Wednesday, March 24, 2010

FDA Champions Youth In New Rule

Both of my parents smoke. Their brand of choice is Marlboro. Back in the day in the 1980s my parents took advantage of the "Marlboro Mile" program to accumulate free knick-knacks with the Marlboro logo on it. My parents spent so much money on cigarettes and we were poor. Why not fill the house with free Marlboro mugs and other accoutrements? We had every conceivable item, including Marlboro logoed camping tents that we pitched in the living room. Every day I had an added reminder that cigarettes existed. I was given the message that smoking and heavy smoking won you cool stuff.

I didn't pick up smoking, but my other siblings did. Only one of my siblings has broken free of the habit.

My family's experience is not an isolated one. Big Tobacco has its hooks in our youth, particularly our LGBT youth. Every day nearly 4,000 kids under 18 try their first cigarette and 1,000 kids under 18 become daily smokers. National youth smoking rates range from 28% to 35% for adolescents. The numbers are even bleaker for LGBT youth in California. Fully 43.7% of them smoke! LGBT youth smoke for so many reasons, principally out of a sense of alienation at being gay in an antigay world. The tobacco companies have pounced on LGBT youth insecurity and vulnerability in their marketing efforts at youth generally. It is a moral horror.

Enter the feds in white hats. Recently the U.S. Food and Drug Administration (FDA) issued a final rule banning numerous Big Tobacco practices impacting our youth. The rule is a creative and comprehensive effort to protect our youth that will save many LGBT youth as well from picking up the deadly tobacco habit.

Most of the rule reinstates a 1996 rule that was overturned by the U.S. Supreme Court in 2000. The Supreme Court stated that the FDA overstepped its powers because they did not have the authority to regulate tobacco. Congress licked that problem in 2009 with passage of the Family Smoking Prevention and Tobacco Control Act.

The FDA bans a good number of practices. They ban tobacco sales to minors, sales of cigarettes in less than 20-pack size, sample giveaways, and tobacco sponsorship of sports, music and other events. Those provisions were in the old 1996 rule and were in part adopted by the tobacco companies in the Master Settlement Agreement. The rule bans other things including sales of cigarettes and smokeless tobacco in vending machines and self-service displays, music and sound effects in audio tobacco ads, and sale or distribution of items like hats and t-shirts with tobacco brands or logos. A controversial part of the rule is the mandate that most tobacco advertising and labeling be displayed only in black text on a white background. The tobacco companies have rushed to sue over this provision. Stay tuned.

Let's hope the FDA's action will be but one step in the fight against Big Tobacco's targeting of our youth. Then we can send that Marlboro camping tent and the bag of "goodies" inside of it to the wilderness.

Stay in Touch

Keep track of the work Butt Out is doing by going to our website (www.butt-out.org/), friending us on Facebook (butt-outsanfrancisco) or by connecting with us on Twitter (twitter.com/buttoutsf).

Butt Out is a project of Breathe California, funded by the San Francisco Tobacco Free Project, which works to get tobacco money out of LGBT community organizations in San Francisco. We also educate the public about the hazards of smoking and about smoking cessation.

Thursday, March 18, 2010

Iowa Hate Group Claims Same-Sex Marriage is Worse than Smoking

You read that right. An anti-gay organization in Iowa called the Iowa Family Policy Center is saying that same-sex marriage is worse than smoking. This claim not only comes from left field but is appalling in the face of statistics on smoking showing the deadly toll of smoking on the population. As mentioned before in this blog, smoking kills more people than murder, suicide, traffic accidents, drugs and alcohol combined!

The lack of sensitivity and understanding is incredible. Just listen to what the president of the group, Chuck Hurley, has to say:

“The Iowa Legislature outlawed smoking in an effort to improve health and reduce the medical costs that are often passed on to the state. The secondhand impacts of certain homosexual acts are arguably more destructive, and potentially more costly to society than smoking.”

The "secondhand impacts" that Hurley refers to deals with a U.S. Centers for Disease Control report that showed gay men have higher rates of HIV and syphilis. Hurley claims that giving same-sex couples the right to marry will increase the rates of HIV and syphilis in Iowa.

