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Journal of Community Health

, Volume 42, Issue 6, pp 1133–1140 | Cite as

American Indian Knowledge, Attitudes, and Beliefs About Smokeless Tobacco: A Comparison of Two Focus Group Studies

  • Kathryn Rollins
  • Charley Lewis
  • Ryan Goeckner
  • Joseph Pacheco
  • T. Edward Smith
  • Jason Hale
  • Sean Makosky Daley
  • Won S. Choi
  • Christine Makosky Daley
Original Paper

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.

Keywords

Smokeless tobacco American Indian Formative research Focus groups 

Notes

Funding

This study was funded by the National Institute on Minority Health and Health Disparities (R01MD007800; PI: CM Daley and P20MD004805; PI: Daley, Greiner).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Kathryn Rollins
    • 1
    • 2
    • 3
  • Charley Lewis
    • 1
    • 2
  • Ryan Goeckner
    • 1
    • 2
    • 4
    • 5
  • Joseph Pacheco
    • 1
    • 2
  • T. Edward Smith
    • 1
    • 8
  • Jason Hale
    • 1
    • 2
  • Sean Makosky Daley
    • 1
    • 8
  • Won S. Choi
    • 2
    • 6
    • 7
  • Christine Makosky Daley
    • 1
    • 2
    • 9
    • 10
  1. 1.American Indian Health Research and Education AllianceUniversity of Kansas Medical CenterKansas CityUSA
  2. 2.Center for American Indian Community HealthUniversity of Kansas Medical CenterKansas CityUSA
  3. 3.Department of Family MedicineUniversity of Kansas Medical CenterKansas CityUSA
  4. 4.Center for American Indian StudiesUniversity of KansasLawrenceUSA
  5. 5.Department of Religious StudiesUniversity of KansasLawrenceUSA
  6. 6.Preventive Medicine and Public HealthUniversity of Kansas Medical CenterKansas CityUSA
  7. 7.Master of Public Health ProgramUniversity of Kansas Medical CenterKansas CityUSA
  8. 8.Center for American Indian StudiesJohnson County Community CollegeOverland ParkUSA
  9. 9.Family Medicine, Preventive Medicine and Public HealthUniversity of Kansas Medical CenterKansas CityUSA
  10. 10.Indigenous StudiesUniversity of KansasLawrenceUSA

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