Focus Groups of Alaska Native Adolescent Tobacco Users: Preferences for Tobacco Cessation Interventions and Barriers to Participation

Patten, Christi A.; Enoch, Carrie; Renner, Caroline C.; Offord, Kenneth P.; Nevak, Caroline; Kelley, Stacy; Thomas, Janet L.; Decker, Paul A.; Hurt, R. Douglas; Lanier, Anne P.; Kaur, Judith S.

doi:10.1177/1090198107309456

Cited by 23 publications

(35 citation statements)

References 15 publications

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“…Previous exploratory studies conducted in western Alaska reported that, although tobacco has no ceremonial use, iqmik is considered a “natural” product and, thus, its use is considered a healthier practice than cigarette smoking. Hence, iqmik use is culturally acceptable for women to use during pregnancy and, in some communities, for young children to assist in its production with pre-mastication prior to storage and later adult consumption [37,38]. …”

Section: Methodsmentioning

confidence: 99%

High tobacco use prevalence with significant regional and sex differences in smokeless tobacco use among Western Alaska Native people: the WATCH study

Koller

Flanagan

Day

et al. 2017

International Journal of Circumpolar Health

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Tobacco use prevalence among Alaska Native (AN) people living in Alaska is greater than the general population prevalence statewide and nationally. Better understanding of regional tobacco use is needed to improve cessation efforts and reduce prevalence. Using self-reported baseline data from the Western Alaska Tribal Collaborative for Health study, we describe tobacco use patterns among AN people in two western Alaska regions. Data were stratified by age group and sex. Dual- and multi-product use in the Yukon-Kuskokwim (Y-K) region was stratified by concurrent vs sequential use. Overall, 87% of the cohort reported having used tobacco. In Norton Sound, cigarette (98%) was the predominant tobacco type. In Y-K 71% smoked, 76% used smokeless tobacco (ST), with 47% reporting use of both products. ST use in Y-K consisted of commercial ST and homemade iqmik. Y-K women reported more ST product use, while men reported more cigarette use. Among dual- and multi-product users, the majority reported concurrent use, with no significant differences between men and women. Distinct regional differences include high smoking prevalence in Norton Sound and frequent use of smoking and ST products in Y-K. Findings support modification of cessation programmes to address regional variations in tobacco use patterns.

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Section: Methodsmentioning

confidence: 99%

High tobacco use prevalence with significant regional and sex differences in smokeless tobacco use among Western Alaska Native people: the WATCH study

Koller

Flanagan

Day

et al. 2017

International Journal of Circumpolar Health

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show abstract

“…A small sample size was reported as a limitation by three studies (Dworkin, Larson, & Hansen, 2003;Hoppe et al, 2004;Patten et al, 2007). The willingness to participate in a study because of the teens' relationship with a provider or health care agency (Carroll et al, 2007) and confidentiality concerns (Molock et al, 2007) were also identified as limitations.…”

Section: Recruitmentmentioning

confidence: 97%

Adolescent-Friendly Remedies for the Challenges of Focus Group Research

Daley

2013

West J Nurs Res

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Focus groups are an increasingly popular method of qualitative research; however, as with any research method, limitations emerge that were not anticipated. This article reviewed the limitations reported in 21 research studies, published between 2002 and 2012, to identify the common concerns of researchers in focus group studies with adolescents. Limitations focused on methodological concerns, recruitment challenges, and the potential influences of peers and the moderator on research results. Remedies are suggested for modifying the focus group method to address these potential challenges within the context of adolescent development and adolescent-friendly care.

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“…American Indian/ Alaska Native 8 34 , qualitative Focus groups showed that Alaska Native adolescent tobacco users reported that they preferred cessation interventions that included location that were accessible to them, a group-based format, inclusion of medication, and personal stories. Motivators to quit included adverse health effects, improved self-image and appearance, and being a future role model.…”

Section: Domain 1: Understanding Tobacco Use and Related Diseasesmentioning

confidence: 99%

“…Alaska Native adolescent tobacco users reported preferences for interventions tailored to their group. 34 Social and community networks also facilitated the conduct of research in the community: one pilot found in-person contact was more cost-effective than media to recruit for a tobacco survey, 43 and highly mobile Spanish-speaking immigrant smokers were able to participate in intensive assessments and receive tobacco cessation assistance. 44 Community-specific beliefs impeding or facilitating cessation are distinct and varied.…”

Section: Psychosocial Researchmentioning

confidence: 99%

Working to Eliminate Cancer Health Disparities from Tobacco: A Review of the National Cancer Institute’s Community Networks Program

Tong¹,

Fagan²,

Cooper³

et al. 2015

NICTOB

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Introduction: In 2005, the National Cancer Institute funded the Community Networks Program (CNP), which aimed to reduce cancer health disparities in minority racial/ethnic and underserved groups through community-based participatory research, education, and training. The purpose of this study was to describe the CNP model and their tobacco-related work in community-based research, education, and training using a tobacco disparities research framework. Methods: We conducted a comprehensive review of the CNP tobacco-related activities including publications, published abstracts, research activities, trainee pilot studies, policy-related activities, educational outreach, and reports produced from [2005][2006][2007][2008][2009]. Two authors categorized the tobaccorelated activities and publications within the framework. Results: Although there was no mandate to address tobacco, the CNPs produced 103 tobaccorelated peer-reviewed publications, which reflects the largest proportion (12%) of all CNP cancerrelated publications. Selected publications and research activities were most numerous under the framework areas "Psychosocial Research, " "Surveillance, " "Epidemiology, " and "Treatment of Nicotine Addiction. " Thirteen CNPs participated in tobacco control policymaking in mainstream efforts that affected their local community and populations, and 24 CNPs conducted 1147 tobacco-related educational outreach activities. CNP activities that aimed to build research and infrastructure capacity included nine tobacco-related pilot projects representing 16% of all CNP cancer-related pilot projects, and 17 publications acknowledging leveraged partnerships with other organizations, a strategy encouraged by the CNP.

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Focus Groups of Alaska Native Adolescent Tobacco Users: Preferences for Tobacco Cessation Interventions and Barriers to Participation

Cited by 23 publications

References 15 publications

High tobacco use prevalence with significant regional and sex differences in smokeless tobacco use among Western Alaska Native people: the WATCH study

High tobacco use prevalence with significant regional and sex differences in smokeless tobacco use among Western Alaska Native people: the WATCH study

Adolescent-Friendly Remedies for the Challenges of Focus Group Research

Working to Eliminate Cancer Health Disparities from Tobacco: A Review of the National Cancer Institute’s Community Networks Program

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