142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

306236
Tobacco Use Among LGBT in a Midwestern State

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Aja Kneip Pelster, MPH , Department of Health Promotion, Social & Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE
Christopher M. Fisher, PhD , Department of Health Promotion, Social & Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE
Jay A. Irwin, PhD , Department of Sociology and Anthropology, University of Nebraska Omaha, Omaha, NE
Jason Coleman, PhD , University of Nebraska-Omaha, Omaha, NE
Molly McCarthy, MPH , College of Public Health, University of Nebraska Medical Center, Omaha, NE
Purpose: Previous research has documented that lesbian, gay, bisexual, and transgender (LGBT) people have a higher proportion of tobacco use when compared to their non-LGBT counterpart. The purpose of this study was to examine the relationship between tobacco use and the social determinants of health in a sample of self-identifying LGBT people who live, work, or play in Nebraska.

Methods: A community-based participatory research (CBPR) approach and tools were used to develop an online survey to assess the physical, mental, social, and sexual health of LGBT populations who live, work, or play in Nebraska. Chi-square and logistic regression analyses explored the use of tobacco among respondents.

Results: Rate of current smoking among 756 respondents was 26.1%. Some LGBT-specific social determinants of health had significant relationships to smoking status. However, after controlling for known risk factors of smoking in logistic regression models, these variables were found to be unrelated to smoking status.

Conclusions: This study shows that there is a significant relationship between smoking and several general social determinants of health, this included employment status, college attendance, income, and binge drinking. In the future, public health professionals can use this information in designing smoking reduction campaigns for LGBT populations in Nebraska and culturally similar regions of the US. These programs and interventions may want to consider a more holistic approach to smoking cessation grounded in the social-ecological model.

Learning Areas:

Assessment of individual and community needs for health education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe smoking prevalence in a non-urban, Midwestern LGBT population. Assess smoking prevalence in an LGBT population using social determinants of health and LGBT-specific social determinants of health.

Keyword(s): Tobacco Use, Lesbian, Gay, Bisexual and Transgender (LGBT)

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have focused on the health of LGBT communities and worked on multiple projects pertaining to this group. Pelster's research interests include sexuality, including, sexual health, pleasure and women’s sexuality, women’s health promotion and policy, cancer and other chronic disease survivorship, community-based participatory research and community engagement, qualitative research methods.
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.