Recorded presentation

Heide Castañeda, MA, MPH¹, Jean X. Campbell, BA², Nicky Teufel-Shone, PhD², Myra Muramoto, MD, MPH³, and Michael D. Lebowitz, PhD². (1) College of Public Health & Department of Anthropology, University of Arizona, 1450 N. Cherry Avenue, Tucson, AZ 85719, 520-887-2228, hcastane@email.arizona.edu, (2) College of Public Health, University of Arizona, Arizona Prevention Center, 1145 N. Campbell Ave., Tucson, AZ 85721-0228, (3) College of Public Health & College of Medicine, University of Arizona, 1450 N. Cherry Avenue, Tucson, AZ 85719

Current tobacco control policy emphasizes sustainability through collaboration with local organizations, especially for disparate populations. This paper addresses the application and relevance of the CDC “Best Practices for Comprehensive Tobacco Control Programs” for programs targeting Native American and Latino communities in Arizona and California. This allows for an examination of how policy designed at the national level and reconfigured through state programs is finally implemented at the community level. Unique strategies, facilitators, and challenges for tobacco control programs in these communities will be highlighted. Semi-structured interviews were conducted with staff at the state and community levels, as well as intermediary organizations. The findings illustrate the importance of incorporating feedback from communities during all stages of planning and implementation, although the specific concerns of these two communities differ considerably. Perspectives on constraints and facilitators to guideline implementation are remarkably consistent, although Native American communities have a more extensive set of unique barriers. Best Practice components that were not identified by the state as priority areas were also not addressed to a significant degree at the community level. While states attempted to adapt the guidelines to fit the capacity of local programs, state directives were hindered by lack of data and knowledge about the communities, limitations in program focus, and funding restrictions. Limitations existed at the community level as well, however, where small size and capacity of local programs inhibited the development of the multiple elements necessary to create a comprehensive tobacco control program.

Learning Objectives: At the end of this discussion, participants will be able to

1. Identify barriers influencing program sustainability in Native American and Latino community-based tobacco control programs in Arizona and California. 2. Identify facilitators influencing program sustainability in Native American and Latino community-based tobacco control programs in Arizona and California.
• Recognize innovative approaches employed by state and community-level tobacco control programs in Arizona and California which target Native American and Latino communities. 3. Assess the relevance and current application of CDC "Best Practices for Comprehensive Tobacco Control Programs" in these two communities.

Keywords: Tobacco, Tobacco Policy

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Recorded presentation