Holy Smoke: A Pilot Program to Address Tobacco and Related-disease disparities in a Cambodian Buddhist Temple

Background: Cambodia is one of the countries with the highest rates of smoking in the world and studies have shown that Cambodians in the US have the highest smoking rates among Asians Americans. There are no health warnings on tobacco products in Cambodia and no bans on sales to minors. Tobacco use contributes to 2 of the 4 leading causes of deaths among Cambodians. Goal: We implemented a pilot program to address tobacco use and related-disease disparities among Cambodians as part of an Asian American Health Faith-Based Initiative. A partnership with the Cambodian Buddhist Temple was developed to increase the knowledge and awareness of tobacco use and address the related-disease disparities. Methods: Several dialogues were conducted with key leaders to enlist support, obtain community input and develop the initiative. Members developed the slogan and logo for the initiative. In-depth discussions provided input on issues facing community, including lung diseases, cancer, oral health, diabetes education and mental health. Program components and manual developed incorporated issues addressed, including youth/young adult leadership and advocacy against tobacco use. 4 monks and 8 members of the temple were trained to conduct health promotion and outreach activities. Pre and post tests developed to test knowledge and awareness of tobacco use, tobacco products and harmful effects. Results/Conclusion: The challenges of tobacco use among Asian Americans and especially Cambodians call for targeted faith-based and cultural tailoring of programs to prevent initiation and cessation of tobacco. Buddhist monks are influential in addressing health and tobacco use within their Temple.