Colorado lgbt data scan final 10 14-11

DATA SCAN: THE HEALTH OF THE
LESBIAN, GAY, BISEXUAL, AND
TRANSGENDER COMMUNITIES IN
COLORADO

Indira Gujral, PhD
Colorado Department of Public Health and Environment
Data Partner: ONE Colorado
September 8, 2011

Table of Contents
 Elevating LGBT health in the United States
 Overview of Survey Sampling
 Health of LGBQ Youth: data from the 2009 Boulder
County Youth Risk Behavior Survey
 Health of LGB Adults: data from the Colorado Behavioral
Risk Factor Surveillance System (2006 – 2009)
 HIV or AIDS: state surveillance
 Filling In the Gaps: Data from A Conversation with
Coloradans (One Colorado Education Fund’s Needs
Assessment)
 Contacts and Resources

ELEVATING LGBT HEALTH IN
THE UNITED STATES

Elevating LGBT Health in the U.S.
 In 2011, the U.S. Department of Health and
Human Services recommended 14 actions to
improve the health and well-being of the LGBT
communities.
 5 Examples of Recommended Actions:
 Healthy People 2020
 The Affordable Care Act
 Anti-Bullying Efforts
 Improvements in Foster and Adoptive Care
 Runaway and Homeless Youth Services

Elevating LGBT Health in the U.S.
 U.S. Department of Health and Human Services
Recommended 6 Future Actions (2011).
 Example of 2 Future Recommended Actions:

 LGBT Cultural Competency Curricula
 Increase the number of federally funded surveys
collecting data on Sexual Orientation and Gender
Identity (starts 2013)

Lots to Celebrate, Still Work to Do

Goals and Objectives

 The goal of this data scan is to provide a
baseline of LGBT health in Colorado
 To accomplish this goal, we have 2 Objectives
1. Provide data from two population-based surveys
assessing youth and adults
 2009 Boulder County Youth Risk Behavior Survey
 Behavioral Risk Factor Surveillance System

2. Provide data from convenience-sample survey of
adults
 One Colorado Educational Fund’s Needs Assessment

Overview: Population-based Sampling

 Population-based sampling is a probability
sampling method which selects a subset of
individuals from within a population to yield some
knowledge about the whole population.
 Strengths of Population-based Sampling
 Cost: cheaper to sample group than whole population
 Time: data collection is faster
 Extrapolation: can generalize results to whole population
 Boulder County YRBS (generalize results about Boulder Youth)
 Colorado BRFSS (generalize results about Colorado adults)
 Weakness of Population-based Sampling
 Accuracy: for small populations, need to aggregate years
 Story: does not tell a full story

Overview: Convenience Sampling
 Convenience sampling is a type of non-probability
sampling in which the sample is drawn from a
population because the sample is readily available
and convenient.
 Strengths of Convenience Sampling
 Cost: cheaper than probability sampling
 Time: data collection is very fast
 Small and difficult to reach populations
 One Colorado Education Fund’s Needs Assessment (LGBT
community)
 Provides insight for new questions to be asked on population-based
surveys
 Weaknesses of Convenience Sampling
 Extrapolation: can NOT generalize results to whole population

THE HEALTH OF LGBQ YOUTH IN
BOULDER COUNTY, COLORADO

Youth Risk Behavior Survey
Boulder County Health Public Health
November, 2009

Methods: 2009 Boulder County YRBS

2009 Boulder County Youth Risk Behavior Survey
 US Youth Risk Behaviors Survey

 Purpose is to monitor health risk behaviors (not assets)
 Data collected from randomly sampled schools and
classrooms across the United States every other year
 Does NOT collect sexual orientation

 Boulder County YRBS does collect sexual
orientation (county adds the question)

Methods: 2009 Boulder County YRBS

Boulder County YRBS
 Administered in 18 high schools

9 high schools in Boulder County School District
 9 high schools in St. Vrain Valley School District

 108 questions (including sexual orientation)
 2,491 high school students

 Sexual Orientation Status

 Lesbian, Gay, Bisexual and Questioning (LGBQ)
 Excludes Gender Identity

Results: 2009 Boulder County YRBS
Results by Topic Area
 Demographics
 Family and Community Service
 Injury
 Safety and Harassment
 School Safety
 Sexual Assault and Dating Violence
 Depression
 Suicide
 Tobacco, Alcohol, and Marijuana
 Weight Issues
 Behaviors Influencing Weight
 Physical Activity

Results: Demographics

Sexual Orientation

9.3

LGBQ
Heterosexual

90.7

Source: 2009, Boulder County Youth Risk Behavior Survey; Boulder County Health Department.

