Skip to main content

Advertisement

SpringerLink
Log in

Tobacco Cessation Intervention During Pregnancy Among Alaska Native Women

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

This paper describes a community-based participatory research program with Alaska Native people addressing a community need to reduce tobacco use among pregnant women and children. Tobacco use during pregnancy among Alaska Native women is described along with development of a community partnership, findings from a pilot tobacco cessation intervention, current work, and future directions. Among Alaska Native women residing in the Yukon Kuskokwim Delta region of western Alaska, the prevalence of tobacco use (cigarette smoking and/or use of smokeless tobacco) during pregnancy is 79%. Results from a pilot intervention study targeting pregnant women indicated low rates of participation and less than optimal tobacco abstinence outcomes. Developing alternative strategies to reach pregnant women and to enhance the efficacy of interventions is a community priority, and future directions are offered.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Tong VT, Jones JR, Dietz PM, D'Angelo D, Bombard JM (2009) Trends in smoking before, during and after pregnancy—Pregnancy Risk Assessment Monitoring System (PRAMS), United States, 31 sites, 2000-2005. MMWR 58(4):1–29

    Google Scholar 

  2. Timberlake DS, Huh J (2009) Demographic profiles of smokeless tobacco users in the US. Am J Prev Med 37(1):29–34

    Article  PubMed  Google Scholar 

  3. Bloch M, Althabe F, Onyamboko M, Kaseba-Sata C, Castilla EE, Freire S, Garces AL et al (2008) Tobacco use and secondhand smoke exposure during pregnancy: an investigative survey of women in 9 developing nations. Am J Public Health 98(10):1833–1840

    Article  PubMed  Google Scholar 

  4. England L, Kim SY, Tomar SL, Ray CS, Gupta PC, Eissenberg T, Cnattingius S, Bernet JT, Tita AT, Winn DM, Djordjevic MV, Lambe M, Stamilio D, Chipato T, Tolosa JE (2010) Non-cigarette tobacco use among women and adverse pregnancy outcomes. Acta Obstet Gynecol Scand 89(4):454–64

    Article  PubMed  Google Scholar 

  5. Cnattingius S (2004) The epidemiology of smoking during pregnancy: smoking prevalence, maternal characteristics, and pregnancy outcomes. Nicotine Tob Res 6(Suppl 2):S125–140

    Article  PubMed  Google Scholar 

  6. U.S. Department of Health and Human Services (2001) Women and smoking: a report of the Surgeon General. Accessed at: http://www.cdc.gov/tobacco/data_statistics/sgr/2001/index.htm

  7. Steyn K, de Wet T, Saloojee Y, Nel H, Yach D (2006) The influence of maternal cigarette smoking, snuff use and passive smoking on pregnancy outcomes: the Birth To Ten Study. Paediatr Perinat Epidemiol 20(2):90–99

    Article  PubMed  Google Scholar 

  8. England LJ, Levine RJ, Mills JL, Klebanoff MA, Yu KF, Cnattingius S (2003) Adverse pregnancy outcomes in snuff users. Am J Obstet Gynecol 189(4):939–943

    Article  PubMed  Google Scholar 

  9. Gupta PC, Subramoney S (2006) Smokeless tobacco use and risk of stillbirth: a cohort study in Mumbai, India. Epidemiology 17(1):47–51

    Article  PubMed  Google Scholar 

  10. Wikstrom AK, Cnattingius S, Stephansson O (2010) Maternal use of Swedish snuff (snus) and risk of stillbirth. Epidemiology 21(6):772–778

    Article  PubMed  Google Scholar 

  11. Smith JJ, Ferucci ED, Dillard DA, Lanier AP (2010) Tobacco use among Alaska Native people in the EARTH study. Nicotine Tob Res 12(8):839–844

    Article  PubMed  Google Scholar 

  12. Alaska Department of Health and Social Services (2008) Health risks in Alaska among adults: Alaska Behavioral Risk Factor Survey (BRFSS) 2007 annual report. Alaska Department of Health and Social Services, Anchorage

    Google Scholar 

  13. Kim SY, England L, Dietz PM, Morrow B, Perham-Hester KA (2009) Prenatal cigarette smoking and smokeless tobacco use among Alaska native and white women in Alaska, 1996-2003. Matern Child Health J 13(5):652–659