Penalizing gay people and withholding their rights stigmatizes people. Many new transmissions of HIV and syphilis happen to people who do not know their status. People in loving married couples can draw on family and community support to empower themselves and seek the knowledge and services necessary to remain HIV negative or to seek treatment if they become HIV positive. Witholding civil rights like marriage exacerbates the rate of infection.

The comment about smoking calls for special attention. Smoking kills people on a massive scale. I learned recently that one third of the world's population smokes. Smoking causes disease in about half of smokers. Tobacco is the only product marketed that kills its users when used as directed. One cannot ignore the terrible swath of destruction that smoking has blazed in our lives.

Compare that to same-sex marriage or to marriage in general. Marriage solidifies the love and commitment of two people. Their lives are intertwined and strengthened by the union. Our society strongly sanctions marriage. Everyone from our immediate families to the IRS gives support to married couples. Marriage is a stabilizing force in people's lives that positively impacts gay lives as well as straight lives. The comparison to smoking completely falls flat in the face of the benefits of same-sex marriage in the lives of LGBT people and in the community at large. Just listen to Butt Out coordinator Brian Davis describing his marriage with his husband Ted and the comparison to smoking:

"My 22 years with Ted has invigorated my life. Smoking destroys life. Getting married brought me and Ted closer together. Tobacco tears families apart forever through death and disability. There is no comparing same-sex marriage and smoking."

Let's tell the haters in Iowa to get their facts and their values straight. Same-sex marriage is a bond that shines. Smoking casts a heavy pall on all of us.

Stay in Touch


Keep track of the work Butt Out is doing by going to our website (www.butt-out.org/), friending us on Facebook (butt-outsanfrancisco) or by connecting with us on Twitter (twitter.com/buttoutsf).

Butt Out is a project of Breathe California, funded by the San Francisco Tobacco Free Project, which works to get tobacco money out of LGBT community organizations in San Francisco. We also educate the public about the hazards of smoking and about smoking cessation.

Wednesday, March 10, 2010

Smoking Triggers Recurrence of Cancer in HIV+ People

Smoking negatively impacts the health of people with HIV. People with HIV have weakened immune systems that are bolstered but not completely bolstered by life extending anti-viral medication. Smoking makes it harder to fight off HIV related illnesses, especially those dealing with the lungs. The damaging effects of smoking on HIV+ people is illustrated by the results of a recent study looking at the effects of smoking on the recurrence of head and neck cancer.

Some HIV+ people contract the human-papillomavirus (HPV). HPV can cause head and neck cancer. It is possible for HIV+ people to fight off the illness and put the cancer into remission. That time free from cancer can be cut short because of smoking.

University of Michigan Medical School in Ann Arbor scientists looked at 124 patients who were treated at the University of Michigan for squamous cell carcinoma of the oropharynx. They compared rates of recurrence in HIV+ people who smoked compared to those who did not smoke. Overall, 82.3% had HPV-positive tumors. Among these patients, only 32.3% had never used tobacco. Current smokers were more than five times more likely to have a recurrence!

The cancer can be caused by HPV negative and positive viruses. Among those with HPV-positive tumors, the rate of recurrence was highest among current tobacco users (34.8%), followed by former users (19.6%) and those who had never used tobacco (6%). The recurrence rate among patients with HPV-negative tumors, who had all used tobacco at some point, was the highest at 50%.

The investigators noted potential limitations in the statistical analysis for the study, which included two different cohorts that differed in gender distribution, HPV-positivity, treatment regimens, and follow-up times.

Stay in Touch

Keep track of the work Butt Out is doing by going to our website (www.butt-out.org/), friending us on Facebook (butt-outsanfrancisco) or by connecting with us on Twitter (twitter.com/buttoutsf).

Butt Out is a project of Breathe California, funded by the San Francisco Tobacco Free Project, which works to get tobacco money out of LGBT community organizations in San Francisco. We also educate the public about the hazards of smoking and about smoking cessation.

Wednesday, March 3, 2010

Brian Davis Goes 'Out in the Bay'

Last Thursday Butt Out's Brian Davis had an exciting interview on "Out in the Bay," an LGBT themed show on KALW 91.7 FM. You can listen to the show on www.kalw.org. He talked about the problem of LGBT smoking, how the tobacco companies target the LGBT community, the special impact of smoking on LGBT youth and the work that Butt Out is doing to fight the tobacco companies in the community.

