219192 Knowledge, attitudes, and prevalence of tobacco use among Somali adults in Minnesota

Tuesday, November 9, 2010

Kristin Giuliani, MHS , WellShare International, Minneapolis, MN
Laura C. Ehrlich, MPH , WellShare International, Minneapolis, MN
Melissa H. Stigler, PhD , School of Public Health, Austin Regional Campus, University of Texas, Austin, TX
Diana DuBois, MPH, MIA , WellShare International, Minneapolis, MN
Background: In 2008, the Minnesota Department of Health reported that one in five Minnesota adults were smokers, indicating that tobacco use continues to be a problem. Somalis compose the largest African refugee group in the U.S., with more than 55,000 primary arrivals since fiscal year 2000. Minnesota has the largest Somali population in the U.S. and informal tobacco use prevalence estimates range from 13% to 37%. Little research has been conducted to determine the extent of tobacco use among Somalis. Methods: A knowledge, attitude and practice (KAP) survey, modeled after validated state and national tobacco use surveys was adapted for Somalis and administered to ethnically Somali adults (n=392) from 25 neighborhood clusters in the Twin Cities and greater Minnesota. Participants were chosen through probability proportional to size and multistage random sampling methods. Results: Estimated prevalence for cigarette use among Somalis was 24%, which is higher than the reported state-wide smoking prevalence for Minnesota adults, although much lower than perceived prevalence (37%). Ever users were significantly more likely to be male, have attended college, and have friends who used cigarettes (p<0.0001). Belief in Islamic prohibition of tobacco was protective and affected current use and future intention to use tobacco (p<0.0001). Conclusions: Estimated cigarette use prevalence was lower than perceived prevalence. Contrary to typical results, greater smoking prevalence was found among Somalis with higher education levels. Positive peer pressure and religion are protective factors in tobacco use and should be integrated into any future prevention and cessation programs.

Learning Areas:
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
List 5 key steps in designing an adult tobacco survey in refugee/immigrant communities in the US

Keywords: Community Research, Refugees

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been significantly involved in the design of this adult Somali tobacco KAP survey
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.