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One-Time Education Sessions to Help American Indian Smokeless Tobacco Users Quit

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Abstract

American Indian (AI) smokeless tobacco use rates are the highest of all racial/ethnic groups within the United States. Despite this, no effective cessation program currently exists that acknowledges the cultural significance of tobacco among many American Indian tribal nations. Participants were smokeless tobacco users, over 18 years of age, and were recruited through community partners. We modified the All Nations Snuff Out Smokeless Tobacco group-based program to be delivered as a one-time education session intervention. This was delivered to 80 participants and follow-up data was collected by self-report at 6-months. The mean age of participants was 35 and most were male (70%). A majority (69%) grew up on a AI reservation; the mean age of first smokeless tobacco use was 16 years of age. Of program completers reached for 6-month post baseline, 46% reported 0 days of SLT use; 13.5% of participants reduced; while 36% reported continued daily use. In intention to treat analysis those lost to follow-up are considered current users, the quit rate was 12.5% and among those who were still using, 4.0% reduced their use. In this study, a one-time education session intervention was effective for those who prefer an individual based approach to quitting SLT use. Follow up strategies to increase participant retention at 6-months should be explored.

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Acknowledgements

The research presented here was funded by the National Institute on Minority Health and Health Disparities (R01MD007800; PI: Daley). We would like to thank our community partners for their assistance with this project.

Funding

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

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Authors and Affiliations

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

    Jason W. Hale, Charley Lewis, Niaman Nazir, Jordyn Gunville, Babalola Faseru, K. Allen Greiner, Won S. Choi & Christine Makosky Daley

  2. Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS, USA

    Jason W. Hale, Charley Lewis, Jordyn Gunville, K. Allen Greiner & Christine Makosky Daley

  3. Department of Population Health, University of Kansas Medical Center, Kansas City, KS, USA

    Charley Lewis, Niaman Nazir, Jordyn Gunville, Babalola Faseru, Won S. Choi & Christine Makosky Daley

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

    Sean M. Daley

  5. American Indian Health Research and Education Alliance, Inc., Kansas City, KS, USA

    Jason W. Hale, Charley Lewis, Sean M. Daley, Ryan Goeckner, Jordyn Gunville & Christine Makosky Daley

  6. Department of Anthropology, Johnson County Community College, Overland Park, KS, USA

    Sean M. Daley

  7. Indigenous Studies Program, University of Kansas, Lawrence, KS, USA

    Christine Makosky Daley

Authors
  1. Jason W. Hale
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  2. Charley Lewis
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  3. Niaman Nazir
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  4. Sean M. Daley
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  5. Ryan Goeckner
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  6. Jordyn Gunville
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  7. Babalola Faseru
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  8. K. Allen Greiner
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  9. Won S. Choi
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  10. Christine Makosky Daley
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Correspondence to Jason W. Hale.

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Hale, J.W., Lewis, C., Nazir, N. et al. One-Time Education Sessions to Help American Indian Smokeless Tobacco Users Quit. J Community Health 45, 526–533 (2020). https://doi.org/10.1007/s10900-019-00771-1

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  • DOI: https://doi.org/10.1007/s10900-019-00771-1

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