142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Breathing Clean Air is Sa'ah Naaghai Bik'eh Hozhoo (SNBH): A Navajo-centered approach to commercial smoke-free policy

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 9:10 AM - 9:30 AM

Hershel Clark, BA , Black Hills Center for american Indian Health, Winslow, AZ
Alfred Yazzie , Black Hills Center for american Indian Health, Winslow, AZ
Jacqueline Nahee , Black Hills Center for american Indian Health, Winslow, AZ
Samantha Sabo, DrPH, MPH , Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ
Patricia Nez Henderson, MD, MPH , Black Hills Center for American Indian Health, Rapid City, SD
Scott Leischow, PhD , Research, Mayo Clinic in Arizona, Scottsdale, AZ

Smoking rates among American Indian populations are the highest of any ethnic group in the United States, and few tribes have established indoor smoke-free policies to protect against secondhand smoke. The NCI-funded “Networks Among Tribal Organizations for Clean Air Policies” aims to inform smoke-free policy on the Navajo Nation through a community-based participatory research approach in which Navajo people are central to every aspect of research. To identify factors relevant to smoke-free policies among the Navajo people, a bicultural team of researchers developed and tested evidence-based messages on the economics and health effects of smoke-free policy. Methods:  Teams conducted focus groups among Navajo tribal members (N=27) living in three distinct regions of the Navajo reservation. Through collaborative analysis, which weighs scientific and cultural ways of knowing equally, principals of Sa’ah Naaghai Bik’eh Hozhoo (SNBH), a Navajo traditional system that places human life in harmony with the natural world and provides principles for wellbeing emerged from the data. Patterns were categorized by the Dine Policy Institute SNBH framework on smoke free policy. Results: Qualitative themes included Navajo perspectives on the shift away from family and cultural teachings considered protective to a smoke-free life; and the ethical and economic struggle to balance and respect individual and collective rights to live and work in smoke free environments. Conclusions: The Navajo traditional system of SNBH emerged as a culturally salient framework for understanding the economic and health effects of smoke free policy and was considered fundamental to protecting the health of Navajo people.

Learning Areas:

Diversity and culture
Public health or related public policy

Learning Objectives:
Describe the principals of Sa’ah Naaghai Bik’eh Hozhoo (SNBH) and their relationship to smoke free policy.

Keyword(s): Policy/Policy Development, Tobacco Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a Associates Degree in Dine’ Studies from Dine’ College on the Navajo Nation, a Bachelor of Science Degree in American Indian Studies from Arizona State University. I am a citizen of the Navajo Nation and practice and understand the Navajo cultural and traditional customs which is directly related to the research. I conducted the research, analyzed the data and interpreted the findings.
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.