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Tobacco Action Plan

The top 5 priorities

  1. Create One National Campaign: One Logo/Name and Message
  2. Develop Clearinghouse on LGBT Tobacco Efforts
  3. Identify Data Sets for Analysis and Conduct New Research
  4. Enhance Connectivity with Larger Anti-Smoking Organizations
  5. Build Resources for Development Programs and Initiatives

see full action plan (PDF)

Resource Library

Articles

  • American Lung Association Cessation Report

    Quitting Smoking Saves Lives and Money:
    New American Lung Association Report Finds Most States
    Failing to Adequately Protect Residents and Their Bottom Line

    download file
  • Burning Love: Big Tobacco Takes Aim at LGBT Youth

    Outlines big tobacco's campaign tactics towards minority populations who are frequently discriminated against, in particular African Americans; uncovers the sly tactics of targeting LGBT adults and youth; and the detrimental effects this has had and continues to have on the LGBT community.

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  • CA Minority Smoking - Press Release

    Press Release on California's smoking rates among ethnic and LGBT groups, 2003.

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  • CDC National Tobacco Control Networks for Priority Populations: Evaluation Final Report July 2008

    A detailed report by The Center for Tobacco Policy Research highlighting the work done by the National LGBT Tobacco Control Network in specific areas such as Partner Engagement, Technical Assistance, Network Resources, and other areas key to the Network's success.

    download file
  • Cigarette Smoking Among Gay, Lesbian, and Bisexual Residents of the Inland Empire
    Gardner, A; Mockus, D; Meconis, K.

    Riverside County Department of Public Health, Epidemiology and Program Evaluation, 2007.

    Trends in smoking among the LGBT community- disparities in gender, lifetime smoking and sexual orientation; alcohol use and smoking; future directions.

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  • Ethical Funding for LGBT Organizations

    The Ethics of Tobacco, Alchohol, and Pharmeceutical Funding for LGBT Organizations. This article provides useful background information and specific sample guidelines will facilitate adoption of written policies to guide and support the fundraising efforts of LGBT and HIV/AIDS organizations.

    view link | download file
  • Film-Flam: How MPAA/NATO movie labels hide the biggest media risk to kids

    Center for Tobacco Control Research and
    Education, UC San Francisco Publication:
    Authored by Polansky, Jonathan R., OnBeyond LLC
    Mitchell, Shelley, Breathe California of Sacramento - Emigrant Trails
    Glantz, Stanton A., University of California, San Francisco

    Smoking in youth-rated films accounts for 90,000 new smokers each year. A study on all films between May 2007 and May 2010 revealed that half of films with tobacco imagery were youth-rated (PG, PG-13, G). However, only 15% were labeled with smoking descriptions, and those with labels are downplayed with such descriptions as "brief smoking."

    view link | download file
  • Gay adults willing to pay extra for smoke-free bars and clubs

    An article in the Texas Triangle, 2003. Bars and officials worked on a compromise only to end up without enough votes to ban smoking in bars or clubs, only in restaurants.

    view link | download file
  • Gay community has higher rate of smoking than other groups
    Erin Allday, Chronicle Staff Writer

    Sunday, August 6, 2006
    Sasn Francisco Chronicle

    Smoking and the LGBT community. Why they start: Stress, targeted ads, the bar and club scene are all factors.

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  • Gay-Specific Marketing Practices May Influence Brand Loyalty and Purchase Decisions of Gays, Lesbians and Bisexuals

    Harris Interactive survey

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  • Gays, Lesbians, Bisexuals Smoke More than General Population in California (June 28, 2007)

    By Joan Hennessy, Contributing Writer
    Women and men in California's general population were less likely to be smokers than a sample of Californians who identified themselves as lesbian, gay or bisexual (LGB), according to a study published in the August issue of the American Journal of Public Health.

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  • Lesbians and Gays Face Tobacco Targeting

    Article on how LGBT's are targeted by big tobacco, 1994

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  • Letters to the Editor in response to a pro-tobacco commentary in the Vital Voice

    The Feb. 22 Vital Voice had a side-by-side commentary section about "Is it time for a smoking ban in MO?" Chip Schloss of Atomic Cowboy wrote the pro side, and Bill Hannegan of "Keep Missouri Free" wrote the con side. Hannegan quotes many of the discredited studies and Big Tobacco funded reports that we have been combating for some time.

