Online Program

LGBT Appalachians: Tobacco use and social connectedness

Monday, November 4, 2013

Keisa Bennett, MD, MPH, Department of Family and Community Medicine, University of Kentucky, Lexington, KY
Background: The 2011 Institute of Medicine (IOM) report, The Health of Lesbian, Gay, Bisexual,and Transgender People, cited disparities in health outcomes and inequities in healthcare access for sexual and gender minorities (SGM). The National Institutes of Health (NIH) report on the continued gaps in research highlighted the impact of smoking on health, as well how behavioral risks and protective factors impact health over time. Many studies conducted in urban settings demonstrate high rates of smoking among SGM. Appalachian Kentucky is estimated to have at least 24,000 SGM who are likely to be at even higher than usual risk of disparities in a place where overall smoking prevalence is nearly double the national average. Elucidating the roles of peer pressure, social isolation, and group belonging is key to designing interventions that get at the root of the risk-taking behavior, and none of these have ever been explored in rural SGM with regard to tobacco use. Methods: Online, widely-distributed survey with descriptive and comparative quantitative analysis. The survey was constructed based on qualitative pilot data collected through interviews of Appalachia SGM smokers and non-smokers. Results: In progress with data collection to be completed summer 2013. Description of the sample, tobacco use, and social support. Comparative statistics to determine associations of tobacco use and social network factors. Discussion: This presentation will present survey results and generate discussion concerning reaching rural SGM populations, sampling considerations, and use of social network analysis in improving health for rural SGM.

Learning Areas:

Advocacy for health and health education
Diversity and culture
Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
Describe themes related to lesbian, gay, bisexual, and transgender (LGBT) identity. Compare smoking behavior among sexual and gender minority (SGM) Appalachians with elements of social interaction and support. Identify modifiable barriers to tobacco prevention and cessation in this group.

Keyword(s): Gay, Rural Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a recipient of a KL2 Translational Science Award to study health of sexual and gender minorities in Appalachia. My interests include tobacco use, obesity and physical activity, access to culturally appropriate care, and social networks in this population. I have served as Chair of the Group on LGBT Health at the Society of Teachers of Family Medicine and as Co-chair of the Faculty Committee of the Gay and Lesbian Medical Association.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.