Brian entered the interview with a lot of passion. Brian is personally motivated to do anti-tobacco advocacy. He has asthma and chafed as a child at having to inhale the smoke from his father's cigarettes. He was also pained to see his father try over and over again to quit his two pack a day habit. Brian had a lot to offer on the interview that came from a personal place.

Brian highlighted a number of powerful considerations in the fight against big tobacco.

Smoking is a Highly Prevalent Killer in the LGBT Community

LGBT people smoke more than straight people - two times more. Gay men smoke 50% more than straight men in California. Lesbians smoke three times more than straight women. LGBT people also start smoking younger than straight people, at ages 14 or 15. Some research indicates that it is significantly harder to quit smoking if a person starts smoking before age 18. The smoking rates are hard to hear considering that tobacco kills more people than murder, suicide, traffic accidents, drugs and alcohol combined! LGBT people are disproportionately counted in the 400,000 tobacco deaths every year in the United States.

Smoking Hits LGBT Youth Hard

Brian discussed the troubling problem of LGBT youth smoking. Fully 43.7% of LGBT youth smoke in California - nearly half of the LGBT youth population! A 2006 University of Minnesota study highlighted some of the reasons why. Many youth suffered trauma, abuse and ostracism from their homes and communities for being gay. Smoking is a way to escape the pain and make friends. "Do you have a light" is a conversation starter for the young LGBT person searching for community. Brian emphasized that the the community needs to take steps to change its face with respect to smoking so that LGBT youth have different models to emulate in their behavior. Brian pointed to Butt Out's Grim Reaper event as an example of the community coming together against tobacco. The Grim Reaper event was a bit of street theater in the Castro where the tobacco "Grim Reaper" was chased out of the neighborhood. The LGBT community needs to do more to steer LGBT youth down the right path.

The Tobacco Companies Target the LGBT Community

While still reticent to embrace a highly stigmatized community, tobacco companies have targeted the LGBT community in an effort to turn our community's fierce brand loyalty into equally fierce addiction. The tobacco companies have used advertising as a weapon in their arsenal. Genre magazine in 1992 published the first pro-gay tobacco ad. Since then the tobacco companies have put out ads purporting to support gay rights even as they push cigarettes on gay people. One recent ad in fact equated the freedom to marry with the freedom to inhale tobacco smoke. Brian expressed his shock at the demeaning of our struggle for equality as well as at the hypocrisy of an industry that supports conservative politicians as well as LGBT organizations.

Butt Out Works with LGBT Organizations to Combat Big Tobacco

Brian pointed out that tobacco companies try to garner support in the community by giving money to LGBT organizations. They try to leverage the good will of the organizations to make themselves look good. The support is inch deep - they spend more money advertising the fact that they support LGBT organizations than actually funding LGBT organizations.

Butt Out is inoculating the LGBT community against tobacco company machinations by getting organizations to spurn tobacco funding and adopt tobacco-free funding policies. The work is hard to do in these difficult funding times. Brian pointed out that companies can see the justice of Butt Out's position by considering whether they would take money from a company whose product gave AIDS to half its consumers. An organization should consider taking tobacco money as unconscionable as taking money from the hypothetical company.

Butt Out can point to some successes in its work. 20 Bay Area based LGBT organizations have tobacco-free policies, including the National Center for Lesbian Rights and San Francisco Pride. All LGBT politicians in the Bay Area such as Mark Leno have pledged not to accept campaign donations from tobacco companies. Butt Out continues to raise consciousness in community organizations and add to the community of groups rejecting tobacco funding.

Stay in Touch!

Stay tuned to this blog for more news of Butt Out community activism, interviews and events.

Keep track of the work Butt Out is doing by going to our website (www.butt-out.org/), friending us on Facebook (butt-outsanfrancisco) or by connecting with us on Twitter (twitter.com/buttoutsf).

Butt Out is a project of Breathe California, funded by the San Francisco Tobacco Free Project, which works to get tobacco money out of LGBT community organizations in San Francisco. We also educate the public about the hazards of smoking and about smoking cessation.