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Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist. Prerequisites. Acknowledge and pay respect to the Indigenous people whose land we use Indians are not all alike Unique and different from other Communities of Color But similar due to shared experiences - PowerPoint PPT Presentation
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Priority Populations/New UsersIsaiah Brokenleg M.P.H.
Behavioral Health Epidemiologist
Prerequisites
• Acknowledge and pay respect to the Indigenous people whose land we use
• Indians are not all alike• Unique and different from other
Communities of Color• But similar due to shared experiences• Not “new users,” but “new abusers”
Traditional Tobacco
Traditional Tobacco (Nicotiana rustica)
• Given as gift to the people (various stories)
• Not to be bought or sold• By itself (asema) or Mixed (kinnickinick)
Commercial Tobacco
Commercial Tobacco (Nicotiana tobaccum)
• Not traditional to this area, imported• Addictive• Harmful when abused• Used as substitute• Hiding in plain sight
American Indian Tobacco Epidemiology
• According to BRFSS about 35.5% of American Indians (AI) in MN, WI & MI Smoke (n=126)
• The American Indian Community Tobacco Project found that 62% of AI adults in urban MN were smokers and only 12% had never smoked (n=300)
• 4 of the 5 leading causes of AI death in MN, WI, & MI are tobacco related
Relationships with Research
• Past harms have created mistrust of research
• Standard research methods do not work in “Indian Country”– Selection bias– Not differentiating between spiritual and
abusive tobacco use
• Research conducted does not benefit the Indian community
Relationships with Research
Wisconsin Native Youth
Tobacco Survey
What is the WNYTS?
• Culturally competent• Self-administered• School based • Tobacco survey
– Traditional/ceremonial use– Tobacco abuse– Thoughts/beliefs about tobacco– Environmental Tobacco Smoke exposure
Challenges
• Racial conflicts– Within/between communities– Off reservation schools– Perceptions of Indian capabilities
• Scheduling with schools and staff• Communication• $$ Thanks WI TPCP!!! (hugs and
kisses)
Successes
• First ever comprehensive statewide Native youth tobacco survey
• Used census method• Went about it in a “good way”• Large # of participants (N > 1800)• Built stronger relationships with
tribes, schools, and state• Demonstrated abilities of Indian work
Ceremonial Tobacco Use
Middle School Tobacco Abuse
High School Tobacco Abuse
Tobacco use = tobacco abuse?• Ceremonial users (at 1st glance) 40-
70% more likely to have abused or be current tobacco abusers
• Type of tobacco used in ceremony makes all the difference– Cigarettes for ceremony = 2 to 4 times
more likely to have abused or be current tobacco abusers
– Loose tobacco or traditional tobacco = 50-75% less likely to have abused or be be current tobacco abusers
Thanks!
Great Lakes Inter-Tribal Epidemiology CenterPO Box 9
Lac du Flambeau, WI 54548
715-588-3324
www.glitc.org/epicenter
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