Eliminating Tobacco-Related Disparities Among Pacific Islanders Through Leadership and Capacity Building

David, Annette M.; Lew, Rod; Lyman, Annabel; Otto, Carsten; Robles, Rebecca; Cruz, George J.

doi:10.1177/1524839913485242

Cited by 8 publications

(10 citation statements)

References 4 publications

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“…New Caledonia, Wallis and Futuna, and French Polynesia are also not signatories. Although some of these PICTs are nevertheless active in tobacco control, exclusion from the FCTC creates inequalities within the Pacific and necessitates reliance on voluntary implementation of the treaty’s provisions ( 25 ).…”

Section: Implications For Policymentioning

confidence: 99%

“…Initiatives can build on factors known to further tobacco control in the Pacific. These include strong political, government, and community leadership to drive the agenda and partnerships such as Pacific Partners for Tobacco Free Islands ( 25 ). Capacity building and engagement with local champions, traditional leaders, faith-based organizations, and antitobacco advocacy organizations are essential to implementing effective policies ( 21 , 25 , 27 ).…”

Section: Implications For Policymentioning

confidence: 99%

See 1 more Smart Citation

Tobacco Smoking in Islands of the Pacific Region, 2001–2013

Kessaram¹,

McKenzie²,

Girin³

et al. 2015

Prev. Chronic Dis.

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We provide an overview of tobacco smoking patterns in Pacific island countries and territories to facilitate monitoring progress toward the goal of a Tobacco-Free Pacific by 2025. We examined data from 4 surveys conducted in the region between 2001 and 2013, including the STEPwise approach to surveillance for adults (25–64 years); the Global School-Based Student Health Survey and the Global Youth Tobacco Survey (students 13–15 years); and the Youth Risk Behavior Surveillance System (grade 9–12 students) in United States affiliated Pacific Islands (USAPIs). Adult smoking prevalence ranged from less than 5% of women in Vanuatu to almost 75% of men in Kiribati. Smoking prevalence among students (13–15 years) ranged between 5.6% and 52.1%. There were declines in smoking among youths in many USAPIs. To achieve the tobacco-free goal and reduce disease burden, accelerated action is needed to align national legislation with international agreements and build capacity for tobacco control at all levels.

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Section: Implications For Policymentioning

confidence: 99%

Section: Implications For Policymentioning

confidence: 99%

Tobacco Smoking in Islands of the Pacific Region, 2001–2013

Kessaram¹,

McKenzie²,

Girin³

et al. 2015

Prev. Chronic Dis.

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“…Although one outreach study suggests that Asian grocery stores are an appropriate venue for outreach about smoking-cessation resources and a Street Team approach is impactful, 12 future outreach for Medi-Cal enrollees might consider more targeted messaging for smokers, or partner with efforts to enroll the public in Medi-Cal. Outreach to PIs, who have smoking prevalence rates higher than the general population, 22 needs to be timed with large community festivals for higher impact, a common outlet for reaching communities for health promotion. 22 Limitations Previous research has found a significantly greater proportion of nonsmoking family and friends calling on behalf of smokers (termed proxy) on the Asian-language lines compared with the English-language quitline in California, 23 but this study only includes Medi-Cal smokers.…”

Section: Discussionmentioning

confidence: 99%

“…Outreach to PIs, who have smoking prevalence rates higher than the general population, 22 needs to be timed with large community festivals for higher impact, a common outlet for reaching communities for health promotion. 22 Limitations Previous research has found a significantly greater proportion of nonsmoking family and friends calling on behalf of smokers (termed proxy) on the Asian-language lines compared with the English-language quitline in California, 23 but this study only includes Medi-Cal smokers. Other outreach promoting free nicotine patches for callers to the Asian Smokers' Quitline cooccurred during the MIQS program-a Centers for Disease Control and Prevention−funded nationwide campaign and a countywide campaign funded by Los Angeles County's Community Transformation Grant.…”

