142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Networks Among Tribal Organizations for Clean Air Policies (NATO CAP): A place based approach to understanding commercial smoke-free policy and reducing tobacco related health disparities on the Navajo Nation

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

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
Janet Okamoto, PhD, MPH , 13400 E. Shea Blvd, MCCRB 2-216, Mayo Clinic, Scottsdale, AZ
Alfred Yazzie , Black Hills Center for american Indian Health, Winslow, AZ
Carmenlita Chief, BA , Zuckerman College of Public Health, University of Arizona, Tuscon, AZ
Hershel Clark, BA , Black Hills Center for american Indian Health, Winslow, AZ
Jacqueline Nahee , Black Hills Center for american Indian Health, Winslow, AZ
Gregg Moor, BS , In-Source, Coquitlam, Canada
Scott Leischow, PhD , Research, Mayo Clinic in Arizona, Scottsdale, AZ
Smoking rates among American Indian/Alaska Native 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 (NATO CAP)” 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. Methods: To identify Navajo leadership perspectives about smoke-free policy, a mixed quantitative, and qualitative research approach was used to survey (n=75) and interview (n=15) Navajo elected officials throughout all five jurisdictions of the Navajo Nation. Through collaborative analysis, which weighs scientific and indigenous ways of knowing equally, bicultural teams triangulated survey and interview data. Results: Navajo elected official’s opinions about the health and economic benefits of smoke –free policy significantly differed by elected official's gender, age and region. Qualitative narratives provided a nuanced understanding of elected officials’ approach to balance cultural, health and economic issues of smoke free environments, inlcuding local and national levels of government.  Navajo leadership identified several place based and culturally relevant approaches that could be leveraged to raise awareness about the issue of second hand smoke and the benefits of smoke-free policy within family, community and policy domains.  Conclusions:  Smoke-free policy perspectives are culturally bound and place-based and require full participation of Navajo people, including elected officals to understand the effects of smoke-free policy and reduce tobacco related health disparities among Navajo people.

Learning Areas:

Diversity and culture
Public health or related laws, regulations, standards, or guidelines

Learning Objectives:
Describe Navajo Nation elected officials perspectives on smoke-free policy to reduce tobacco disparities among Navajo people.

Keyword(s): Tobacco Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a member of the research team and conducted the analysis of the qualitative data.
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.