142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Conducting research in Tribal casinos to inform policy change for safer and healthier work environments

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 8:30 AM - 8:50 AM

Narinder Dhaliwal, MA , Research Department, ETR Associates, Sacramento, CA
Roland Moore, PhD , Prevention Research Center, Pacific Institute for Research and Evaluation, Oakland, CA
Francisco Buchting, PhD , Horizons Foundation, San Francisco, CA
Gary Hayward, MA , Win River Casino, Redding, CA
Juliet P. Lee, PhD , Prevention Research Center, Pacific Institute for Research and Evaluation, Oakland, CA
Tribally-owned casinos represent a vital source of revenue for American Indian tribes. Because they are sovereign nations, tribes are not bound by state laws, including California's 1998 Smokefree Workplace. Patrons and staff in tribally-owned casinos are therefore at risk for exposure to secondhand smoke. The presentation will highlight the opportunities and challenges of working in a collaborative approach with tribal casino management and tribal councils that has led to many tobacco control policy successes including the first urban tribal casino to go 100% smoke free in California. The collaborative model combined a process of relationship building, participatory research, technical assistance to casino management, and work with local community based organizations. The guiding principles for the model have been respecting sovereignty and working in partnership with casino management and tribal leadership. The panel will include two scientists who will present the participatory research methodology used for the studies conducted (ethnographic observation; air particulate monitoring; tobacco policy review; and tribal member, patron and employee surveys) as well as negotiating data ownership and its use with casino management and tribal leadership.  The other two panelists, the lead public health professional on the project and the manager of the tribal casino that adopted a 100% indoor smoke-free policy, will present the case study of how success happened and how it can be replicated. The panel will close with a discussion of the ethics of conducting research and public health policy work in Indian Country in order to achieve effective and lasting public health advances.

Learning Areas:

Environmental health sciences
Implementation of health education strategies, interventions and programs
Occupational health and safety
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Public health or related research

Learning Objectives:
Demonstrate how collaborative research can be used to guide policy change that will affect health and economics in Indian owned business. e.g. Tribal casinos. Explain how to ethically conduct public health advocacy in research in partnership with tribal councils, casino management and public health entities. Describe the different types of data that can be generated and used in public health policy change in Indian Country, e.g. ethnographic, environmental monitoring, policy analysis, casino patron and employee surveys.

Keyword(s): Native Americans, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the Project Director on multiple statewide public health grants focusing on tribal health policy, specifically tribal casinos and secondhand smoke exposure, as well as tobacco control in low socio-economic status, rural geographic and specifically targeted populations for exposure to secondhand smoke.
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.