242126 Chronic Diseases and Alaska Native Tobacco Use - An ANTHC initiative to improve services

Tuesday, November 1, 2011

Stacy F. Kelley, MPH , Department of Clinical Services, Alaska Native Tribal Health Consotrium, Anchorage, AK
Christine DeCourtney, MPA , Department of Clinical Services, Alaska Native Tribal Health Consortium, Anchorage, AK
Judith Muller, MHA MEcon , Department of Clinical Services, Alaska Native Tribal Health Consortium, Anchorage, AK
Karen Doster , Department of Wellness and Prevention, Alaska Native Tribal Health Consortium, Anchorage, AK
The Alaska Native Tribal Health Consortium (ANTHC) provides healthcare services to Alaska Natives statewide. Alaska Natives have the highest rate of tobacco use in Alaska with the prevalence of cigarette smoking at 39% compared with 19% for all Alaskans (BRFSS 2009). The actual tobacco use rate is much higher in some communities, 54%-80%. The Alaska Tribal Health System's Comprehensive Cancer Plan includes a tobacco goal: Reduce cancer incidence, illness, and death due to tobacco use among Alaska Natives.

The ANTHC Cancer program recognized the need for increased collaboration to address the tobacco use disparity among Alaska Natives. While there have been many tobacco policy and clinical cessation successes within the Alaska Tribal Health System, the disproportionally high tobacco use rate among the Alaska Native people indicates the need for innovative and collaborative partnerships to substantially impact the rate. Tribal technical assistance, support and increased partnership between tribal and non-tribal organizations across chronic disease programs are important to support individual and community changes.

The goal of the: Chronic Diseases and Tobacco Use Initiative is to create a collaborative workgroup involving programs and healthcare professionals at the Alaska Native Medical Center. The ANTHC workgroup members act as a connection between clinical services and community outreach efforts to increase collaboration among existing clinics and programs. Results include: revised and streamlined clinical protocol for high risk patents seeking cessation services, increased health education materials and communication outreach, and better coordination of tobacco education and treatment services.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
To describe the disparity of tobacco use among Alaska Natives. To compare how tobacco use is related to chronic diseases including diabetes, cancer, cardiovascular, stroke, arthritis, asthma and obesity. To explain effective and innovative ways to collaborate with other chronic disease programs in order to share scarce healthcare resources and synergize efforts to reduce tobacco use among Alaska Natives and other disparate population cohorts.

Keywords: Chronic Diseases, Tobacco Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I initiated the project and coordinate the workgroup
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.