This is a resource for members of the LGBTIQ Community and allies. I hope that this helps others who are seeking resources and support that they have not found in their geographical community.
This is a private blog and not affiliated with any organization or company. Be Sure to check back to the static pages, as I add new resources frequently.
Here are some resources to help you.
story short we are all pushing for and/or understand the importance of
comprehensive inclusion of LGBT communities in all surveillance instruments
through sexual orientation and gender identity measures. Currently the Health
Information Technology Policy Committee is seeking comments on supporting the
sexual orientation and gender identity data collection in Stage 3 Meaningful
the Close of Business day we are hoping to get as many CEO’s and Directors of
Organizations, Foundations etc. to sign on to a letter developed by the Fenway
Institute and the Center for American Progress.
Gustavo Torrez | Program Manager, The Network for LGBT Health Equity. The Fenway Institute | Fenway Health, AnsinBuilding,
8th Floor, 1340 Boylston Street
| Boston, MA 02215 voice: 617.927.6451 | fax: 617.267.0764 www.lgbthealthequity.orgwww.thefenwayinstitute.org
Anyone else read the recent publication "Mortality
attributable to smoking among HIV-1-infected individuals" in Clinical
A summary from AIDSmap.com is included at the bottom for
those without academic journal access.
The main figure: Number of Life-Years Lost:
HIV among never smokers: 5.1
(never smoking HIV patients vs never smoking controls)
Smoking among controls: 3.6
(comparing smoking HIV-neg to never smoking HIV-neg)
moking among HIV patients: 12.3
(comparing smoking HIV+ to non-smoking HIV+)
this number is pretty shocking, I find some of the methodology suspect (though
I'm no biostatistician - correct me if I'm wrong).
I don't exactly know how the number of life years
lost due to smoking could be so different for HIV+ and HIV- groups (12.3 YLLs
vs 3.6 YLLs) without an interaction between smoking and HIV (or, alternatively,
a very important confounding variable). But they write: "One might
speculate that smoking could have a synergistic rather than additive
effect on inflammation in HIV-infected individuals, but we found no
interaction between HIV and smoking in the associated risk of death."
Also, look at table 2 - there's such drastic
differences in AIDS related mortality for smokers and nonsmokers (considerably
more than the disparities in cardiovascular disease), and previous smokers are
similar to current smokers rather than non-smokers. To me, this suggests that
there are SES or demographic differences between smokers (past or present) and
non-smokers that this study is not controlling for that impact access to and
retention in care, health behaviors more broadly, etc.
Just wanted to through my 2 cents out there. Interesting
work, and I'm glad its being read and forwarded.
- Sam Bakkila
Published: 31 December 2012
Much of the increased mortality seen in patients with HIV can be attributed to
smoking, Danish investigators report in the online edition of Clinical
Infectious Diseases. “The loss of life-years associated with smoking was larger
than that associated with HIV,” write the investigators. The authors believe their
findings have important implications for HIV care, showing the importance of
smoking cessation counselling and support.
Thanks to antiretroviral therapy, the prognosis of many HIV-positive patients
is now excellent. Rates of HIV-related illnesses and deaths have fallen
dramatically since the mid 1990s, meaning that lifestyle-related factors are
now a major cause of morbidity and mortality in HIV-infected individuals.
A number of studies have shown that HIV-positive individuals are more likely to
smoke than their HIV-negative peers. Illnesses that are potentially related to
smoking, such as cardiovascular disease and cancers, are being seen with
increased frequency in HIV-positive patients. The role of smoking and other
potentially modifiable risk factors is currently unclear.
Investigators from Denmark therefore designed a study to evaluate the effect of
smoking on mortality among patients with HIV. They also compared the risk of
death and loss of life-years associated with smoking with the risk associated
with HIV-related factors.
The study population involved 2921 adults who received HIV care between 1995
and 2010. Injecting drug users were excluded from participation. The
HIV-infected patients were matched with 10,642 controls.
Both the patients and the controls were followed for a median of four years.
Among HIV-positive patients, 47% were current smokers, 18% were former smokers
and 35% had never smoked. The corresponding rates for the controls were 21%,
33% and 47%.
The excess mortality rate for HIV-positive current smokers (compared to
HIV-positive patients who had never smoked) was 18 per 1000 patient years. The
corresponding rate for the HIV-negative controls was 5 per 1000 patient years.
The risk of non-HIV-related death was five-fold higher for current smokers
compared to HIV-infected patients who had never smoked. HIV-positive patients
who were current smokers also had a four-fold increase in their risk of
The risk of death due to cardiovascular disease was approximately two times
higher for HIV-positive current smokers compared to HIV-positive non-smokers.
Current smokers were also three times more likely to die of cancer.
Smoking had a significant impact on the life expectancy of HIV-positive
The authors calculated that 35-year-old non-smokers had a life expectancy of 78
years. This compared to a life expectancy of 69 years for former smokers, and a
life expectancy of just 63 years for current smokers.
“Our finding of lower mortality among previous compared to current smokers
emphasizes the importance of counseling HIV patients onsmoking cessation,”
comment the researchers.
They calculated that the HIV-positive patients lost five years of life
expectancy due to their HIV infection and that twelve life years were lost
because of smoking.