    Here's a link to what Schloss Wrote:
    http://www.thevitalvoice.com/cgi-script/csArticles/articles/000022/002296.htm

    Here's a link to Hannegan's:
    http://www.thevitalvoice.com/cgi-script/csArticles/articles/000022/002295.htm

    The file attached are the letters sent to the editor in response to Hannegan's pro-tobacco commentary.

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  • LGBT community has higher rate of smoking than other groups
    By Jennifer Medvin, RN

    Article on GaylinkContent.com about smoking and the LGBT community- culture, quitting, hazards,

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  • National Disparities Networks Joint Statement

    Joint Statement of the National Networks Consortium for Priority Populations and Tobacco Control

    download file
  • Ohio health department to study tobacco habits of gay teens

    COLUMBUS (AP) - Ohio health officials will use a federal grant aimed at preventing tobacco use among minorities to study why gay and lesbian teenagers smoke at a higher rate than their straight peers.

    Health officials are allocating $60,000 to identify the smoking habits of those teens and develop a tobacco-prevention campaign for them.

    Ohio Department of Health spokesman Kristopher Weiss says gay, lesbian, bisexual and transgendered community has a smoking rate at about 40 to 60%.

    As part of the Lesbian, Bisexual, Gay and Transgender Community Youth and Young Adults Anti-Tobacco Social Marketing Project, officials will form focus groups among youths ages 12 through 20 at an LBGT center in Columbus.

    Angie Wellman, director of the Kaleidoscope Youth Center, a drop-in venue for LBGT youths here, estimated that 60 to 70% of the center's teen visitors smoke regularly.


    On the Net:

    http://www.lgbttobacco.org



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  • Oregon Pride Smoking Survey by Breathe Free

    This article describes information about and the data collected by the 2007 Tobacco Survey regarding attitudes and behaviors regarding tobacco use within the LGBT community. The survey was conducted by Breathe Free at Oregon Pride and the article was printed in JustOut (page 23) in June 2007.

    view link | download file
  • Philip Morris to push brands on gay media

    An article from the Wall Street Journal, 1992

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  • Smoking Cessation Among Women with and at Risk for HIV: Are They Quitting?

    HIV-infected and at-risk women in this cohort have lower smoking cessation rates than the general population. Given the high prevalence of smoking, the high risk of adverse health events from smoking, and low rates of cessation, it is imperative that we increase efforts and overcome barriers to help these women quit smoking.

    download file
  • Smoking in the Lesbian Community:
    What Research Tells Us

    by Helen Smith
    Lesbian Health and Research Center

    Statistics for the Lesbian community and smoking, how to reduce the numbers of Lesbian smokers,

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  • Smoking, HIV Infections, and Gay Men in the US

    (1993) This article looks at three important questions: Is cigarette smoking more prevalent among homosexual men than it is among heterosexual men? Does smoking increase the risk of acquiring HIV infection? Does smoking enhance the progression of HIV disease?

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  • The Health Consequences of Involuntary Exposure to Tobacco Smoke

    A report of the Surgeon General, 2006.

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  • Tobacco Use and Readiness to Quit in Low Income HIV Infected Persons

    Jack E. Burkhalter, Carolyn M. Springer, Rosy Chhabra, Jamie S. Ostroff, Bruce D. Rapkin

    Nicotine & Tobacco Research, Vol. 7, Number 4 (August 2005)

    This article examines the impact of sociodemographic factors on smoking cessation such as HIV impact, age, income, drug use, etc.



    download file
  • Ways the Tobacco Industry Markets to Lesbians and gays

    An article by Perry Stevens, 2001

    view link | download file

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Research/Studies/Literature Reviews

  • "Qualitative Investigation of Smokers and Non-Smokers in the LGBT Market" Executive Summary

    Here is a executive summary of a "Qualitative Investigation of Smokers and Non-Smokers in the LGBT Market" by Winston Stuart Associates, LTD. Included is the respondent screener and discussion guides from LGBT focus groups conducted in 2001, smokers and nonsmokers, in Sacramento and San Francisco.


    download file
  • 2007 Oregon Pride Smoking Survey Report by Breathe Free

    Youth, adult volunteers and staff members of the Sexual Minority Youth Resource Center (SMYRC) conducted a convenience sample survey in Oregon during the summer and early fall of 2007 at Pride and other LGBTQQ community events. In this document, LGBTQQ refers to lesbian, gay, bisexual, transgender, queer, or questioning individuals. A total of 326 Oregon residents completed the survey in 2007, compared with 582 in 2006. In both years, 89% of respondents self identified as lesbian, gay, bisexual, transgender, queer, or questioning. In 2007, 80% of LGBTQQ respondents described their race/ethnicity as Caucasian.