Results: Family and Community
100%
90% * 86%

80% 78% 77%
*
70% 64%
60%
50% *
43% LBGQ
40% 38%
Heterosexual
30%
20%
10%
0%
Parents have 4 or more meals with Engaged in
behavior standards family per week Community Service

*Statistically Significant Difference between LGBQ and Heterosexual (p<0.05)

Results: Injury
100.0%
90.0%
80.0% 75.2%
68.8%
67.1%
70.0%
60.0%
50.0% LGBQ
40.0% * Heterosexual
31.6%
30.0% 24.6%
22.4%
Colorado
20.0% *
10.0% 7.7% 7.6%
5.0%
0.0%
Never/rarely wear Never/rarely wear Rode with Driver
bicycle helmet seat belt who drank alcohol


Results: Safety and Harassment
100.0%
90.8%
90.0% *
78.4%
80.0%
70.0%
60.0%
50.0%
* LGBQ
40.0% *
29.8%
26.8% Heterosexual
30.0%
20.0% 12.9%
10.0% 3.9%
0.0%
Felt Safe in Electronically Bullied Harassed because
Neighborhood someone thought you
were LGB


Results: School Safety
100.0%
90.0%
80.0%
70.0%
60.0%
50.0% LGBQ
40.0% Heterosexual
*
30.0% Colorado
* * 20.8%
20.0% 14.9% 14.1%16.7%
13.4%
10.0% 4.0% 5.1% 5.9% 8.0%

0.0%
Did not go to school Threatened or Carried a weapon
because felt unsafe injured on school
property


Results: Dating and Sexual Assault
100.0%
90.0%
80.0%
70.0%
60.0%
50.0% LGBQ
Heterosexual
40.0%
* Colorado
30.0%
* 20.8% *
20.0% 13.8%
9.1% 10.7%
10.0% 6.4% 7.7%
4.4% 2.4% 4.6%
0.0%
Hurt by Forced to have sexual First sex < age 13
girlfriend/boyfriend intercourse


Results: Depression
100.0%
90.0%
81.6%
80.0% *
72.9%
70.0%
60.0% *
52.2% 51.6%
50.0% LGBQ
Heterosexual
40.0% *
29.3% Colorado
30.0% 25.4%
22.3%
20.0%
10.0%
0.0%
Felt sad/hopeless Has someone to talk Gets help when sad


Results: Suicide
100.0%
90.0%
80.0%
70.0%
60.0%
50.0% LGBQ
* * Heterosexual
40.0% 35.3%
28.9% Colorado
30.0% *
20.3%
20.0% 13.7%
11.1% 9.2%11.0%
10.0% 7.6%
4.2%
0.0%
Seriously considered Planned suicide Attempted suicide


Results: Tobacco, Alcohol, Marijuana
100.0%
90.0%
80.0%
70.0%
60.0% *
52.3%
50.0% LGBQ
* 41.8%
39.0% 40.8% Heterosexual
40.0%
Colorado
30.0% 24.3%24.9% *
20.3%
20.0%
10.0% 7.6%
4.2%
0.0%
Current tobacco use Current alcohol use Current marijuana
use

Results: Weight Issues
100.0%
90.0%
80.0% 73.9%
70.0% *
58.9%
60.0% *
50.0% 47.7% LGBQ
37.8%38.6% Heterosexual
40.0%
Colorado
30.0%
20.0% *
11.8%
10.0% 5.1% 7.1%
0.0%
Obese Trying to lose Vigorous physical
activity


Results: Behaviors Influencing Weight
100.0%
90.0%
80.0%
70.0%
60.0%
50.0% LGBQ
40.7% Heterosexual
40.0% *
30.1% Colorado
30.0% 23.1% 25.1%
19.8%
20.0% *
10.1%
10.0% 3.0% 3.6%
0.0%
Vomited/Laxatives Sleep ≥ 8 hours ≥ 3 hours tv/comp


THE HEALTH OF LGB ADULTS IN
COLORADO

Behavioral Risk Factor Surveillance System
2006 – 2009

Background

According to the Williams Institute at
UCLA School of Law, it is estimated that
more than 186,000 LGBT individuals
live in Colorado, including 12,000
transgender people.

