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APHA Scientific Session and Event Listing

Jill M. Abbott, MPH, DrPH¹, Karen Ahijevych, PhD², Mary Ellen Wewers, PhD³, Kenneth Steinman, PhD, MPH³, and Electra D. Paskett, PhD³. (1) Comprehensive Cancer Center, The Ohio State University, 320 W. 10th Ave., A350B Starling-Loving Hall, Columbus, OH 43210, 614-293-8174, jill.abbott@osumc.edu, (2) College of Nursing, The Ohio State University, 1585 Neil Ave., 392 Newton Hall, Columbus, OH 43210, (3) School of Public Health, The Ohio State University, 1841 Millikin Rd., 432 Cunz Hall, Columbus, OH 43210

Background: Tobacco use in the United States is increasingly prevalent among vulnerable groups. It has been documented that tobacco use is a risk factor for cervical cancer. Ohio Appalachian women are at increased risk for cervical cancer; however, very little is known about their tobacco use. Methods: Thirty-five Ohio Appalachia female residents participated in one of five community focus groups conducted by trained facilitators. Discussion topics addressed factors related to cervical cancer, including screening, smoking, and attitudes and beliefs about cancer. The tape-recorded focus groups were transcribed and analyzed to identify reasons for smoking and not smoking, as well as aspects of past quit attempts that were either helpful or not helpful. Current, former, and never smokers were represented in each of the focus groups. Results: Women stated that they smoked for physical and social reasons, as well as to cope with life stressors. Reasons for not smoking or quitting smoking were primarily related to health concerns; however, economic benefits (e.g., financial) were also mentioned. Women shared that social pressure and quitting “cold turkey” were most helpful in quitting tobacco use. On the other hand, nicotine replacement therapy was generally viewed as not helpful. Most current and former smokers reported multiple attempts at quitting tobacco use. Only one woman acknowledged the relationship between smoking and cervical cancer. Conclusion: Insight into tobacco use characteristics among Ohio Appalachian women reveals implications for smoking cessation programs that can decrease tobacco use and ultimately reduce cervical cancer incidence and mortality among this underserved population.

Learning Objectives: At the conclusion of the session, the participant will be able to

• Identify three reasons why women in Ohio Appalachia begin and continue to smoke.
• Describe the perceived benefits of smoking cessation for Ohio Appalachian women.
• Explain how these factors can be incorporated into an educational program to facilitate successful smoking cessation.

Keywords: Cervical Cancer, Tobacco

Presenting author's disclosure statement:

Not Answered