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Overview Introduction to LGBTQ Limitations Assessment Methods Analytical Approach Findings: Emerging Themes Forces and Trends Suggestions
Estimated LGBTQ Population
5-10% of the population– How do we measure youth?
What are we trying to measure?– Persons self-identifying as LGBTQ– Persons defined by:
• Behavior• Attraction
Demographics of Humboldt Park
Race/Ethnicity PercentageHispanic 48Asian .4Black 47.4White 3.3Other .3Multiple .6
Health Status Index Series Vol XVI No V, pg. 55
Latino LGBTQ in the US
Of all Latino Same-Sex Couples:– 45% Mexican– 9% Puerto Rican
Negron-Muntaner, Frances and Antonio (Jay) Patrana Jr. (2010). Ahora: The Stateof the LGBT Latino Communities. Hispanics in Philanthropy.
Public Health Significance:LGBTQ Youth in Humboldt Park
Known marginalizedpopulation
Sexual and racialminorities
Proven healthdisparities
Presence ofpopulation
Images from QueerProm
Limitations in Data Collection LGBTQ data not collected in US Census
information Reliance on estimates Difficulties in identifying LGBTQ (attraction,
sexual behaviors, freedom of expression) Focus on health issues mainly around
HIV/AIDS, restricted to gay/bisexual malelevel data
Unit of analysis: Lacking community leveldata
Methods Existing secondary data sources Windshield assessments Key informant interviews Partnership high school survey (n=9) Participant observation
– informal interviews Community mapping
Quantitative Data
NAME OF STUDY # OF PARTICIPANTS (N)
Proyecto Latina(Amigas Latinas Survey) N=300
2007 US Youth Risk Behavior(YRBSS) N=14,041
2007 Chicago Youth Risk Behavior(CPS YRBSS)
N= 1,118Heterosexual =951
Bisexual=46Gay/Lesbian=32Questioning= 37
National vs. Chicago YRBSS
CPS students reported they were lesslikely to:– Drink alcohol and drive a vehicle– Smoke or use tobacco products– Use alcohol or drugs before intercourse
National vs. Chicago YRBSS cont.
Students in Chicago Public Schools(CPS) reported they are more likely to:– Not attend school due to safety concerns– Be threatened with a weapon– Be injured in a physical fight– Be physically forced to engage in sexual
intercourse
Leading Causes of DeathAges 15-24 for Chicago 2004
RANK HISPANIC MEXICAN PUERTO RICANNON-HISPANIC
BLACK ALL GROUPS
1 Homicide (54) Homicide (9) Homicide (9) Homicide (184) Homicide (253)
2 Accidents (25) Accidents (21) Accidents (3) Accidents (52) Accidents (119)
3 Suicide (5) Suicide (4) Suicide (1)Heart Disease
(14)Heart Disease
(20)
4 Cancer (4) Cancer (3) * Suicide (8) Suicide (16)
5 Heart Disease (2) Heart Disease (2) * Cancer (6) Cancer (13)
6 Tuberculosis (1)Influenza &
Pneumonia (1) *Chr. Lwr. Resp
Dis (5)Chr. Lwr. Resp.
Dis (6)
7 Influenza & Pneumonia (1)Congenital
Abnormalities (1) *Influenza &
Pneumonia (3)Influenza &Pneumonia
8Congenital Abnormalities
(1) * * Septicemia (2)Congenital
Abnormalities (3)
9 * * * HIV (2) Septicemia (2)
10 * * * Diabetes (2) HIV (2)
Bocskay KA, Harper DM, Thomas SD.Hlth Index Series: Vol. XV No. IVChicago, IL:CDPH, Dept. of Epidemiology, 2005.
Chicago YRBSS: Demographics Stratified by Sexual Orientation
Chicago YRBSS 2009; compiled by Child Health Data Lab, Children's Memorial Hospital
Qualitative Methods
Participant Observation with focus group atpartnership high school LGBTQ group
(n = 5-9) Survey given to partnership high school group Key Informant Interviews (n = 7)
– 6 Community leaders and 1 medical provider Windshield Assessment
Partnership High School:LGBTQ Group Findings School-wide survey (106 students)
– 88 straight– 7 gay/lesbian– 9 bisexual– 0 transgender– 2 unsure
Partnership high school group:– Participatory research
• attended 7 group meetings– Surveys (n=9)
Class met twice a week:– ~ 7 members from partner school– Majority identified as bisexual or lesbian,
mostly young women
LGBTQ Identify Issues Perceived perceptions:
– Women– Latina women ALL NEGATIVE– LGBTQ
Community, peer and family issues with sexuality:– Often negative, not accepting– Passive acceptance
Issues of identity – “need” to label oneself based onsexuality:– Different perceptions/beliefs within LGBTQ community– Lack of support for bisexuality even within LGBTQ
community
Educational Activities Local HIV/AIDS organization conducted a sexual
education session for the group– Shared a variety of contraceptive /safe sex materials (condoms,
female condoms, dental dams)– Allowed time for students to discuss, share and ask questions,
safe, open and comfortable setting– Reported little sexual education regarding HIV/AIDS and STI’s prior
to session
Created handouts regarding health issues among LGBTQindividuals– smoking, mental health issues, access to care, etc.