Background: LGBT Health
Colorado Behavioral Risk Factor Surveillance System (2006 – 2009)

 Very few federal and state health surveillance
surveys include measures of respondents’ sexual
orientation
 Research from non-population-based surveys
provides evidence of health disparities among
lesbian, gay, bisexual, and transgender (LGBT)
populations
 Healthy People 2020, the US Department of Health
and Human Services, the Institute of Medicine, and
others call for increased efforts to study and to
improve LGBT health

Background: Sexual Orientation and
the BRFSS

 Few states have added sexual orientation to the
Behavioral Risk Factor Surveillance Survey (BRFSS)
 Recently published results from Massachusetts and
Washington provide evidence of LGBT health
disparities
 Conron et al., AJPH, October 2010
 Dilley et al., AJPH, March 2010

 Colorado added sexual orientation to its BRFSS in
2006

Methods: Colorado’s BRFSS Question

“Research has shown that some sexual minority
community members have important health risk
factors. We are collecting information about sexual
orientation to learn whether this is true in Colorado.

Do You consider yourself to be: Heterosexual, that is, straight;
Homosexual, that is, gay or lesbian; Bisexual, or something
else?
Survey Does NOT measure Gender Identity

Results: Demographics of BRFSS Respondents

0.9% 0.1% 1.3%

Sexual Orientation
Homosexual
Heterosexual
Bisexual
Other

97.7%

Source: 2006 – 2009, Colorado Behavioral Risk Factor Surveillance System; Health Statistics Section, Colorado Department of
Public Health & Environment.

Demographics of Respondents: Age

100.0%
90.0%
79.3%
80.0%
70.0% 63.2%
60.0%
52.8%
Homosexual
50.0%
Bisexual
40.0% 37.4%
Heterosexual
30.0% 24.3%
20.0% 16.4%
12.5%
9.8%
10.0% 4.4%
0.0%
18-34 35-49 50+


Demographics of Respondents: Urban/Rural

100.0%
90.0%
80.0%
70.0% 65.1%63.2%
60.0%
51.5% Homosexual
50.0%
Bisexual
40.0% Heterosexual
30.2%
30.0% 24.6%22.8%
18.3%
20.0% 13.7%
10.4%
10.0%
0.0%
Denver Metro Other Urban Rural


Demographics of Respondents: Race/Ethnicity

100.0%
90.0%
80.0% 76.0% 75.0%
70.2%
70.0%
60.0%
Homosexual
50.0%
Bisexual
40.0% Heterosexual

30.0%
19.5%17.8%
20.0% 13.6%
10.0% 5.0% 4.0%
3.3% 2.5% 3.4% 3.4% 3.7%
1.2% 1.4%
0.0%
White Black Hispanic Other Multiracial


Demographics of Respondents: Educational Attainment

100.0%
90.0%
80.0% 74.3%
70.0% 67.2%
59.3%
60.0%
50.0% Homosexual
40.0% Bisexual
29.1% Heterosexual
30.0% 24.0%
21.7%
20.0%
11.6%
8.7%
10.0% 4.0%
0.0%
Did not complete High School Some College
High School Graduate


Demographics of Respondents: Poverty

100.0%
90.0%
80.0% 73.1% 74.1%
70.0%
60.0% 54.6%
Homosexual
50.0% 45.4%
Bisexual
40.0% Heterosexual
30.0% 26.9% 25.9%

20.0%
10.0%
0.0%
Below 200% FPL Above 200% FPL


Demographics of Respondents: Marital Status

100.0%
90.0%
80.0%
70.0% 65.3%

60.0%
47.7% Homosexual
50.0% 46.2%

40.0% Bisexual
34.4%
29.2% Heterosexual
30.0%
20.0% 14.6% 16.0%
13.4%
8.6% 10.8% 9.7%
10.0% 4.2%
0.0%
Married Formerly Never Married Unmarried
Married Couple


