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Out, Proud and Healthy Project: SGM health behaviors and access to care

Out, Proud and Healthy Project: SGM health behaviors and access to care. Jane McElroy and Kevin Everett Family and Community Medicine Department University of Missouri-Columbia. Healthy Lives - Healthy Communities: Building Health Equity in Missouri One Community at a Time Conference

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Out, Proud and Healthy Project: SGM health behaviors and access to care

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  1. Out, Proud and Healthy Project:SGM health behaviors and access to care Jane McElroy and Kevin Everett Family and Community Medicine Department University of Missouri-Columbia Healthy Lives -Healthy Communities:Building Health Equity in MissouriOne Community at a Time Conference April 27, 2012

  2. “Out, Proud and Healthy” Project 3 Phases: Assessment, Planning, Implementation (current) 2008-2013 Cross-sectional surveys at Pride festivals and list-serves (2008, 2010, 2011) Comparison to MO population or US population Funded by:

  3. Out, Proud and Healthy Project, 2011 MISSOURI 5 Pride Festivals + Web in 2011 Adult SGM Participants, n=3275 36 item questionnaire N=848 N= 341 N=1620 (June and Aug) Web (N=309) N=157

  4. Basic demographics of SGM population • Mean age 31 years (range 18-87 years) • Race distribution reflects MO • White (78%) • Black (13%) • Hispanic (6%) • Education (> 24 years) • High school or less (13%) • 4 year college degree or more (51%)

  5. SGM Status Do you consider yourself to be Gay 34% Lesbian 40% Bisexual (male): 3% (female): 12% Don’t know; Not sure Other (Please specify) 7% Do you identify as transgender or transsexual? Transgender n=78 Transsexual n=30 5% Sell, R. L. & Dunn, P. M. (2008). Inclusion of lesbian, gay, bisexual and transgender people in tobacco use-related surveillance and epidemiological research. Journal of LGBT Health Research, 4, 27-42.

  6. Smoking status by SGM subgroup SGM adults are about two times more likely to smoke than Missouri population

  7. Occasional (some day) smoker SGM population: 24% some day smokers MO population: 5% some day smokers SGM population about 5 times as likelyto be occasional smokers compared to MO population

  8. > 24 years old SGM Smoking and college educated SGM college educated 2.5 times more likely to smoke 25% of college graduate SGM individuals smoke compared to about 10% population

  9. Risky alcohol drinking SGM alcohol drinkers & MO population SGM Risky Alcohol Drinking DOUBLE that of MO population (SGM) Male & MtF (SGM) Female & FtM Ave 14+ per week Ave 7+ per week or or 4+drinks per day 3+drinks per day SGM 53% MO: 24%SGM 50% >25 years: SGM 53% MO: 22% SGM 47%

  10. “In general, how would you describe your health?”(excellent, very good, good, fair, poor) Pride 2008 SGM report much better health than MO population Fair to Poor Health (all ages) MO population: 17% SGM: 8% Fair to Poor Health (55-64 years) MO population : 23% SGM: 7% Fair to Poor Health (65+ years) MO population : 30% SGM: 11%

  11. “My eating patterns are healthy”percent strongly agree or agree SGM slightly less likely to report healthy eating patterns SGM: 29% - 39% US population: 42% Lowest transgender Highest bisexual male

  12. 2-questions for depressive symptoms (in the last 6-months) Up to 3 times as many SGM individuals reported depressive symptoms 24% SGM adults compared to 9-20% US Population

  13. Access to Care

  14. Are you currently covered by any type ofhealth insurance or some other kind of health care plan? 22% SGM individualsdo not have health insurance compared to 15% MO adults

  15. Not get medical treatment or take less medication? During the last 12 months, was there any time when you needed medical care or surgery but did not get it? 17% SGM individuals vs 7% MO population 11% SGM 65+ year old individuals vs 5% MO population At any time in the past 3-months, have you ended up taking less medicine than your doctor prescribed because of cost? 18% SGM 55+ year old individuals vs5% US population 6% SGM 65+ year old individuals vs 4% US population

  16. Key findings: Health Risks compared to MO population • 2 times more likely to smoke but 5 times more likely to be occasional smokerand for college educated, 2.5 times more likely to smoke • 2 times more likely to be risky alcohol user • Slightly less likely to eat healthy • 3 times more likely to reported depressive symptoms butSGM report much better health overall and for SGM older individuals report better health

  17. Key findings: SGM Health accesscompared to MO population • ~1.5 times less likely to have health insurance • 2 times more likely NOT get medical or surgical txmtincluding for 65+ SGM year olds • 3 times more likely to take lessmedication • EXCEPT for 65+ year olds were similar for taking less medication

  18. Conclusion Overall SGM population faces significant health disparities in both behaviors and access to care

  19. Acknowledgement • Funder: Missouri Foundation for Health • Provided the financial resources necessary • Staff: • Dean Andersen, Med • KimmieNolte, Jenna Jordan, Angela Bunge • Our National Consultants • Kitty Jerome and Dr. Scout

  20. Acknowledgement Our Advisory Board 1. Bill Snook Department of Health, Kansas City 2. Jeanette Mott Oxford, MO State Representative 3. A.J. Bockelman, Executive Director, PROMO, St. Louis 4. Muriel Jones (Blue) Dir. for the LGBT Community Center of Metropolitan St. Louis • 5. Adam Kepka • The SPOT Youth Center, St. Louis • 6. Megan Lee • PRISM, Columbia • 7. Susan Pereira • Family Physician, Columbia • 8. Stephanie Perkins • Deputy Director, PROMO, • Springfield • 9. Ryan Black • LGBT Resource Center, University of Missouri

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