2003 national conference on tobacco or health. cost effective tobacco control in american indian and...

2003 National

Conference on Tobacco or Health

2003 National

Conference on Tobacco or Health

Cost Effective Tobacco Control in American Indian

and Alaska Native Communities

Cost Effective Tobacco Control in American Indian

and Alaska Native Communities

DeAnna Pearl, MADeAnna Pearl, MAConfederated Tribes of Siletz Indians, Siletz, ORConfederated Tribes of Siletz Indians, Siletz, OR

Cindy Martin, BACindy Martin, BAIndian Health Care Resource Center, Tulsa, OKIndian Health Care Resource Center, Tulsa, OK

Lawrence Shorty, BALawrence Shorty, BAYouth Tobacco Advocacy Coordinator, NCYouth Tobacco Advocacy Coordinator, NC

Danny Vollin, BSDanny Vollin, BSResource Center for Technical Assistance and Resource Center for Technical Assistance and Training, Univ. of MontanaTraining, Univ. of Montana

Stephanie N. Craig, MPHStephanie N. Craig, MPHNorthwest Portland Area Indian Health Board, Northwest Portland Area Indian Health Board, OROR

Presenters

National Tribal Tobacco Prevention NetworkNational Tribal Tobacco Prevention Network

Aberdeen Area Tribal Chairmen’s Health Board–Lynn Lopes (605-229-3846)

Alaska Native Health Board–Nick Gonzales (907-743-6118)

California Rural Indian Health Board–Michael Weahkee (916-929-9761)

Inter Tribal Council of Arizona–Teresa Aseret-Manygoats (602-258-4822)

Inter Tribal Council of Michigan–Lisa Kerfoot (906-632-6896)

Muscogee Nation–Cynthia Coachman (918-756-3334)

Northwest Portland Area Indian Health Board–Liling Sherry (503-228-4185)

CDC CDC Funded Funded Tribal Tribal

Support Support CentersCenters

National Tribal Tobacco Prevention NetworkNational Tribal Tobacco Prevention Network

Albuquerque Area Indian Health BoardUnited South and Eastern TribesMontana-Wyoming Indian Health BoardNative American Tobacco Coalition of OklahomaAssociation of American Indian PhysiciansIndian Health ServiceAmerican Cancer SocietyUniversity of Oklahoma Health Promotion ProgramsNative Wellness & Healing InstituteNational Congress of American Indians

Other Other PartnersPartners

Network GoalsNetwork Goals

Develop a national networknational network of Indian & tribal organizations to facilitate the reduction of commercial tobacco use in AI/AN communities

CDC CDC Funded Funded Tribal Tribal

Support Support CentersCenters Build and strengthen capacitycapacity and infrastructureinfrastructure

w/n Tribal organizations to help mobilize communities to implement tobacco control efforts

Identify culturally appropriate strategiesculturally appropriate strategies to reach and impact AI/AN communities related to tobacco control & prevention

EducateEducate network members and their communities about effective tobacco control effective tobacco control measuresmeasures

Nationally, AI/AN have the highest smoking prevalence rates of all ethnic groups

– 32.7% of AI/AN Adults smoke

– Alaska ranks first at 45%

– Northern plains 2nd at 44%

RationalRationalee

Western Tobacco Prevention ProjectWestern Tobacco Prevention Project

Prevent Youth InitiationReduce exposure to secondhand smoke (ETS)Promote Cessation servicesCounter tobacco company advertising/marketing on tribal landsPromote and respect the sacred use of traditional tobacco

CDC CDC Funded Funded Tribal Tribal

Support Support CenterCenter

Western Tobacco Prevention ProjectWestern Tobacco Prevention ProjectWTPPWTPP

ActivitieActivities:s:Build capacity at the tribal level by providing timely information

on tobacco control policies, material resources, and by forming contacts within various organizations.

Assist tribes on an individual basis in the development and Assist tribes on an individual basis in the development and implementation of tobacco programs at the community level.implementation of tobacco programs at the community level.

Foster healthy relationships between NW Tribes and other organizations and agencies working on tobacco related issues to improve access to resources addressing prevention and education

Build capacity within the WTPP to effectively meet the training Build capacity within the WTPP to effectively meet the training and technical assistance needs of area tribesand technical assistance needs of area tribes

For More InformationFor More Information

Liling Sherry, Director lsherry@npaihb.org

Gerry RainingBird, NTTPN Coordinator grainingbird@npaihb.org

Terresa White, NTTPN Project Specialisttwhite@npaihb.org

Stephanie Craig, WTTP Specialistscraig@npaihb.org

Joe Law, WTTP Training Coordinatorjlaw@npaihb.org

CDC CDC Funded Funded Tribal Tribal

Support Support CenterCenter

For More InformationFor More Information

Northwest Portland Northwest Portland Area Indian Health BoardArea Indian Health Board

527 SW Hall, Suite 300Portland, OR 97201

(503) 228-4185 Phone(503) 228-8182 Fax

www.tobaccoprevention.net http://www.npaihb.org/

CDC CDC Funded Funded Tribal Tribal

Support Support CenterCenter

Thank you

DeAnna PearlDeAnna PearlConfederated Tribes of Siletz Confederated Tribes of Siletz

IndiansIndians

Tobacco Prevention and Education Program Coordinator

American Legacy Media Project Coordinator

Project GoalProject GoalReduce Tobacco Use Among

Siletz Indian Youth

703 Tribal Youth

between ages 12-18

Project Objectives:Project Objectives:

Involve 50% of Tribal Youth in Project

Coordinator to increase knowledge of youth

Youth to increase knowledge of others

Complete an evaluation of the media project

Completed Project Completed Project MaterialsMaterials

Video “Smoking is a Colorful Addiction”

Website www.colorfuladdiction.com

Poster/Brochure

Professional v.s. Non-Professional v.s. Non-ProfessionalProfessional

Grant fundedEducated youth on media developmentGuided project themePolished product

Do You Need/Want Them?Do You Need/Want Them?

