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The Use of Commercial Tobacco Among Minority Populations

The Use of Commercial Tobacco Among Minority Populations. Centers for Disease Control and Prevention Office on Smoking and Health Sydney Lee. Office on Smoking and Health. Mentors: Michelle Johns and Leah Johnson Epidemiology Branch Program Services Branch Health Communication Branch.

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The Use of Commercial Tobacco Among Minority Populations

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  1. The Use of Commercial Tobacco Among Minority Populations Centers for Disease Control and Prevention Office on Smoking and Health Sydney Lee

  2. Office on Smoking and Health Mentors: Michelle Johns and Leah Johnson • Epidemiology Branch • Program Services Branch • Health Communication Branch

  3. Epidemiology Branch • Advances science of tobacco control • Coordinates research and surveillance • Evaluates products, tobacco use, health effects, economic impacts, and interventions

  4. Program Services Branch • Provides training and technical assistance to 50 states, D.C., 7 US Territories, 6 National Networks, and 7 Tribal Support Centers • Provides leadership for implementation of comprehensive interventions • Directs and manages National Tobacco Control Program

  5. Health Communication Branch • Develops and disseminates information to the public, policy makers, health professionals, and partners • Tracks media coverage of tobacco • Provides technical assistance for tobacco counter-marketing media use • Promotes positive change in health behaviors, policies, and practices

  6. Goals of OSH • Prevent initiation of tobacco use among youth • Promote tobacco use cessation among adults and youth • Eliminate exposure to secondhand smoke • Identify and eliminate tobacco-related disparities

  7. Commercial Tobacco Use • The leading cause of preventable death in the US • Causes coronary heart disease – the leading cause of death in US • 8.6 million have serious illness caused by smoking

  8. Health Effects of Commercial Tobacco • Adversely affects almost every organ in the body • Causes cancer and coronary heart disease • Doubles the chance for having a stroke • Drastically increases the chance for dying of lung disease • Increases risk for infertility, preterm delivery, stillbirth, low birth weight, and Sudden Infant Death Syndrome

  9. Cigarette Smoking Prevalence Percentage of adult cigarette use during the past month CDC MMWR 2004

  10. Youth Prevalence Rates Percentage of youth age 12-17 who smoked cigarettes in the past month CDC MMWR 2006

  11. Youth Susceptibility Youth age 12-17 who had never smoked but were susceptible to start smoking cigarettes CDC MMWR 2004

  12. The Youth Stall Percent of High School Students Who Reported Current Cigarette Use, 1991-2007 1.2 Million National Risk Youth Behavior Surveys, 1991-2007

  13. OSH Expert Panel • Panel of tobacco and media experts • Addressing the “Youth Stall” • Experts discuss the issues about reaching the youth, understand where teens are getting messages • Reactive vs. Proactive • OSH uses the suggestions of the panel to develop ideas for future projects

  14. Culturally Appropriate Website • Adding the definition of tobacco to the CDC’s tobacco website • Tobacco refers to “the use of manufactured, commercial tobacco products including, but not limited to, cigarettes, smokeless tobacco, and cigars”

  15. Secondhand Smoke • Information guide for African Americans, American Indians and Alaska Natives • African American guide is in process of development using focus groups for suggestions and approval • American Indian and Alaska Native guide will be developed in the future

  16. Sabemos • Community outreach against secondhand smoke in the Hispanic/Latino population • Targeting families with children under 14 • Promotoras will go to homes in the Colonia to teach them about secondhand smoke and how to protect their children • Sabemos will be launched at a health fair and then surveys will evaluate effectiveness

  17. Don’t smoke in your home or car • Talk to your kids about the dangers • Keep your home and car smoke-free • Teach your kids how to avoid secondhand smoke • Support restaurants and businesses that are smoke-free We Know – Out of respect, there is no smoking here

  18. Community Case Study • Native youth have highest prevalence rates • Have youngest average initiation age • Research on Native American youth tobacco programs • Research is needed to develop promising practices

  19. Methods for Community Case Study • In-depth interviews • Programs developed or adapted for a native audience • Tribal Support Centers and Non-TSCs • Different regions including Oklahoma, Aberdeen area, California, Michigan • Forming a committee with interviewees to help guide research

  20. Preliminary Results • Programs reach native audience in many ways • Group youth into clans • Learn about history • Native imagery • Traditional games • Youth make decisions about strategies, write PSAs and material to teach peers

  21. Final Thoughts • OSH vs. Tobacco industry • Understand the audience • Cultural competency • Collaboration

  22. Interview Questions • Target audience – age, gender, location • Program • Length • Development • Activities • Evaluation • Informal – feedback about program • Formal – baseline data, outcome evaluation • Dissemination

  23. Acknowledgements • National Indian Health Board • Morehouse School of Medicine • Ms. Rasheed • Ms. Graves • Leah Johnson • Michelle Johns

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