    Article  PubMed  Google Scholar 

  14. Patten C, Renner CC, Decker PA, O'Campo E, Larsen K, Enoch C (2008) Tobacco use and cessation among pregnant Alaska Natives from Western Alaska enrolled in the WIC Program. Matern Child Health J 12(Suppl 1):30–36

    Article  PubMed  Google Scholar 

  15. Renner CC, Enoch C, Patten CA, Ebbert JO, Hurt RD, Moyer TP, Provost EM (2005) Iqmik: a form of smokeless tobacco used among Alaska natives. Am J Health Behav 29(6):588–594

    Article  PubMed  Google Scholar 

  16. Hurt RD, Renner CC, Patten CA, Ebbert JO, Offord KP, Schroeder DR, Enoch CC, Gill L, Angstman SE, Moyer TP (2005) Iqmik—a form of smokeless tobacco used by pregnant Alaska Natives: nicotine exposure in their neonates. J Matern Fetal Neonatal Med 17(4):281–289

    Article  PubMed  CAS  Google Scholar 

  17. Pappas RS, Stanfill SB, Watson CH, Ashley DL (2008) Analysis of toxic metals in commercial moist snuff and Alaskan iqmik. J Anal Toxicol 32(4):281–291

    PubMed  CAS  Google Scholar 

  18. Renner CC, Patten CA, Enoch C, Petraitis J, Offord KP, Angstman S, Garrison A, Nevak C, Croghan IT, Hurt RD (2004) Focus groups of Y-K Delta Alaska Natives: attitudes toward tobacco use and tobacco dependence interventions. Prev Med 38(4):421–431

    Article  PubMed  Google Scholar 

  19. Kim SY, England L, Dietz PM, Morrow B, Perham-Hester KA (2009) Patterns of cigarette and smokeless tobacco use before, during, and after pregnancy among Alaska Native and White women in Alaska, 2000–2003. Matern Child Health J. doi:10.1007/s10995-009-0444-7

  20. Patten CA, Windsor RA, Renner CC, Enoch C, Hochreiter A, Nevak C, Smith CA et al (2010) Feasibility of a tobacco cessation intervention for pregnant Alaska Native women. Nicotine Tob Res 12(2):79–87

    Article  PubMed  Google Scholar 

  21. Melvin C, Gaffney C (2004) Treating nicotine use and dependence of pregnant and parenting smokers: an update. Nicotine Tob Res 6(Suppl 2):S107–124

    Article  PubMed  CAS  Google Scholar 

  22. Fiore MC, Jaen CR, Baker TB, Bailey WC, Benowitz N, Curry SJ et al. 2008. Treating tobacco use and dependence: 2008 update. Clinical Practice Guideline

  23. Angstman S, Patten CA, Renner CC, Simon A, Thomas JL, Hurt RD, Schroeder DR, Decker PA, Offord KP (2007) Tobacco and other substance use among Alaska Native youth in western Alaska. Am J Health Behav 31(3):249–260

    Article  PubMed  Google Scholar 

  24. Patten C, Enoch C, Renner CC, Offord KP, Nevak C, Kelley S, Thomas J et al (2009) Focus groups of Alaska Native adolescent tobacco users: preferences for tobacco cessation interventions and barriers to participation. Health Educ Behav 36(4):711–723

    Article  PubMed  Google Scholar 

  25. Patten C, Enoch C, Renner CC, Larsen K, Decker PA, Anderson KJ, Nevak C, Glasheen A, Offord KP, Lanier A (2008) Evaluation of a tobacco education intervention for pregnant Alaska Native women. J Health Dispar Res Pract 2(3):33–50

    PubMed  Google Scholar 

  26. Cueva M, Kuhnley R, Lanier A, Dignan M (2005) Using theater to promote cancer education in Alaska. J Canc Educ 20(1):45–48

    Article  Google Scholar 

  27. Tom-Orme L (2000) Native Americans explaining illness: storytelling as illness experience. In: Whaley BB (ed) Explaining illness: research, theory, and strategies. Erlbaum, Mahwah, pp 237–257

    Google Scholar 

  28. Hodge FS, Fredericks L, Rodriguez B (1996) American Indian women's talking circle. A cervical cancer screening and prevention project. Cancer 78(7 Suppl):1592–1597