Demographics of Respondents: Children in Household

100.0%
90.0%
82.9%
80.0%
70.0%
60.0% 54.1%
52.1% Homosexual
50.0% 47.9% 45.9%
Bisexual
40.0% Heterosexual
30.0%
20.0% 17.1%

10.0%
0.0%
Yes No


Results: Demographic Summary

Variable Significant Not Significant
Age X
Rural Residency X
Race/Ethnicity X
Education X
Poverty X
Marital Status X
Children in Household X

Source: 2006 – 2009, Colorado Behavioral Risk Factor Surveillance System; Health Statistics Section, Colorado Department
of Public Health & Environment.

What is the prevalence of health
conditions and behaviors among
Colorado’s LGB population?

Results: General Health

12.0%
Fair or Poor General Health 14.4%
9.6%

17.8% Heterosexual
Some Physical Disability 30.1% * Bisexual
20.9% Homosexual

50.10%
Don't Always Get Needed Emotional
71.40%
Support
57.20%

*Statistically Significant Difference compared to Heterosexual (p<0.05)

Results: Health Services and Screenings

16.6%
No Health Insurance 31.3% *
14.2%

20.7%
No Regular Primary Care Provider 26.0%
24.5%
Heterosexual
61.8%
Never had an HIV test 37.4% Bisexual
29.7% *
Homosexual
60.2%
Did Not Get Flu Shot 71.6% *
60.2%

76.7%
Did Not Get Pneumonia Vaccine 78.4%
74.3%


Results: Risk Behaviors
6.70%
Don't Always Use a Seatbelt 5.80%
8.80%

17.2%
Physically Inactive 20.2%
12.4% *

16.4% Heterosexual
Binge Drink 28.2%* Bisexual
25.0%* Homosexual

17.3%
Current Smokers 35.4%*
34.1%*

74.9%
Insufficient Fruits and Vegetables 73.1%
75.5%

Results: Chronic Disease

Diagnosed Heart Disease or Angina 4.5%
2.5%

Diagnosed with Diabetes 3.2%
3.4%

Current Asthma 13.8% Heterosexual
14.3% *
Bisexual
21.3% Homosexual
Diagnosed Hypertension 20.8%
22.3%

High Cholesterol 34.5%
32.3%

55.90%
Overweight or Obese 50.50%
48.90%


Results: Homosexual Respondents




Drinking and Driving 9.80%


No Health Insurance 14.2%

Current Asthma 14.3%

Some Physical Disability 20.9%



Binge Drink 25.0%

Never had an HIV test 29.7%


Current Smokers 34.1%


Don't Always Get Needed Emotional Support 57.20%

Did Not Get Flu Shot 60.2%



0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0%

Source: 2006 – 2009, Colorado Behavioral Risk Factor Surveillance System; Health Statistics Section, Colorado Department of Public Health & Environment.

Results: Bisexual Respondents







Current Asthma 13.8%




Binge Drink 28.2%









0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0%


Results: Heterosexual Respondents







Current Asthma 7.9%




Binge Drink 16.4%









0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0%


Results: Summary
Diagnosed Heart Disease or…
Diagnosed with Diabetes
Don't Always Use a Seatbelt
Fair or Poor General Health
Drinking and Driving
Physically Inactive
No Health Insurance
Current Asthma
Some Physical Disability
Diagnosed Hypertension Heterosexual
Bisexual
No Regular Primary Care…
Homosexual
Binge Drink
Never had an HIV test
High Cholesterol
Current Smokers
Overweight or Obese
Don't Always Get Needed…
Did Not Get Flu Shot
Did Not Get Pneumonia Vaccine
Insufficient Fruits and Vegetables
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0%


Conclusions
 Disparities in health behaviors and health conditions
do exist between Colorado’s heterosexual and LGB
populations
 LGB populations are not homogenous
 The prevalence of health behaviors and health
outcomes varies within the LGB population

Limitations and Future Opportunities

 No data on transgender Coloradans
 No statewide data on LGBT youth
 Insufficient sample size to conduct analysis of
rotating core and state added BRFSS questions by
sexual orientation

HIV OR AIDS

Colorado HIV Surveillance Report
4th Quarter, 2010

Background: HIV or AIDS
In Colorado, physicians, health care providers,
hospitals, or any other person providing testing
and/or counseling or treatment to a person with HIV
infection are required by law to report HIV and
AIDS related information to the Colorado
Department of Public Health and Environment, or
local health department.

