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

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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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Funding

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

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Authors and Affiliations

  1. American Indian Health Research and Education Alliance, University of Kansas Medical Center, Kansas City, KS, USA

    Kathryn Rollins, Charley Lewis, Ryan Goeckner, Joseph Pacheco, T. Edward Smith, Jason Hale, Sean Makosky Daley & Christine Makosky Daley

  2. Center for American Indian Community Health, University of Kansas Medical Center, 3901 Rainbow Blvd, Mailstop 1030, Kansas City, KS, 66160, USA

    Kathryn Rollins, Charley Lewis, Ryan Goeckner, Joseph Pacheco, Jason Hale, Won S. Choi & Christine Makosky Daley

  3. Department of Family Medicine, University of Kansas Medical Center, Kansas City, KS, USA

    Kathryn Rollins

  4. Center for American Indian Studies, University of Kansas, Lawrence, KS, USA

    Ryan Goeckner

  5. Department of Religious Studies, University of Kansas, Lawrence, KS, USA

    Ryan Goeckner

  6. Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS, USA

    Won S. Choi

  7. Master of Public Health Program, University of Kansas Medical Center, Kansas City, KS, USA

    Won S. Choi

  8. Center for American Indian Studies, Johnson County Community College, Overland Park, KS, USA

    T. Edward Smith & Sean Makosky Daley

  9. Family Medicine, Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS, USA

    Christine Makosky Daley

  10. Indigenous Studies, University of Kansas, Lawrence, KS, USA

    Christine Makosky Daley

Authors
  1. Kathryn Rollins
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  2. Charley Lewis
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  3. Ryan Goeckner
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  4. Joseph Pacheco
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  5. T. Edward Smith
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  6. Jason Hale
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  7. Sean Makosky Daley
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  8. Won S. Choi
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  9. Christine Makosky Daley
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Corresponding author

Correspondence to Kathryn Rollins.

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The authors declare that they have no conflict of interest.

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Rollins, K., Lewis, C., Goeckner, R. et al. American Indian Knowledge, Attitudes, and Beliefs About Smokeless Tobacco: A Comparison of Two Focus Group Studies. J Community Health 42, 1133–1140 (2017). https://doi.org/10.1007/s10900-017-0362-3

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  • DOI: https://doi.org/10.1007/s10900-017-0362-3

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