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LGBTIQ Health

LGBTIQ Health. Bill Snook, M.S. Ed. Program Manager for Health and Social Marketing City of Kansas City, Mo., Health Department December 7, 2011 Missouri Health Equity Collaborative. Goals. What is LGBTIQ? Orientation and Gender Identity 2003 and 2006 Pulse Out, Proud and Healthy Project

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LGBTIQ Health

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  1. LGBTIQ Health Bill Snook, M.S. Ed. Program Manager for Health and Social Marketing City of Kansas City, Mo., Health Department December 7, 2011 Missouri Health Equity Collaborative

  2. Goals • What is LGBTIQ? • Orientation and Gender Identity • 2003 and 2006 Pulse • Out, Proud and Healthy Project • Kansas City TGA – HIV Risk for Males • Institutes of Medicine Report/HHS Actions • Gay and Lesbian Medical Association – Top 10s • Considerations for LGBTIQ Health Discussion • Community • Culture

  3. LGBTIQ • Lesbian • Gay • Bisexual • Transgendered • Inter-sexed • Q…

  4. Definitions • Sexual Orientation is generally defined as an individual’s enduring physical, romantic, emotional and/or spiritual attraction to another person • Gender Identity is generally defined as an individual’s internal, personal sense of being a boy or girl, man or woman. For transsexual people, their birth-assigned sex and their own internal sense of gender identity do not match. • Gender identity and sexual orientation are not the same. Transgender people may be heterosexual, lesbian, gay or bisexual.

  5. What did we know of LGBT Health (no Q or I) before the 2003 Pulse?

  6. What is the Pulse of LGBT health in Kansas City?

  7. 1,143 Participants

  8. Participants

  9. 2006 Participants • 1,060 eligible surveys • Only 580 (354 MSM and 226 WSW) included due to the wording of sexual orientation question • 85% white, 6.7% Black, 4.7% Hispanic, 1.4% Asian, 1.6% Native American and 1.7% other

  10. Muscle Dysmorphia in Gay Men?

  11. Compared to the 2003 Pulse There was no change in the prevalence of respondents who may have a body dysmorphic view or reported partner/sexual violence.

  12. No relationship between frequency of testing & # sex partners

  13. Percent of Adult Smokers

  14. N=12 N=16 N=22 N=17 N=5 Combined, M2F, and F2M exclude Pulse 06 participants who also participated in Pulse 03 survey Smoking Among Transgendered Kansas City, Missouri

  15. Pulse Successes • 4000+ Hepatitis A and B vaccinations • 2800 + participants ($53 ROI from $1 of unrestricted tax dollars for marketing initially spent in vaccinations alone) • Rebuilt bridges with the community • PRIDE is our largest and most comprehensive outreach clinic offered • Pulse has been used by other organizations to leverage funding and obtain grants because we have data! • In 2003, it was the second time in the nation it had been done • In 2006, it was the 1st time a LGBT comprehensive survey had been repeated in a community, that we know of.

  16. LGBT Health in 2011 CHANGE OCCURS!

  17. HHS Strategy to Improve the health and well-being of LGBT Communities http://www.hhs.gov/secretary/about/lgbthealth.html

  18. Gay and Lesbian Medical AssociationTop 10 Lesbians should discuss with Health Care Providers • Breast Cancer • Depression/Anxiety • Heart Health • Gynecological Cancer • Fitness • Tobacco • Alcohol • Substance Use • Domestic Violence • Osteroporosis

  19. Gay and Lesbian Medical AssociationTop 10 Gay men should discuss with Health Care Providers • HIV/AIDS, Safe Sex • Substance Use • Depression/Anxiety • Hepatitis Immunization • STDs • Prostate, Testicular and Colon Cancer • Alcohol • Tobacco • Fitness (diet and exercise) • Anal Papilloma

  20. Gay and Lesbian Medical AssociationTop 10 Transgendered persons should discuss with Health Care Providers • Access to health care • Health History • Hormones • Cardiovascular Health • Cancer • STDs and Safe Sex • Alcohol and tobacco • Depression anxiety • Injectable Silicone • Fitness (diet and exercise)

  21. Considerations for LGBTIQ Health Discussion • Community • Closed, Open or Internet? • Access points • Geography and Region • Mistrust /Cautious • Culture • Relationships (open, closed, partnerships, families, etc.) • Sub groups (Leather, Bears, Houses, Balls, Sports, Femme, Butch etc.) • History (Holocaust “pink triangle”, Mattachine Society ’51,Stonewall ‘69, 1973 and 1975 Diagnostic and Statistical Manual of Mental Disorders, 1978 Hepatitis vaccine trial in San Francisco (theory), AIDS, Act-Up, Matthew Shepherd) • Race and ethnicity lens

  22. Resources • The Network for LGBT Health Equity - http://lgbthealthequity.wordpress.com/ • The National Coalition for LGBT Health - http://lgbthealth.webolutionary.com/ • http://www.hhs.gov/secretary/about/lgbthealth.html • Full Pulse 2003 and 2006 reports at www.kcmo.org/health under “frequently requested documents” dropdown box – Pulse • http://glma.org/ Gay and Lesbian Medical Association

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