    download file
  • 2007: Disparities in Smoking Between the Lesbian, Gay, and Bisexual Population and the General Population in California

    A large, population-based study to assess tobacco use in California's lesbian, gay, and bisexual (LGB) population. Smoking prevalence rates were higher in the sample of lesbians, bisexual women, and women who have sex with women than among women in the general California population. In the case of men, the only significant difference was that rates were higher among gay men than among men in the general population. Disparities in tobacco use between the LGB population and the general population were still evident after they controlled for key demographic variables and in comparisons with other tobacco use indicators such as average cigarette consumption. Tobacco control efforts targeting the LGB population are needed to reduce this group's high rate of cigarette smoking.

    view link
  • American Lung Association's Smoking Out a Deadly Threat: Tobacco Use in the LGBT Community

    The American Lung Association's latest health disparity report, Smoking Out a Deadly Threat: Tobacco Use in the LGBT Community, examines the trend of higher tobacco use among the lesbian, gay, bisexual and transgender (LGBT) community and the need for additional research specific to this community.

    download file
  • An Overview of U.S. Trans Health Priorities:
    A Report by the Eliminating Disparities Working Group
    August 2004 Update

    National Coalition for LGBT Heatlh

    This overview is based upon a meta-analysis of the available research on U.S. transgender populations, not all of which has been published in journals. Many of the following issues are inter-related, and most are related to access to health care – to Trans Health services, behavioral health services (including substance abuse treatment and smoking cessation treatment), HIV/AIDS/STD care, and routine health and wellness care.

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  • Annotated Bibliography

    An updated version of Dr. Heather Ryan's annotated bibliography of all LGBT tobacco articles ever published! 146 citations, updated March 2010.

    download file
  • Annotated Bibliography of Notable LGBT Health Disparity Studies

    This bibliography includes citations and abstracts from peer-reviewed LGBT Health Disparity articles among the following categories: Access to Health Services, Cancer, General Health, Health Risk Behaviors, Mental Health and Mental Disorders, Nutrition and Obesity, Social Determinants of Health, Substance Use and Tobacco Use


    Compiled on 7/12/10 by the Network for LGBT Tobacco
    Control through input from the following LGBT health
    researchers:

    Alicia Matthews, Ph.D., University of Illinois at Chicago
    Deborah Bowen, Ph.D., Boston University
    Don Operario, Ph.D., Brown University
    Emilia Lombardi, Ph.D. University of Pittsburgh
    Francisco Buchting, Ph.D., ETR Associates
    Joseph Lee, M.P.H., CPH, University of North Carolina
    Judith Bradford, Ph.D., The Fenway Institute
    Ron Stall, Ph.D., University of Pittsburgh
    Scout, Ph.D., The Fenway Institute
    Tonda Hughes, Ph.D., University of Illinois at Chicago
    Assistance was provided via the resources of the LGBT
    Population Research Center.
    Additional thanks to Dwyer Deighan

    Many thanks to the contributors to this important work!


    download file
  • CDC National Tobacco Control Networks for Priority Populations: Evaluation Final Report July 2008

    A detailed report by The Center for Tobacco Policy Research highlighting the work done by the National LGBT Tobacco Control Network in specific areas such as Partner Engagement, Technical Assistance, Network Resources, and other areas key to the Network's success.

    download file
  • Coming Out about Smoking: Tobacco Use in the LGBTQ Young Adult Community

    NYAC has long been the go to group for some great resources for pushing back against LGBTQ youth tobacco use, and they've done it again here. Please take a gander at their fascinating new report on LGBTQ youth tobacco attitudes, complete with smart and savvy recommendations. There's lots to learn from in this report. Two things I found especially fascinating were that 20% of people who said they were 'nonsmokers' admitted to smoking socially; and that only 63% of LGBTQ youth said their sexual orientation was LGB (I know at least a dozen survey researchers who'll wail and gnash their teeth at this news). But mostly, let's get this out far and wide, because LGBTQ youth tobacco control is severely underfunded and powered. Unless we want to be doing this work in 20 more years, please help us spread these findings and strategies to all the groups that can make them happen. Great job NYAC!

    view link | download file
  • Evaluation of Smoking Cessation and the GLBT
    community in Canada