“The loss of life-years associated with smoking was larger than that associated
with HIV,” write the investigators. “HIV-infected smokerswith long-term
engagement in care lose more life-years to smoking than HIV.”
Helleberg M et al. Mortality attributable to smoking among HIV-1-infected
individuals: a nationwide population-based cohort study. Clin Infect Dis,
online edition. DOI: 10.1093/cid/cis933, 2012.
Removes Ban on Blood Donations by Gay and Bisexual Men
According to the Advocate
on December 28, 2012, a procedural change in Mexico went into effect on
December 25th, which lifts the country’s two-decade old ban on blood donations
by gay and bisexual men. The new policy instead bans donations from people with
HIV or hepatitis and their partners—regardless of sexual orientation—who engage
in “risky” sexual practices.
Judge Ordered Alabama to Stop Segregating Prisoners Living with HIV
According to Fox
News on December 21, 2012, a federal judge issued a permanent
injunction ordering Alabama to stop segregating prisoners living with HIV, a
practice that violates the Americans with Disabilities Act (ADA). The
injunction ordered the Alabama Department of Corrections to end its
discriminatory practices against prisoners living with HIV, including housing
them separately from all other prisoners, excluding them from work-release jobs
in the food industry, and a number of other rehabilitative, educational, trade
skills and vocational programs. "Today's decision is historic. It spells
an end to a segregation policy that has inflicted needless misery on Alabama
prisoners with HIV and their families," said Margaret Winter, associate
director of the American Civil Liberties Union National Prison Project and lead
counsel for the plaintiffs.
Abstracts: GLMA’s 31st Annual Conference
GLMA invites you to be a part of the premier LGBT health conference by
submitting an abstract for this year’s Annual Conference in Denver, CO (Sept
18-21, 2013). GLMA’s Annual Conference educates health professionals and health
profession students about the unique health needs of LGBT patients. The
conference is a forum for discussion and exploration of how best to address
these needs as well as the needs of LGBT health professionals and health
This year’s conference will place a special emphasis on the role of health
professionals in promoting positive, healthy LGBT communities. GLMA encourages
the submission of abstracts that explore avenues for optimizing health through
effective social supports and wellness, maintaining and improving function and
reducing disparities in LGBT communities.
For more on GLMA’s 31st Annual Conference and how to submit an abstract, please
here. Abstracts are due by March
of Environmental and Public Health
We have a need to publish data relevant to the sexual and gender minority
population and the Journal
of Environmental and Public Health has issued a special issue on
sexual and gender minority health. Manuscripts for this Special Section are due
January 25, 2013. Contact Dr.
McElroy, lead guest editor, with any questions. For more information on the
Call for Papers, please click here.
Manuscripts for Literature Review
Seeking unpublished manuscripts, in press articles and data reports about
weight-related issues among lesbian and bisexual women for a comprehensive
review of the literature funded by the Office on Women's Health. We are a
collective of five projects nation-wide developing and testing interventions to
improve health among lesbian and bisexual women who are at risk for
weight-related health problems and would like to be in touch with anyone doing
this type of research. Please contact Mickey
Eliason if you are interested.
Save-the-Date for GLMA in Los Angeles
Join GLMA members in Southern California for a reception to support LGBT health
equality! The reception will take place the evening of Saturday, February 2,
2013, in Los Angeles, CA. Click
here for more information!
LGBT Inaugural Celebration of Barack Obama & Joe Biden
Building on the tradition begun in 1993, the LGBT community celebrates the
Inauguration. Join the HRC and many community sponsors for this historic
evening celebrating the Inauguration and the successes around the nation. The
event will include live musical performances, celebrity guests, dancing,
cocktail buffet and premium open bar.
Monday, January 21, 2013
8:00pm - 1:00am
The Mayflower Renaissance Hotel
Washington, DC 20036
To purchase tickets, click here or call Box office
Tickets at (800) 494-8497.
GLMA is proud to be a community sponsor of this
Table of Contents Survey
of LGBT Student Experiences at Academic Medical Centers
The Vanderbilt Program for LGBTI Health is conducting an anonymous survey of
lesbian, gay, bisexual, and transgender (LGBT) experiences of students at
academic medical centers. Specifically, we are interested in the experience of
bias, discrimination and/or harassment due to sexual orientation and gender
identity. Survey participation is completely voluntary and anonymous, and
survey participation will imply informed consent.
The survey includes questions assessing instances of discrimination/harassment
of LGBT individuals at your medical center and the level of support available
for LGBT students and employees. The survey should take about 15 minutes to
complete and participation in the survey is voluntary. The survey is
confidential and responses will be stored in a secure database with access
restricted to Dr. Jesse Ehrenfeld, Kristen Eckstrand and Minoo Sarkarati. Click here to
complete the survey. If you have any questions or concerns, please contact the
study PI Minoo Sarkarati.
Table of Contents
GLMA’s LGBT Health Digest is an electronic
newsletter with information and resources for health professionals concerned
about the health of lesbian, gay, bisexual and transgender (LGBT) populations.
The Digest highlights issues, events,
publications and other newsworthy items pertinent to LGBT health. Please feel
free to circulate the Digest to your
To sign up, send your request to email@example.com. Also, to submit an item to be considered for
publication in the Digest, please
send your request to Emily Kane-Lee at firstname.lastname@example.org