Pathways to Tobacco Control Policy Change: A Systems Approach to Engaging Asian American, Native Hawaiian and Pacific Islander Communities
Objective: To describe perspectives about pathways to successful policy change across two communities, Cambodians in Long Beach and NHPI in San Diego
Methods: Key informant interviews were conducted among 21 Cambodian and NHPI community leaders and advocates in 2014. Community partners were trained to use an interview guide developed in collaboration with project staff, and led the recruitment and selection of interview participants. The interview, conducted in English, transcriptions were analyzed for themes and discussed among project staff, scientific consultants, and community partners.
Results: Results suggested three themes including 1) Policy Change (i.e., policy experience ranges for both communities and there is a strong need for an investment in culturally tailored communication), 2) Intergenerational Dynamics (i.e. refugee and migration experiences contribute to acculturation, which can be seen as a loss and a gain), and 3) Threats (i.e. cultural trauma can create barriers and also creates the need to talk about fear and cultural resilience).
Discussion: Cambodian and NHPI communities have community and culturally specific concerns that are important to consider for developing strategies for tobacco policy change. Engaging community partners in all phases of the key informant interview process was critical to capturing perspectives of the community on sensitive issues, while also building the leadership capacity of community partners.
Learning Areas:Administer health education strategies, interventions and programs
Advocacy for health and health education
Provision of health care to the public
Public health or related public policy
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health
Describe perspectives about pathways to successful policy change across two communities, Cambodians in Long Beach and NHPI in San Diego
Keyword(s): Policy/Policy Development, Community-Based Research (CBPR)
Qualified on the content I am responsible for because: I have the principal investigator of an NIH grant on this topic
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.