    Evaluation by Gentium Consulting on behalf of the Program Training and Consultation Centre
    January 2005.
    The project's underpinning is that it is important to provide all smokers, from all communities and backgrounds, with a cessation environment where they feel comfortable and confident to express their own personal issues. This project's main objective was to provide and further develop gay-specific smoking cessation programs designed for men and women in both French and English within the City of Ottawa.

    view link | download file
  • Film-Flam: How MPAA/NATO movie labels hide the biggest media risk to kids

    Center for Tobacco Control Research and
    Education, UC San Francisco Publication:
    Authored by Polansky, Jonathan R., OnBeyond LLC
    Mitchell, Shelley, Breathe California of Sacramento - Emigrant Trails
    Glantz, Stanton A., University of California, San Francisco

    Smoking in youth-rated films accounts for 90,000 new smokers each year. A study on all films between May 2007 and May 2010 revealed that half of films with tobacco imagery were youth-rated (PG, PG-13, G). However, only 15% were labeled with smoking descriptions, and those with labels are downplayed with such descriptions as "brief smoking."

    view link | download file
  • Follow-up Report on the 2006 Oregon Pride Smoking Survey

    This report graphs statistics, highlights the important results, summarizes findings, and discusses possible reasons for disparities as found in the 2006 Portland Pride Survey conducted by Breathefree, Oregon LGBTQ Coalition Against Tobacco.

    download file
  • Heightening Tobacco Prevention in Consideration of Sexual Minority and Gender Variant Youth

    Written By Susan Hollinshead, LCSW, MSSW, with input and review by National LGBT Tobacco Control Network's Panel of Experts. This document was created as a collaborative effort to discover the best practices when working with sexual minority and gender variant youth around tobacco cessation. This document discusses available research, difficulties in pursuing research in this area, the continuum of sexuality in regards to higher smoking rates, how tobacco has been marketed to youth, how youth might be more susceptible to smoking, violence and bullying, homelessness, LGBTs of color, and welcoming and inclusive successful tobacco cessation programming. This document includes action items and recommended strategies for work around smoking cessation and sexual minority and gender variant youth.

    download file
  • Is tobacco a gay issue? Interviews with leaders of the lesbian, gay, bisexual and transgender community.

    By Naphtali Offen, Elizabeth A. Smith & Ruth E. Malone at the
    School of Nursing, University of California San Francisco, USA

    This study examined the extent of tobacco industry funding of lesbian, gay, bisexual and transgender (LGBT) organisations and whether leaders of these organisations thought tobacco was a priority health issue for their community.

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  • LGBTs of Color Sampling Methodology

    This report is the result of a collaborative effort that began in the Fall of 2006 with a meeting sponsored by the Tobacco Research Network on Disparities (TReND), California’s Tobacco Related Disease Research Program (TRDRP), the National Cancer Institute (NCI), and the American Legacy Foundation.

    The purpose of this meeting was to identify effective sampling methodologies and generate experience-based recommendations for conducting tobacco-related research on lesbians, gays, bisexuals and transgenders (LGBTs) of Color.

    The report provides a brief overview of the problem of tobacco use among LGBTs and minority racial and ethnic groups, highlights the discussions and lessons learned from some of the most advanced researchers in this challenging field, and lists key research recommendations to help eliminate tobacco-related health disparities.

    Please visit the link to download a PDF of this groundbreaking report

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  • RESEARCH - Gay/Lesbian Sexual Orientation May Increase Risk for Cigarette Smoking.

    An article in the October 2006 issue of BMC Public Health shows lesbians and gay men may be at increased risk for morbidity and mortality due to higher levels of cigarette and alcohol use.

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  • RESEARCH - Smith EA, Offen N, Malone RE. 2006. Pictures worth a thousand words: noncommercial tobacco content in the lesbian, gay, and bisexual press. J Health Commun. Oct-Nov;11(7):635-49.

    Smoking prevalence in the lesbian, gay, and bisexual (LGB) community is higher than in the mainstream population. The reason is undetermined; however, normalization of tobacco use in the media has been shown to affect smoking rates. To explore whether this might be a factor in the LGB community, we examined noncommercial imagery and text relating to tobacco and smoking in LGB magazines and newspapers. Tobacco-related images were frequent and overwhelmingly positive or neutral about tobacco use. Images frequently associated smoking with celebrities. Text items unrelated to tobacco were often illustrated with smoking imagery. Text items about tobacco were likely to be critical of tobacco use; however, there were three times as many images as text items. The number of image items was not accounted for by the number of text items: nearly three quarters of all tobacco-related images (73.8%) were unassociated with relevant text. Tobacco imagery is pervasive in LGB publications. The predominant message about tobacco use in the LGB press is positive or neutral; tobacco is often glamorized. Noncommercial print images of smoking may normalize it, as movie product placement does. Media advocacy approaches could counter normalization of smoking in LGB-specific media.