Laboratories must report tests that indicate HIV
infection.

Overview: HIV or AIDS in Colorado
 The first case of Acquired Immune Deficiency Syndrome
(AIDS) was diagnosed in 1982.
 Between 1982 and 2010, nearly 16,600 people have
been diagnosed with HIV disease in Colorado.
 Between 2006 and 2010, new HIV diagnoses averaged
430 per year.
 Between 2006 and 2010, HIV/AIDS deaths averaged
103 per year.
 Since highly active antiretroviral therapy (HAART)
became widely available in 1996, both AIDS diagnoses
and HIV/AIDS related deaths have declined significantly.

New Cases of HIV by year, Colorado
350
302
300 279
Number of New HIV Cases

256 249 249
250

200

150 Male-male sex
Heterosexual contact
100 72 76
64
52 48
50

0
2006 2007 2008 2009 2010
Year

Source: 4th Quarter, 2010, Colorado HIV Surveillance Report; Colorado Department of Public Health & Environment.

Racial/ethnic categories of individuals living with HIV
due to male-male sex exposure, December 31, 2010
Percent
0.5%
0.7% 0.7%

White
16.0%
Black

Hispanic
9.0%
Asian/Pacific Islander

American
73.0% Indian/Alaska Native
Multiple/Unknown

Source: 4th Quarter, 2010, Colorado HIV Surveillance Report; Colorado Department of Public Health & Environment.

FILLING IN THE DATA GAPS: THE
HEALTH OF LGBT ADULTS IN
COLORADO

One Colorado Education Fund’s Needs Assessment
ONE Colorado
2010

Methods: 2010 Conversation with
Coloradans
One Colorado Education Fund’s Needs
Assessment (AKA Needs Assessment)
 Purpose: start a dialogue about issues affecting
LGBT people in Colorado
 Online or print survey of over 4,600 respondents
 Strength: sample size and inclusion of
transgender people
 Weakness: not population-based; cannot
generalize to the entire state

Results: 2010 Conversation with
Coloradans
One Colorado Education Fund’s Needs Assessment

Results by Topic Area
 Demographics
 Housing Discrimination
 Employment Discrimination
 Spirituality
 Philanthropy
 Top 5 Most Important Social Services

Health Equity
Health Begins Where You Live, Learn, Work and Play

NATIONAL INFLUENCES
GOVERNMENT POLICIES
U.S. CULTURE & CULTURAL NORMS

+ =
SOCIAL DETERMINANTS OF HEALTH POPULATION
LIFE COURSE
HEALTH FACTORS OUTCOMES

ACCESS ,
HEALTH
PREGNANCY ECONOMIC PHYSICAL SOCIAL MENTAL UTILIZATION
BEHAVIORS & HEALTH & QUALITY QUALITY OF LIFE
OPPORTUNITY ENVIRONMENT FACTORS
CONDITIONS
CARE
EARLY
• Nutrition • Mental health • Health
MORBIDITY
CHILDHOOD • Income Built • Participation
Environment • Physical status insurance
• Employment • Social
• Education •Recreation support activity • Stress coverage MORTALITY
•Food • Tobacco use • Substance • Received
CHILDHOOD • Housing • Leadership
abuse needed care
•Transportation
• Political • Skin Cancer LIFE EXPECTANCY
• Injury • Functional • Provider
influence
Environmental status availability
• Organization • Oral health
ADOLESCENCE quality • Preventive
al networks • Sexual health
•Housing care
• Violence
•Water
• Racism • Obesity
ADULTHOOD •Air
• Cholesterol
Safety • High Blood
Pressure
OLDER ADULTS

Public Health’s Role in Addressing the Social Determinants of Health
•Advocating for and defining public policy to achieve health equity •Data collection, monitoring and surveillance
•Coordinated interagency efforts •Population based interventions to address health factors
•Creating organizational environments that enable change •Community engagement and capacity building

Colorado Department of Public Health - Social Determinants of Health Workgroup

Demographics: Sexual Orientation
Respondents
2% 1%

5% 9%

Bisexual
Lesbian
29% Gay
Queer
Chose not to label
54% Self-Identify

Source: 2010, Needs Assessment; One Colorado.