Importance on acceptance and respect- Reaching straight peers- Understanding challenges people face in coming out and feelingcomfortable in their community
Advocacy Students prepared for annual ‘Day of Silence’ event
– Dedicated to hate crime victim Jorge Lopez Mercado– Raised awareness about anti-LGBTQ bullying and
harassment in schools– Created posters, handouts, announcements and
ribbons for the event– Shared information on bullying and hate crime
statistics in U.S., Chicago and Puerto Rico
Survey: Bullying
5 out of 9 felt it was an issue 4 out of 9 had personal experience with
anti-LGBTQ bullying/harassment 7 out of 9 had seen someone bullied
Forms of bullying– Name-calling– Unnecessary comments– Harassment/comments
Survey: Places in the community for LGBTQPlaces students feltcomfortable being openlyLGBTQ:
• Home• School• Downtown• Personal room• The park• Street• Best friend’s home• Partner’s home• Neighborhoods in city• Local cafe
Places students feltunwelcome:
• Home• Library• Some family’s homes• Church• Restaurants• Shoe stores• Places with men (ie: bballcourt)• Museums with kids• Hospitals• Barber shop• Local activities/events
LGBTQ Support Group at PartnershipHigh School
5 of 9 stated it was very important tohave time to learn about LGBTQ issuesand share feelings/thoughts
7 of 8 felt class was very important
7 of 8 felt class important to help thembetter understand and be proud ofthemselves
Key Informant Interviews: Pridein Identity Embracing sexual
identity– “I’m a queer Puerto
Rican y que!” Family
– Source of pride andanguish
Heritage– Source of pride and
adversity
Mural in Humboldt Park
Key Informant Interviews:Environment in Humboldt Park LGBTQ Presence
– Pioneers pave path forsafety and acceptance
– Role models– Paseo Boricua Pageant:
“Cacica Queen”– Boricua Pride– New homeless shelter– New social/educational
program
Homophobia– “Fag to Fag”– “Get boys to work for
them and they come outas little girls.”
– “You deserved it (HIVpositive) for sleepingwith men.”
– “You’re a man! You’rea man! You’re a man!”
– “There is much violencein this neighborhood,some gay related.”
Key Informant Interviews: CommunityBuilding and Recognition Preventing appointment
of perceivedhomophobic Alderman
Boricua Pride fundraiserat Institute of PuertoRican Art and Culture
Boricua Pride Vigil for Jorge Steven
Lopez Mercado
Participant during the vigil for Jorge StevenLopez Mercado
Key Informant Interviews: ServicesNeeded for LGBTQ Youth Drop-in Centers – “Out and Proud” A community center Transgender focused organizations Organizations without HIV/AIDS association Sexual & reproductive health for LGBTQ
Youth participating in a fundraiser for Ambiente del Paseo’s new campaign, “Mas Color, Mas Poder,” whichwas launched to raise awareness of homophobia and transphobia in Humboldt Park. La Voz del PaseoBoricua, June 6, 2008.
Analytical Approach Mixed methods: identifying relationships Quantitative
– secondary: data statistics– primary: mapping, survey information
Qualitative – primary: interviewing,observation– ATLAS.ti®
Theme #2: Identity
Identity
Perceptions
Culture,Gender, andOrientation
More Youth ‘Out’and Comfortable
Identity is integral inunderstanding LGBTQ youth.
Theme #3: Access to Resources
Access to Care& Resources
SocialNetworks
PowerDynamics
Limited Outletsfor Activity
Access to care and resources forLGBTQ youth are slow to gain.
Theme #4: Health Needs
Health Needs
OrganizationsEmphasize Needs
in Services
SocialSupport
Potentiality forRisky
Behaviors
Health needs for LGBTQ youthinclude greater education, focusing
on sexual behaviors and mentalhealth.
Forces and Trends
Chicago Public SchoolClosures on the West side
Economic Recession Anti-Violence Resolution National Battle --> Same Sex
Marriage Immigration/Migration Latino Unification Generational Transition IL SB 3266--Illinois Prevent
School Violence Act
Crowned Cacica Queen of 2008
Suggestions Promote ongoing efforts of in-place community
programs Increase data collection Enumerate the LGBTQ population Educate providers Create additional housing and social services Maintain and expand a comprehensive list of
resources Advocate for LGBTQ policy Destigmatize mental health Build more LGBTQ networking among the youth