    PubMed  CAS  Google Scholar 

  29. Kreuter MW, Green MC, Cappella JN, Slater MD, Wise ME, Storey D, Clark EM et al (2007) Narrative communication in cancer prevention and control: a framework to guide research and application. Ann Behav Med 33(3):221–235

    Article  PubMed  Google Scholar 

  30. Bandura A (2004) Health promotion by social cognitive means. Health Educ Behav 31(2):143–164

    Article  PubMed  Google Scholar 

  31. Lowry RJ, Hardy S, Jordan C, Wayman G (2004) Using social marketing to increase recruitment of pregnant smokers to smoking cessation service: a success story. Public Health 118:239–243

    Article  PubMed  CAS  Google Scholar 

  32. Wilkinson SA, Miller YD, Watson B (2010) The effects of a woman-focused, woman-held resource on preventive health behaviors during pregnancy: the pregnancy pocketbook. Women Health 50(4):342–358

    Article  PubMed  Google Scholar 

  33. Lowry RJ, Billett A, Buchanan C, Whiston S (2009) Increasing breastfeeding and reducing smoking in pregnancy: a social marketing success improving life chances for children. Perspect Public Health 129(6):277–280

    Article  PubMed  CAS  Google Scholar 

  34. Reitzel LR, Vidrine JI, Businelle MS, Kendzor DE, Costello TJ, Li Y, Daza P, Mullen PD, Velasquez MM, Cinciripini PM, Cofta-Woerpel L, Wetter DW (2010) Preventing postpartum smoking relapse among diverse low-income women: a randomized trial. Nicotine Tob Res 12(4):326–335

    Article  PubMed  Google Scholar 

  35. Burhansstipanov L, Dignan MB, Bad Wound D, Tenney M, Vigil G (2000) Native American Recruitment into Breast Cancer Screening: the NAWWA Project. J Cancer Educ 15:28–32

    PubMed  CAS  Google Scholar 

  36. Hecht SS (2002) Human urinary carcinogen metabolites: biomarkers for investigating tobacco and cancer. Carcinogenesis 23(6):907–922

    Article  PubMed  CAS  Google Scholar 

  37. Hecht SS (1999) Tobacco smoke carcinogens and lung cancer. J Natl Cancer Inst 91(14):1194–1210

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

From the Yukon-Kuskokwim Health Corporation (YKHC) in Bethel, Alaska, I would like to thank the staff at the Nicotine Cessation and Control Program, Women’s Health Department and Obstetrical, WIC and Community Health Aide Program for their support with the research conducted over the past 10 years. I also acknowledge Dr. Joseph Klejka, Mr. Gene Peltola, and the YKHC Board for their continued support of the team’s work on tobacco use in the region. From the Alaska Native Tribal Health Consortium, I acknowledge the important contributions to this work of Caroline Renner, MPH and Dr. Anne Lanier. In addition, I acknowledge the Mayo Clinic Cancer Center leadership for their support and our research team at Mayo Clinic and at the YKHC for their dedication and commitment to this work. This work was supported by the National Institutes of Health, supplements to National Cancer Institute grant U01 CA86098 awarded to Judith Kaur, MD; National Cancer Institute grant U54 CA153605 awarded to Judith Kaur, MD; National Institute on Drug Abuse and Office of Women’s Health Research grant R21 DA19948 awarded to Dr. Patten; and National Institute on Drug Abuse grant R01 DA 025156 awarded to Dr. Patten.

Conflict of Interest

The author declares that she does not have a conflict of interest.

Author information

Authors and Affiliations

  1. Mayo Clinic Cancer Center, Rochester, MN, USA

    Christi A. Patten

  2. Department of Psychiatry and Psychology and Behavioral Health Research Program, Mayo Clinic College of Medicine, 200 First Street Southwest, Charlton 6-273, Rochester, MN, 55901, USA

    Christi A. Patten

Authors
  1. Christi A. Patten
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Christi A. Patten.

Additional information

This paper is based on an oral presentation delivered at the “8th National Changing Patterns of Cancer in Native Communities: Strength Through Tradition and Science” conference, Seattle, Washington, September 2010.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Patten, C.A. Tobacco Cessation Intervention During Pregnancy Among Alaska Native Women. J Canc Educ 27 (Suppl 1), 86–90 (2012). https://doi.org/10.1007/s13187-012-0317-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-012-0317-4

Keywords

Search

Navigation