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Session Title: Monitoring and Promoting LGBTQ Health Through Evaluation
Multipaper Session 207 to be held in Capitol Ballroom Section 6 on Thursday, Nov 6, 9:15 AM to 10:45 AM
Sponsored by the Lesbian, Gay, Bisexual, Transgender Issues TIG and the Health Evaluation TIG
Chair(s):
Steve Fifield,  University of Delaware,  fifield@udel.edu
Inclusive Service Provision for Sexually Diverse Populations: Surveying Staff as a Tool for Sensitization
Presenter(s):
Shelly Makleff,  International Planned Parenthood Federation,  smakleff@ippfwhr.org
River Finlay,  International Planned Parenthood Federation,  rfinlay@ippfwhr.org
Stephanie Chamberlin,  International Planned Parenthood Federation,  schamberlin@ippfwhr.org
Abstract: International Planned Parenthood Federation/Western Hemisphere Region (IPPF/WHR) launched a series of projects in 2004 to address the sexual and reproductive health (SRH) needs of sexually diverse (including gay, lesbian, bisexual and transgender) populations throughout Latin America. Strategies involve the use of tools to assess attitudes, define needs, and develop institutional priorities. Tool implementation among IPPF/WHR member associations revealed an unanticipated outcome: the act of tool completion itself served to sensitize staff to issues of sexual diversity, by instigating dialogue and posing questions that were new to participants. This process facilitated reflection of assumptions around client sexual behavior and reproductive intentions--assumptions that affect quality of care and client-provider interactions. This session will describe programmatic and institutional uses of tool implementation and findings. Evaluation tool implementation is one of many strategies to facilitate provision of high quality and non-judgmental services for all clients.
A Dangerous Combination: How Policy and Methodological Challenges Perpetuate Health Disparities in Lesbian, Gay, Bisexual and Transgendered Populations
Presenter(s):
Kari Greene,  Program Design and Evaluation Services,  kari.greene@state.or.us
Abstract: Researchers and evaluators face numerous methodological challenges when examining lesbian, gay, bisexual and transgender (LGBT) health issues. These challenges are exacerbated by multi-level structural and political barriers specific to LGBT communities, resulting in a dearth of national and local research and evaluation on LGBT health issues. A review of the extant literature reveals health disparities for LGBT populations for a number of health indicators, yet structural barriers exist on multiple levels to further examining, addressing and ameliorating those disparities. This session will examine four key methodological challenges related to evaluating and researching LGBT populations and health issues. Furthermore, key policies, practices and structural issues that impact the health of LGBT populations will be explored. Through a multi-level examination of these factors, attendees will gain knowledge the hidden and overt barriers to improving health outcomes for LGBT communities.
Smoking Prevalence and Cessation among Lesbian, Gay, Bisexual, and Transgender Arizona Residents
Presenter(s):
John Daws,  University of Arizona,  johndaws@email.arizona.edu
Abstract: In Arizona, tobacco is a particular problem for the lesbian, gay, bisexual, and transgender (LGBT) community. Compared to heterosexual residents, LGBT Arizonans have a higher prevalence of current smoking, are younger when they initiate smoking, smoke more cigarettes per day, and are less likely to be ex-smokers. Recently, however, the number of LGBT smokers who participate in state-run cessation programs has increased. Success in quitting has also recently increased: in the past fiscal year, the quit rate for LGBT clients (18%) was significantly higher than that for heterosexual clients (12%). This paper will describe differences between LGBT and heterosexual smokers, and how these differences affect cessation success. Absent from this paper will be information about tobacco use among LGBTQ youth in Arizona. None of the three surveillance instruments which monitor youth smoking (and other substance use) include sexual-orientation questions. This paper will discuss strategies for evaluating the youth tobacco problem.

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