American Indian Initiative to Prevent and Reduce the Use of Commercial Tobacco Products
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1 American Indian Initiative to Prevent and Reduce the Use of Commercial Tobacco Products APRIL ROESELER, BRANCH CHIEF, CALIFORNIA TOBACCO CONTROL PROGRAM JENNY WONG, CHIEF, HEALTH EQUITY & LOCAL PROGRAMS UNIT
2 Standing Rock Reservation circa 1978
3 Tribal Consultation Process In-Person Sites + Online Survey Option Humboldt/Del Norte/Siskiyou Area (population: 18,497) Sonoma/Mendocino Area (population: 20,852) Redding/Butte Area (population: 18,448) Counties with Tribal Nations Fresno/Madera Area (population: 31,655) San Diego Area (population: 52,749) Riverside/San Bernardino Area (population: 87,583) 2013 American Indian Population and Labor Force Report, January 2014, Federal Recognized Tribes, California Clean Air Project Website Tribal Nations Map
4 Prop 56 Outcome 64% Yes 36% No
5 The Problem is THIS NOT THIS DRAFT FOR DISCUSSION ONLY
6 Smoke-free Homes 20.1% of American Indian/Alaskan Native adults reported no or few restrictions on smoking the home compared to 15.9% of all California adults. ( ) 65.8% of American Indian/Alaskan Native adults reported a complete smoking ban in their home, compared to 75.1% of all California adults. ( )
7 Adult Smoking in CA by Race/Ethnicity, DRAFT FOR DISCUSSION ONLY
8 Cigarette Smoking Among CA Adult Women with a Live Birth, % 30.0% 28.6% 25.0% 20.0% 15.0% 10.0% 5.0% 11.7% 9.0% 2.7% 18.0% 5.6% AI/AN All CA 0.0% Before Pregnancy During Pregnancy After Pregnancy Maternal and Infant Health Assessment Survey , California Department of Public Health, Maternal, Child Adolescent Health Program DRAFT FOR DISCUSSION ONLY
9 Middle and High School Student Smoking in CA by Race/Ethnicity, % 20.0% 19.6% 15.0% 10.0% 5.0% 11.2% 9.6% 8.1% 5.4% 0.0% AI/AN Whites Hispanics African Americans Asian Pacific Islanders California Student Tobacco Survey , California Department of Public Health, Tobacco Control Program
10 Community Readiness Needs Assessment Valerie Yerger, University of California San Francisco Claradina Soto, University Southern California Lou Moerner, Northern California Indian Development Council 10 Tribes: Focus Groups & Key Informant Interviews Focus Areas Tobacco 21 Smoke-free Indoor Workplaces Tobacco Taxes Tobacco Free Health Care and Behavioral Health Campus/Cessation Support Smoke-free Multi-unit Housing
11 Statewide Media Campaign Statewide Training & Technical Assistance Local Health Department Projects Reinvigorate the California Tobacco Control Program Priority Population Initiatives Expand Access to Cessation Assistance Expansion of Evaluation & Surveillance
12 Priority Populations Initiative Regions & Statewide Projects African American, Asian/Pacific Islander, Hispanic/Latino, Gender & Sexual Diversity, Rural American Indian Initiative Tribes, Non-profits, Statewide Coordinating Center Behavioral Health System Grants + Statewide Training & Technical Assistance Evidence-based & Promising Practices Initiative Experienced Agencies & New Players Low SES Initiative
13 American Indian Initiative Overall American Indian/Native American Initiative Tribal Govt. & Housing Grants Statewide Evaluation Statewide Coordinating Center Grants to AI/NA Nonprofits
14 Statewide Coordinating Center Convene AI/AN Projects Conduct Mass Media Campaign Leadership Development Single Coordinating Center Educational Materials Development Success Stories Coordinate with CDPH/CTCP Training & Technical Assistance Projects & Statewide Evaluation
15 Tribal Government Grants Type 1: Comprehensive Tobacco Control Programs Infrastructure Staff Subcontractors Interns Students 5 year grants Community Engagement Coalitions Spokespersons Policy & System Change Smoke Free Homes & Worksites Smoke-free Outdoor Areas Tobacco 21 Integrate Tobacco Use Prevention, Cessation Assistance, & Secondhand Smoke into Existing Programs Evaluation Local Project Participate in Statewide Evaluation Cessation Treatment Tobacco Taxes
16 Tribal Government Grants Type 2: Smoke-free Tribal Housing Policies Smoke-free policies Support cessation assistance Five-year grants
17 Grants for AI/NA Non-profit Agencies Health, Social Service, Education, Business nonprofit agencies May work locally, regionally or statewide Focused approaches 5 year grants
18
19 Discussion 1. What do you think of the overall structure that there would be a statewide coordinating center, grants specifically for Tribal government organizations, and grants specifically for American Indian/Native American (AI/NA) non-profit agencies? 2. Do you think it is appropriate for the statewide coordinating center to have a role in developing paid media and placement of it for all the AI/NA projects to use? What media channels are appropriate to reach AI/NA audiences? 3. Do you think it would be appropriate for Tribal housing organizations to apply for funding as a Tribal government organization? Are there other types of tribal government organizations that might apply? 4. What types of educational and policy efforts do you think are necessary to prevent and reduce tobacco use among American Indian populations? 5. What suggestions do you have for making sure that smaller tribes have an equitable chance for funding? 6. Electronic Survey feedback:
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