Oral

This session examines tobacco use and policy issues in special populations. Oklahoma agencies have developed an anti-tobacco health education campaign focusing on ceremonial tobacco use while also encouraging tribal members to quit tobacco. China is the world's largest producer and consumer of tobacco. Tobacco imposes tremendous burden on Chinese society. There has been very limited evidence on the impact of cigarette price on cigarette consumption in China, and little is known about whether its impact differs by socioeconomic status. Genome-wide association study results were used to derive a genetic risk score for members of the Dunedin Study cohort. We used longitudinal data from 9 assessments spanning ages 11-38 years to track these individuals as they initiated smoking during adolescence, converted to daily smoking and progressed to heavy smoking during the teenage and young-adult years; and as they persisted in heavy smoking, developed nicotine dependence, and struggled with cessation in their 20s and 30s. Tribally owned casinos are one of the last public spaces of secondhand smoke exposure for employees and patrons in California. Innovative approaches to tobacco control and research efforts need to be considered when working in tribally owned casinos.

Session Objectives: 1. Analyze the rationale for anti-tobacco campaigns directed at the Oklahoma Native American community. 2. Describe the conditional price elasticity of demand for cigarettes among Chinese urban adult smokers. 3. Explain how the genetic etiology of nicotine dependence and genetic risk relates to prevention policy. 4. Identify the strengths and weaknesses of different approaches to working with tribal councils and casino management to adopt smoke-free casino policies.

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)