Jiann-Ping Hsu College of Public Health 徐建萍公共卫生学院 A COMMUNITY HEALTH ASSESSMENT OF LGBT RESIDENTS IN LEXINGTON-FAYETTE COUNTY, KENTUCKY Jeff Jones, PhD 1 ; Vivian Lasley-Bibbs, MPH 2 ; Mark Johnson, MSSW; Patrick Chang, MPH(c) 1, and Ankit Bangar, MPH 1 1 Georgia Southern University Jiann-Ping Hsu College of Public Health, 2 Kentucky Office of Minority Health PURPOSE – To assess the health concerns of LGBT (lesbian, gay, bisexual, and transgendered) residents of Fayette County, Kentucky. Female55% Male44% Transgender (F2M)1% White84% Black7% Native American2% Asian American1% multi-racial2% other2% Latino/Hispanic3% Median Age39 years Veteran or Active Military6% % with a Bachelors Degree or Higher67% Median Household Income Range$40K - $50K FEMALESHomosexualBisexualHeterosexual Refuse to Identify All men11%89%0% Mostly men0% Both men and women58%39%0%3% Mostly women95%5%0% All women96%0% 4% MALESHomosexualBisexualHeterosexual Refuse to Identify All men98%0% 2% Mostly men91%9%0% Both men and women40%60%0% Mostly women0% All women0% Private, employer- provided73% Private, purchased directly5% Private, other4% Medicaid2% Medicare4% K-CHIP1% TRICARE1% Veterans Administration1% Public, other4% Uninsured8% Demographics Health Status and Access Prevention and Screenings Most Frequently Diagnosed Health Problems Lifetime Prevalence Sexual Behaviors, Health, and Identities Self-Reported Sexual Orientation by Genders of Sexual Partners Household’s Insurance (Respondents could choose more than one type of insurance.) Bacterial Vaginosis5% Chlamydia7% Gonorrhea6% Herpes3% HIV8% Syphilis2% Sexually Transmitted Infections Lifetime Prevalence Chickenpox (Varicella)50% Hepatitis A44% Hepatitis B55% HPV (Human Papillomavirus)12% Influenza68% Pneumonia24% Shingles (Herpes Zoster)10% Smallpox33% Vaccinations Physician -Seen for any reason in the past 5 years98% Dentist -Seen for any reason in the past 5 years94% Eye Exam -In the past 5 years88% Mammogram -Ever (women)66% PAP Smear -Ever (women)85% HIV Test -Ever (women)66% HIV Test -Ever (men)93% Anal PAP Smear -Ever10% Health Screenings EverPast 12 Months Physically hurt17%1% Physically hurt by spouse or intimate partner 7% Someone tried to hurt respondent19%1% Property vandalized21%3% Someone tried to vandalize property18%2% Employment discrimination (fired, refused to hire, etc.)17%6% Housing discrimination4%2% Refused service in a restaurant or store7%4% Denied membership in a church, club or other private organization11%2% Health care provider did not treat as well as heterosexual patients7%3% Ever Past 12 Months Attempted suicide21%14% Taken prescribed medications for Depression 37% Taken prescribed medications for Anxiety 21% Spoken with a therapist or counselor for a mental health issue 25% Spoken with a minister, rabbi, priest, or other clergy member about a mental health issue 3% Past 2 Weeks Felt down, depressed or hopeless at least one day60% Mental Health Ever Past 30 Days Tobacco48%18% Alcohol98%77% Marijuana70%16% Prescription drugs to get high26%5% Injectible drugs to get high5%0% Cocaine24%1% Methamphetamines12%0% In a monogamous relationship Outside of a monogamous relationship MalesFemalesMalesFemales Any type of sex41%54%51%13% Oral sex without a condom41%36%52%13% Vaginal-penile sex without a condom6%11%4%6% Anal sex without a condom34%6%29%4% Shared sex toys7%17%12%6% Met someone via the Internet or a chat app for sex1%4%40%5% Sexual Behaviors Substance Use Sexual Orientation or Gender Identity Discrimination Limitations These results reflect a convenience sample of 270 Fayette County residents collected primarily through a snowball technique using social media (Facebook, lists, etc.). We excluded 62 of the original 270 respondents from the results presented here because these 62 individuals identified as heterosexual AND reported no same-sex sexual partners. The resulting 208 respondents are likely non-representative of the LGBT population as a whole in Fayette County. Respondents report they are older and better educated than the county’s 2010 Census total population. CONCLUSIONS – Respondents’ data reveal a diverse LGBT population encompassing the range of educational backgrounds, incomes, and household structures found in heterosexuals. The most commonly reported health issues include ones often reported similar, aging populations. A minority of respondents, however, report experiencing discrimination and violence. Mental health issues also affect almost half of respondents. These findings point to the need for mental health and senior services sensitive to LGBT individuals and families. METHODS – Researchers conducted eight focus groups with LGBT residents as exploratory research. From this initial research we developed an online survey asking about health care access, health screenings, and health status. Researchers sought participants via various social media and local community lists. RESULTS – In addition to the eight focus groups, 270 individuals responded to the survey. Respondents represent a convenience sample and are thus unlikely to be representative of the local LGBT population as a whole. Respondents in fact report a higher median age, income, and education that the Fayette County population as a whole. Ten percent, however, are uninsured. The most common reported health conditions are depression (49%), high blood pressure (34%), high cholesterol (33%), anxiety disorders (28%), and arthritis (22%). Nearly a fifth of respondents reports experiencing discrimination in employment. Eight percent reports discrimination from a medical professional. One in six respondents has been physically hurt by someone targeting the respondent’s sexual orientation.