Can reduce costMini workshops by local professionalsHave third party review project for objectivity and consistency

Get all stakeholders on board before starting projectPurchase or borrow quality equipmentWrite realistic goals and objectivesPlan what will happen to project after funding is goneUnderstanding your audience is keyBe creative to help keep youth involved and interested.Repeat, Repeat, Repeat and give treats

DeAnna’s Reflective Practice

How Can I Order Copies of How Can I Order Copies of Youth Tobacco Prevention Youth Tobacco Prevention

MaterialsMaterials• A few available at conference• www.colorfuladdiction.com• Northwest Portland Area Indian

Health Board at www.tobaccoprevention.net

Cindy Martin, Project Director“Traditional Ties” Cessation Program

Lawrence Shorty, Research AssociateUNC Chapel Hill

2003 National Conference on Tobacco or Health – Boston, MA. – 11 December 2003

Research, Recruitment, and Mediafor the

“Traditional Ties” Cessation Programat

Indian Health Care Resource Center of Tulsa

Presented by:

The Problem

• High nicotine addiction rates among American Indians

• Few treatment options that offer cessation counseling in combination with nicotine replacement therapy at no cost to the consumer, and are culturally appropriate

• Little research on the functional value of tobacco--reasons why American Indian adults smoke

• Little emphasis on using existing literature to create media or programming

• Few dollars for media to change behavior

• The purpose of the focus groups were to inquire about tobacco use, level of awareness of risk due to commercial tobacco use (both personal and family), and traditional use of tobacco.

• However, the primary inquiry was about motivation to change (to quit or not to quit commercial tobacco use) among Tulsa Urban American Indian adults.

“Traditional Ties” Cessation Program Focus Group

Research: Purpose

•Indian elders (60 to 75 years) reported awareness of risk for both themselves and others

•External factors motivated them most--all about others*Grandchildren*Future generations*Their Indian community.

Indian Elders

• Indian adults (30 to 45 years) reported an awareness of risk for tobacco use in themselves, but little or no awareness of risk for family members

• Internal factors--all about me.*Physical health*Perceived and actual limited mobility

Indian Adults

• Recruit those who want to stop their tobacco addiction.

• Motivate those who are considering quitting.

• Educate those who have not considered quitting.

• Serve as a resource for family members or peers who want to help their loved ones quit.

• Be authentic. Be deep. Be funny. • Create opportunities for change.

The Task

The Ads

•Focus group research led to change and a sharper focus in development and implementation of cessation program services. •Recruitment and cessation services are primarily focused on women (pre and post-natal), fathers, grandparents, anyone considered a guardian (relative, non-relative) who cares for and provides for a child or children on a full-time basis.

Major Practice Changes as the Result of Research

Media serves multiple purposes: –Educates within the maxims: “We learn by example” and “What you do affects others.”–Addresses the “no one told us” issue.

Research Influences this Media

• Focused messaging, identifying health concerns, being profound, and funny can be a reality--like fried ice cream!• Second Hand Smoke is extremely promising to help create change in Indian communities.• Work to create change!

Conclusions:

Cindy MartinIndian Health Care Resource Center of

Tulsacmartin@ihcrc.org

Lawrence ShortyUniversity of North Carolina at Chapel Hill

lshorty@unc.edu

INTRODUCTION Traditional Use of Tobacco

Danny Vollin, Information SpecialistSTOP Tobacco Use! Clearinghouse Library

Mansfield Library, College of TechnologyResource Center for Technical

Assistance & TrainingContinuing Education

The University of Montana-Missoula

Keep Tobacco Sacred

Tobacco abuse is not traditional use of tobacco

Tobacco has been used for many generations as offerings to the spirits, for planting, for gathering food, for healings,

and for ceremonies.

Tobacco is medicine.Tobacco is medicine.

BOTANIST, JOHN GERARD, 1597

• Wrote that tobacco induced vision, he also said that tobacco cured kidney pain, toothache, worms ulcers, scabies, burns and gunshot wounds. It was also a snake-bite antidote and its oil cured deafness.

• It was also noted that the Native People used tobacco sparingly and ceremonially.

“ Giving Voice To Bear” By David Rockwell

In the Winnebago Bear Dance, dancers circled like In the Winnebago Bear Dance, dancers circled like bears around a mound of earth called ma’warup’uru’, bears around a mound of earth called ma’warup’uru’, which represented a bear den. The four sides which represented a bear den. The four sides represented the den entrances. The center of the represented the den entrances. The center of the mound was said to be the home of the bear. Dances mound was said to be the home of the bear. Dances leaders put tobacco and red feathers in the center and leaders put tobacco and red feathers in the center and at each of the four entrance points. As they moved at each of the four entrance points. As they moved around the mound the dancers stretched out their around the mound the dancers stretched out their arms, growled and huffed like bears. They took arms, growled and huffed like bears. They took tobacco from the den and eat it. The sick people for tobacco from the den and eat it. The sick people for whom the dance was preformed also took tobacco whom the dance was preformed also took tobacco from the den, chew it, and asked to live.from the den, chew it, and asked to live.

Sacred Substance

“ A Navajo herbalist explained it this way. Tobacco is Diyin – a Holy Person. Use it with respect and it rewards you. Use it the wrong way, it kills you”