org
Tips on working with LGBT Tips on working with LGBT communities – (LGBT of Color communities – (LGBT of Color Sampling Methodology Meeting, Sampling Methodology Meeting, Ayala presentation and group Ayala presentation and group discussion)discussion)
ResourcesResources National LGBT Tobacco Control National LGBT Tobacco Control
NetworkNetwork LGBT Directory – by TRDRP, LGBT Directory – by TRDRP,
Network, CLASHNetwork, CLASH IndividualsIndividuals CBOCBO ProgramsPrograms
Questions are never indiscreet,Questions are never indiscreet,answers sometimes are.answers sometimes are.
Oscar WildeOscar Wilde