Section: Discussionmentioning

confidence: 99%

Outreach to California Medicaid Smokers for Asian Language Quitline Services

Saw

Stewart

Cummins

et al. 2018

American Journal of Preventive Medicine

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Introduction: Asian male immigrants have high smoking rates. This article describes outreach approaches in the MediCal Incentives to Quit Smoking project to incentivize California Medicaid (Medi-Cal) calls to the California Smokers' Helpline (Helpline) Asian-language lines. Methods: Outreach efforts adapted MediCal Incentives to Quit Smoking materials for the Asian-language lines. Community-based efforts included outreach at ethnic supermarkets and distribution through community networks. Leveraging the Helpline's Asian print media campaign, three press releases promoted MediCal Incentives to Quit Smoking with Lunar New Year or community physician messaging. MediCal all-household mailings with tracking codes also included the Asian-language lines. Helpline caller characteristics and trends were examined for project period 2012 −2015. Analyses were conducted in 2018. Results: Among 4,306 Asian American Pacific Islander MediCal callers, there were 37% Asian-speaking Asian Americans (9.5% Chinese, 17.2% Vietnamese, and 10.5% Korean); 44% English-speaking Asian Americans; 9% Pacific Islanders; and 10% Asian American Pacific Islander not otherwise specified. Almost 10% of Asian-speaking Asian Americans were activated by the financial incentive and this was similar for all-household mailings, although this was lower than the other groups. MediCal calls to the Asian-language lines increased, from an average of 18 calls/month to 47 calls/month (162% increase) in the first and last 12 project months respectively. Community outreach was limited by timing and sustainability. The 3-month call totals before and after the Asian-language press releases were significantly greater for Asian-speaking calls than for English-speaking calls (Cochran−Mantel−Haenszel p < 0.001, OR=1.70, 95% CI=1.45, 1.99). Conclusions: Whereas community outreach is challenging, promising population-based methods for in-language, culturally tailored outreach can include press releases with ethnic media and direct-tomember mailings. Supplement information: This article is part of a supplement entitled Advancing Smoking Cessation in California's Medicaid Population, which is sponsored by the California Department of Public Health.

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“…Another parent leader said, "Grew confidence by speak up, stand-up, voice out." Previous researchers found in their work among Pacific Islanders that investment in leadership development led to effective leaders and champions that ensured adoption of interventions (David et al, 2013). Community and academic partners found overall that the length of time for the workshops were necessary and protective for leadership and research capacity building.…”

Section: Initially Shy and Humble And Through Participation Transformmentioning

confidence: 99%

Development of a Culturally Specific Leadership Curriculum through Community-Based Participatory Research and Popular Education

Nguyen-Truong

Leung

Micky

2020

Asian Pac Isl Nurs Js

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Background: The purpose of this innovative capacity building pilot project was to develop, implement, and evaluate a nine-workshop curriculum, Rekki Lemnak [Thinking of] Parent Leadership, to prepare community and academic partners for community organizing within the Micronesian Islander community. The purpose of the partnership was to build team leadership and research capacity to lay a foundation for implementing a change in healthcare and school systems. Working collaboratively helped ensure access to shared leadership through the learning by doing approach, enabling a culturally responsive method to build a sustainable partnership. Approach: Community-based participatory research and Popular Education tenets and reflection were used as a guide in the development of the Rekki Lemnak [Thinking of] Parent Leadership curriculum. Nine workshops (two hours for eight workshops and three hours for one workshop) were held over a period of a year. Community and academic partners developed the learning objectives, capacity building topics, experiential activities, and an evaluation on the strengths and areas for improvement. The partnership consisted of seven Micronesian Islander parent leaders who are residents from the community at large, the Micronesian Islander Community organization including the Executive Director who is a community primary researcher and certified community health worker, and a Micronesian Islander-certified community health worker staff member, and the academic primary nurse researcher and another academic nurse researcher from Washington State University. A range from five to 10 partners with an average of eight attended the workshops, of which an average of five Micronesian Islander parent leaders attended the workshops. Community partners from the Micronesian Islander Community organization and the academic primary nurse researcher co-led four workshops. Community partners from the Micronesian Islander Community organization and MI parent leaders led two workshops respectively; academic nurse researcher partners led one workshop. Outcomes: We identified three main themes: initially shy and humble MI parent leaders who through their participation transformed to empowered voices, togetherness—coming from different Islands and academia, and the need for more outreach to Micronesian Islanders. Conclusions: Key elements of the Rekki Lemnak [Thinking of] Parent Leadership curriculum may be translatable to other community and academic partnerships. Culturally responsive research is more than a process in conducting a study. This requires an ongoing investment to establish and sustain authentic partnerships to conduct research with MI communities.

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Eliminating Tobacco-Related Disparities Among Pacific Islanders Through Leadership and Capacity Building

Cited by 8 publications

References 4 publications

Tobacco Smoking in Islands of the Pacific Region, 2001–2013

Tobacco Smoking in Islands of the Pacific Region, 2001–2013

Outreach to California Medicaid Smokers for Asian Language Quitline Services

Development of a Culturally Specific Leadership Curriculum through Community-Based Participatory Research and Popular Education

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