Contexts of Tobacco Use and Perspectives on Smoking Cessation Among a Sample of Urban American Indians

ArticleinJournal of Health Care for the Poor and Underserved 21(2):544-58 · May 2010with11 Reads
DOI: 10.1353/hpu.0.0276 · Source: PubMed
Abstract
American Indians have the highest prevalence of cigarette use in the United States, but there is a shortage of knowledge about American Indians' own perspectives on smoking and cessation. The purpose of this exploratory qualitative study was to obtain information on American Indians' views that would be useful for subsequent intervention planning and development. Four focus groups were conducted with urban American Indians living in Maryland to explore the sociocultural contexts of tobacco use and their perspectives on various mainstream and culturally-specific smoking cessation strategies and service delivery models. Tobacco interventions targeting American Indians should increase service access, address negative experiences with medications, emphasize empowerment for behavior change, explicitly distinguish ceremonial tobacco from cigarette use, and send culturally-relevant messages. Smoking cessation programs and health promotion efforts may be perceived as more relevant by the target population if they incorporate an understanding of the social and cultural facets of smoking behavior.
    • "Cultural values and social beliefs are important factors which affect the smoking status of older immigrants and which govern whether smokers continue this behaviour or succeed in quitting. A qualitative study among American-Indian smokers found that ritual smoking behaviour is affected by the socio-cultural context of participants such as the ceremonial use of tobacco among urban American Indian participants, and tobacco farming and cultivation [22]. In a similar study among African-American smokers, it was found that smoking was considered the norm and around eighty percent of participants overestimated the rate of smoking among the Black population [23]. "
    [Show abstract] [Hide abstract] ABSTRACT: Smokers of all ages can benefit by quitting, but many smokers continue to smoke. Older Greek-Australian smokers, one of the largest ethnic groups in Australia, have higher rates of smoking than other groups of older Australians. This qualitative study aimed to explore older Greek-Australians' views about socio-cultural influences on their smoking. A snowball sampling technique was used to identify twenty Greek-Australian smokers (12 males and eight females), aged ≥ 50 years. They were recruited through the Greek Orthodox Community Center of South Australia (GOCSA). Qualitative data were collected using semi-structured face-to-face interviews. The audio-taped interviews were translated and transcribed, and then analysed using content analysis. Results suggested that smoking was considered as the "norm" by older Greek-Australian smokers. There were four groups embedded in the participants' social networks that were reported to be important in relation to either encouraging smoking or, smoking abstinence. These support groups included: family members, friends, the Greek community, and physicians. Smokers' family members (brothers) and friends were identified as facilitators of smoking whereas non-smoker family members (children and spouses) were reported as providing barriers to smoking. Different approaches were used by supporter groups to assist smokers to quit smoking-both planned and unplanned. Knowledge, planning of social and cultural supports, and addressing barriers to smoking cessation are a important part of health planning for older Greek-Australians. Social norms, including those arising from social interactions, and predisposing traits can influence smoking behaviour. Addressing the specific barriers to smoking cessation of older Greek-Australians is critical to addressing the risk for chronic disease in this group.
    Full-text · Article · Mar 2015
  • [Show abstract] [Hide abstract] ABSTRACT: The greatest prevalence of tobacco use in the United States occurs with the American Indian and Alaskan Native (AI/AN). A critical need exists for a culturally specific tobacco cessation option for AI/AN youth. The nurse practitioner is positioned to provide a culturally specific commercial tobacco cessation option by incorporating the transcultural nursing theory into the development of a decision tree to expand understanding of culturally appropriate best practices regarding screening and management of tobacco smoking cessation in AI/AN youth. Presented is the Nurse Practitioner Culturally Specific American Indian and Alaskan Native Youth Decision Tree for Smoking Cessation with supporting evidence-based best practices.
    Article · Jul 2011
  • [Show abstract] [Hide abstract] ABSTRACT: Significant advances in tobacco cessation and prevention initiatives have occurred over recent years, yet smoking amongst Indigenous populations remain double that of the relevant non-Indigenous population. As such tobacco use is considered a significant risk factor contributing to health disparities among these populations. Two Cochrane systematic reviews, one evaluating tobacco cessation and the other tobacco prevention initiatives for Indigenous populations summarise the available evidence for use by policy makers, researchers and consumers alike. Culturally tailored tobacco cessation initiatives show evidence of long-term abstinence, however, both cessation and prevention initiatives specifically designed in collaboration with Indigenous cohorts are lacking. Despite the significant health burden attributed to tobacco use including the development of tobacco related illnesses and associated economic expenditures, there remains a paucity of data in this field. Methodologically rigorous collaborative research is needed to highlight the barriers and facilitators for tobacco cessation and prevention programs in order to effectively reduce the prevalence of tobacco use and subsequent co-morbidities. NOTE: This chapter (text, tables and figures) contain excerpts from articles published previously. Please refer to Carson and colleagues (2012a, 2012b and 2012c) in the reference list at the end of this chapter.
    Chapter · Jun 2013 · Family & community health
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