Tribal Tobacco Control with Policy Systems & Environmental (PSE) Strategies

Transcription

1 Tribal Tobacco Control with Policy Systems & Environmental (PSE) Strategies Kris Rhodes, MPH Bad River Band of Lake Superior Chippewa Fond du Lac Band of Lake Superior Chippewa

2 Presentation Overview AICAF Background Raising Awareness: AIAN Cancer Data & Tobacco Advancing Capacity: PSE Support with Tribal Communities and Health Systems Community Research: Identifying Solutions with Tribal Communities

3 Our Story The American Indian Cancer Foundation (AICAF) was established to address tremendous cancer inequities faced by American Indian and Alaska Native communities.

4 Our Vision Our vision is a world where American Indians and Alaska Natives are once again the healthiest people on this planet and are not dying from preventable causes of cancer.

5 Our Approach We believe Native communities have the wisdom to find the solutions to health inequities, but are often seeking the organizational capacity, expert input and resources to do so.

6 AICAF Strategic Goals 1. Bring attention to American Indian Cancer Burdens and Solutions 1. Advance Capacity Through Training, Technical Assistance and Resources 1. Increase Availability of Reliable American Indian Cancer Data and Solutions

7 AICAF Strategic Goal #1 1. Bring attention to American Indian Cancer Burdens and Solutions Champion collaborations and partnerships that leverage community interest, resources, and investments. Engage tribes and mainstream health organizations through presentations, exhibits, media and social media. Host fundraiser and awareness events across Indian Country.

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9 AIAN Cancer Data American Indians and Alaska Natives face alarming inequities in both cancer incidence and mortality. The U.S. has celebrated decreasing cancer death rates in the past 20 years, but AIAN cancer mortality rates are still on the rise.

10 Regional Differences

11 Alaska AI/AN in Alaska have higher cancer diagnoses and death rates for many cancers compared to Whites.

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13 Commercial Tobacco Use and Cancer Source:

14 Tobacco is Medicine When it is used correctly, it has the power to bring good things and, like other medicines, if it is not used correctly, it has the power to bring great harm. Anishinaabe Elder

15 Commercial vs. Traditional Commercial tobacco is tobacco you buy in the store. Loose tobacco Cigarettes & chewing tobacco Vape, other manufactured products Traditional tobacco is usually not bought in the store. Indian tobacco Mixture that may not contain any tobacco

16 United States AMERICAN INDIAN RELIGIOUS FREEDOM ACT 1978

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19 59% MN

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23 AICAF Strategic Goal #2 Advance Capacity Through Training, Technical Assistance and Resources Identify prevention and healing approaches based on tribal teachings, sovereignty and self-determination. Develop and share model frameworks, training and resources for American Indian communities and health systems. Community education and outreach Clinical systems innovations Survivor support

24 Social Media Tobacco Efforts Quit Connections is a Facebook support group for American Indian and Alaska Natives who have or are trying to quit commercial tobacco. The group provides motivations to quit, information and resources, and peer-to-peer support.

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27 Sustainable Change Policy, System and Environmental Change Support

28 Changing the Story: Health Equity Health is a state of complete physical, social and mental wellbeing, not just the absence of disease or infirmity. Health Equity is when all people have the opportunity to realize their health potential- the highest level of health possible for that person without limits imposed by structural inequalities.

29 Social Determinants of Health The 40%

30 PSE Approach for Change A framework for creating positive, sustainable change We can relate the concept to our Indigenous worldviews Policy: Guiding principles for ways of living Systems: Family, clan, and food systems Environmental: Seasonal practices for harvesting foods, medicines and taking care of the earth and all of its inhabitants

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33 Clinic Systems iquits Program: Resources and technical assistance to support QI efforts across tribal health systems to increase quit rates. Educational training Customized tools Engage interdepartmental team to set QI goals and implement systems changes EMR data monitoring Encourages the 5 A s model

34 The 5 A s: A team effort Ask Advise Assess Assist Arrange Ask patient about commercial tobacco use and exposure to secondhand smoke Offer clear, strong, personal advice to quit Assess willingness to quit Provide assistance in quitting (counseling, referrals, medications) Arrange for follow-up and offer resources

35 AICAF Strategic Goal #3 Increase Availability of Reliable American Indian Cancer Data and Solutions Host community conversations to identify local cancer priorities, barriers and solutions. Develop and share relevant reports and presentations. Collaborate on reality-based and community-driven research. Support evaluation of cancer prevention and screening efforts.

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37 Keep in Touch with Us! AmericanIndianCancer.org