Demographics: Gender Identity
Respondents
3% 1%

39% Female
Male
Transgender/Transsexual
Self-Identify
57%


Demographics: Gender Identity
Transgender People

13%

26%

Female to Male
Male to Female
Self-Identify

61%


Demographics: Age
Age Group
100%
90%
80%
70%
60%
50%
40%
30% 25% 24% 22%
20% 15%
12%
10% 3%
0%
18-24 25-34 35-44 45-54 55-64 65 or older


Housing Discrimination
Report Being Denied Housing
100%
90% 87%

80%
70%
60%
50%
40%
30%
20%
10% 5% 7%
4% 2%
0%
No one Attorney Colorado Civil Police Other
Rights
Commission
Six (6) percent of respondents reported being denied housing due to sexual
orientation or sexual identity

Employment Discrimination
Report Employment Discrimination
100%
90%
80% 72%
70%
60%
50%
40%
30% 22%
20%
7% 9%
10% 3% 3%
0%
0%
No one Human Attorney Colorado Police School Other
Resources Civil Rights Official
Commission
Twenty-seven (27) percent of respondents experienced employment discrimination
due to sexual orientation or sexual identity

Spirituality: Attending religious service

100%
90%
80%
70%
60%
50% LGBT
41%
40% Transgender Only
31%
30% 23%23%
20% 17% 15%15%
12%14%
9%
10%
0%
1 or more 1-3 Few times/yr 1 time/yr Never
times/wk times/mth


Philanthropy: Contributing to Charity
100%
90%
80%
70%
62%
60% 58%

50% LGBT
40% Transgender Only
30%
20% 16% 14% 15%
10% 10% 8%
10% 4% 3%
0%
$0 $1-499 $500-999 $1,000-4,999 $5,000


Top 5 Most Important Social Services

100%
90%
80%
70%
60%
50%
LGBT
40% 34%
30%
20%
10% 9% 8%
10%
0%
Ensuring school safety for LGBT Access to LGBT-welcoming health Increasing services for people living Ensuring parents have information
youth care w/ HIV/AIDS for supporting LGBT youth


Data Contacts
 Indira Gujral, MS PhD, Epidemiologist, CDPHE
 Indira.Gujral@state.co.us

 Kyle Legleiter, MPH, Program Director, CDPHE
 Kyle.Legleiter@state.co.us

 Fran Simon, Simon Analytics
 Simonanalytics@gmail.com

 Kieu Vu, MSPH, BRFSS Coordinator, CDPHE
 Kieu.Vu@state.co.us

Resources
 The Affordable Care Act and the LGBT Community:
http://lgbthealth.webolutionary.com/sites/default/files/ACA%20final.pdf
 The Affordable Care Act and LGBT Americans:
http://www.healthcare.gov/news/factsheets/new_options_for_lgbt_americans.html
 Boulder County Youth Risk Behavior Survey:
http://www.bouldercounty.org/help/health/lgbtiq/pages/yrbsresultslinks.aspx
 Bullying: www.StopBullying.gov
 Colorado HIV Surveillance Report:
http://www.cdphe.state.co.us/dc/HIVandSTD/HIV_STDSurv/HIV.AIDS.Surv.rpt.4thQuarter.20
10.pdf
 One Colorado Needs Assessment: http://www.one-colorado.org/issues/2010-needs-
assessment/
 Sexual Identity, Sex of Sexual Contacts and Health-Risk Behaviors Among Students in Grades
9 – 12 – Youth Risk Behavior Surveillance, Selected Sites, United States, 2001 – 2009:
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6007a1.htm
 Sexual Behavior, Sexual Attraction, and Sexual Identity in the United States: Data from the
2006 – 2008 National Survey of Family Growth:
http://www.cdc.gov/nchs/data/nhsr/nhsr036.pdf
 U.S. Health and Human Services: http://minorityhealth.hhs.gov/lgbt/

Colorado lgbt data scan final 10 14-11

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Colorado lgbt data scan final 10 14-11