Gryczynski Jan, Feldman Robert, Carter-Pokras Olivia, Kanamori Mariano, Chen Lu, Roth Susan
Friends Research Institute (FRI), Social Research Center, Baltimore, MD 21201, USA.
J Health Care Poor Underserved. 2010 May;21(2):544-58. doi: 10.1353/hpu.0.0276.
American Indians have the highest prevalence of cigarette use in the United States, but there is a shortage of knowledge about American Indians' own perspectives on smoking and cessation. The purpose of this exploratory qualitative study was to obtain information on American Indians' views that would be useful for subsequent intervention planning and development. Four focus groups were conducted with urban American Indians living in Maryland to explore the sociocultural contexts of tobacco use and their perspectives on various mainstream and culturally-specific smoking cessation strategies and service delivery models. Tobacco interventions targeting American Indians should increase service access, address negative experiences with medications, emphasize empowerment for behavior change, explicitly distinguish ceremonial tobacco from cigarette use, and send culturally-relevant messages. Smoking cessation programs and health promotion efforts may be perceived as more relevant by the target population if they incorporate an understanding of the social and cultural facets of smoking behavior.
美国印第安人是美国吸烟率最高的群体，但对于他们自身对吸烟及戒烟的看法却知之甚少。这项探索性定性研究的目的是获取有关美国印第安人观点的信息，这些信息将有助于后续干预计划的制定和发展。我们与居住在马里兰州的城市美国印第安人进行了四个焦点小组讨论，以探讨烟草使用的社会文化背景，以及他们对各种主流和特定文化的戒烟策略及服务提供模式的看法。针对美国印第安人的烟草干预措施应增加服务可及性，解决药物带来的负面体验，强调行为改变的自主权，明确区分仪式用烟草和香烟使用，并传递与文化相关的信息。如果戒烟项目和健康促进活动能够考虑到吸烟行为的社会和文化层面，目标人群可能会觉得它们更具相关性。