    PMID: 17074732 [PubMed - in process]

    view link | download file
  • Smoking among Lesbians, Gays, and Bisexuals

    Smoking Among Lesbians, Gays, and Bisexuals: A review of literature - American Journal of Preventative Medicine, 2001

    This review attempts to collect estimates of smoking prevalence among lesbian, gay, and bisexual people from the published literature and to compare with general population estimates. The reseach suggests that smoking rates are higher among adolescent and adult lesbians, gays, and bisexuals than in the general population and that steps should be taken to ensure representation of lesbians, gays, and bisexuals in tobacco-use surveillance and to collect data in order to understand the apparent high smoking rates in these groups.

    download file
  • Smoking Cessation Among Women with and at Risk for HIV: Are They Quitting?

    HIV-infected and at-risk women in this cohort have lower smoking cessation rates than the general population. Given the high prevalence of smoking, the high risk of adverse health events from smoking, and low rates of cessation, it is imperative that we increase efforts and overcome barriers to help these women quit smoking.

    download file
  • THE ECONOMIC IMPACT OF A SMOKE-FREE BYLAW
    ON RESTAURANT AND BAR SALES IN OTTAWA, CANADA

    The purpose of our study was to determine the impact of this smoke-free bylaw on the taxable sales
    of restaurants and bars in the city of Ottawa

    download file
  • The Outing of Philip Morris: Advertising Tobacco to Gay Men

    This case study describes the events surroundingthe first time a major tobacco company advertised in gay media and concludes that the tobacco industry relationship with the gay community is relatively undeveloped, leaving opportunity for early intervention (2003).

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  • The Toronto Rainbow Tobacco Survey:
    A Report on Tobacco Use in Toronto's LGBTTQ Communities

    The Toronto Rainbow Tobacco Survey (TRTS) gathered data from over 3,000 members of Toronto's LGBTTQ communities from April to July 2006, through outreach at LGBTTQ community events and through an online survey. Results were similar to other findings, with the LGBT population smoking at much higher rates. Recommendations include targeting tobacco control efforts at the LGBTTQ population, expanding treatment resources to address the most at-risk communities and conducting further research on the determinants of tobacco use among LGBTTQ communities.

    download file
  • Tobacco Control Needs in Colorado

    Tobacco Control Needs of the LGBT Community in Colorado - A Priority Population Statewide Needs Assesment conducted for Colorado STEPP in July 2002. This qualitative data was gathered in order to better understand the needs of the LGBT community in terms of reducing initiation of tobacco use by youth, promoting cessation among both youth and adults, reducing exposure to tobacco smoke and to inform the development of cessation programs.

    view link | download file
  • Tobacco Use Among Missouri LGBTQ 2009

    This report identifies significant tobacco-related disparities in Missouri's LGBTQ community and provides a broad description of the LGBTQ community with regards to tobacco issues.

    There is a higher rate of smoking and a lower rate of successful cessation. There is a lower level of knowledge of the harmful effects of smoking and exposure to secondhand smoke, and a general lack of awareness of evidence-based cessation treatment options.

    Unfortunately, there is also a significant lack of awareness of the disparities identified in this assessment. The LGBTQ community of Missouri is unaware of these disparities and the health impact of tobacco use.

    download file
  • Tobacco Use and Interventions among Arizona Lesbian, Gay, Bisexual, and Transgender People

    This study focuses on tobacco use and intervention strategies through surveys, interviews, and focus groups. It was funded by the Arizona Department of Health Services and sponsored by southern Arizona's LGBT community center, Wingspan.

    view link | download file
  • Tobacco Use and Readiness to Quit in Low Income HIV Infected Persons

    Jack E. Burkhalter, Carolyn M. Springer, Rosy Chhabra, Jamie S. Ostroff, Bruce D. Rapkin

    Nicotine & Tobacco Research, Vol. 7, Number 4 (August 2005)

    This article examines the impact of sociodemographic factors on smoking cessation such as HIV impact, age, income, drug use, etc.



    download file

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