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American Indian Knowledge,Attitudes, and Beliefs About Smokeless Tobacco: A Comparison of Two Focus Group Studies
Authors:Kathryn Rollins  Charley Lewis  Ryan Goeckner  T Edward Smith  Jason Hale  Sean Makosky Daley  Won S Choi  " target="_blank">Christine Makosky Daley
Institution:1.American Indian Health Research and Education Alliance,University of Kansas Medical Center,Kansas City,USA;2.Center for American Indian Community Health,University of Kansas Medical Center,Kansas City,USA;3.Department of Family Medicine,University of Kansas Medical Center,Kansas City,USA;4.Center for American Indian Studies,University of Kansas,Lawrence,USA;5.Department of Religious Studies,University of Kansas,Lawrence,USA;6.Preventive Medicine and Public Health,University of Kansas Medical Center,Kansas City,USA;7.Master of Public Health Program,University of Kansas Medical Center,Kansas City,USA;8.Center for American Indian Studies,Johnson County Community College,Overland Park,USA;9.Family Medicine, Preventive Medicine and Public Health,University of Kansas Medical Center,Kansas City,USA;10.Indigenous Studies,University of Kansas,Lawrence,USA
Abstract:Though smokeless tobacco (SLT) use has decreased in many communities, concern for American Indian (AI) SLT use remains, as this population continues to be disproportionally affected by SLT-related diseases. Tobacco has cultural significance to many AI tribes, therefore tobacco cessation messages portraying tobacco as entirely negative may be ineffective. As a part of our formative research for an SLT cessation intervention, we sought to gain a better understanding of the knowledge, attitudes, and beliefs about SLT among AI community members. We describe two independent focus group studies conducted in Montana (ten focus groups, 54 participants) and Kansas (six focus groups, 27 participants). Predominant themes emerged from three major topic areas (SLT use, program development, and recreational SLT use) during the discussions from both studies. The formative approach and data from these studies will allow us to more appropriately address SLT-related health disparities across multiple AI communities.
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