Tobacco cessation intervention during pregnancy among Alaska Native women.
This paper describes a community-based participatory research program with Alaska Native people addressing a community need to reduce tobacco use among pregnant women and children. Tobacco use during pregnancy among Alaska Native women is described along with development of a community partnership, findings from a pilot tobacco cessation intervention, current work, and future directions. Among Alaska Native women residing in the Yukon Kuskokwim Delta region of western Alaska, the prevalence of tobacco use (cigarette smoking and/or use of smokeless tobacco) during pregnancy is 79%. Results from a pilot intervention study targeting pregnant women indicated low rates of participation and less than optimal tobacco abstinence outcomes. Developing alternative strategies to reach pregnant women and to enhance the efficacy of interventions is a community priority, and future directions are offered.
Mayo Clinic Cancer Center, Rochester, MN, USA. patten.christi@mayo.edu
Christi A
CA
Patten
D000293:Adolescent; D000328:Adult; D000413:Alaska; D055812:Community-Based Participatory Research; D005260:Female; D017144:Focus Groups; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007198:Indians, North American; D004930:Inuit; D008429:Maternal Welfare; D008875:Middle Aged; D010865:Pilot Projects; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D015397:Program Evaluation; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D040241:Social Marketing; D016387:Women's Health / Q000706:statistics & numerical data*; D055815:Young Adult