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通过政策变革消除夏威夷原住民和太平洋岛民之间的烟草差异:社区组织的作用。

Eliminating tobacco disparities among native Hawaiian Pacific Islanders through policy change: the role of community-based organizations.

作者信息

Palmer Paula Healani, Lee Cevadne, Sablan-Santos Lola, Lepule Jonathan Tana, Pang Victor Kaiwi, Tui'one Vanessa, Schmidt-Vaivao Dorothy, Sabado Melanie Dee, Sur Roger, Tanjasiri Sora P

机构信息

Claremont Graduate University, Claremont, CA 91711, USA.

出版信息

Health Promot Pract. 2013 Sep;14(5 Suppl):36S-9S. doi: 10.1177/1524839913486150. Epub 2013 May 10.

Abstract

Although cigarette smoking in the general U.S. population has decreased considerably over the past several decades, prevalence rates among Native Hawaiian Pacific Islanders (NHPI) have remained elevated by comparison with other groups. The aggregation of NHPI smoking data with that of Asians has drawn attention away from the serious smoking problems that NHPIs experience, thus, limiting funding, programs, and policies to reduce tobacco-related health disparities in their communities. In California, community-based organizations (CBOs) have played a major role in supporting the state's comprehensive tobacco control program, which is arguably one of the most successful in the nation. In this commentary, we describe the tobacco control activities of five NHPI-serving CBOs in Southern California and how they have provided anti-tobacco education for thousands of Native Hawaiians, Chamorros, Marshallese, Samoans, Tongans, and other Pacific Islander subgroups, and used advocacy and coalition building to promote smoke-free environment policies in their communities. The concerted efforts of the CBOs and their community members have made vital contributions to the reduction of tobacco-related disparities for NHPI populations in California.

摘要

尽管在过去几十年里,美国普通人群中的吸烟率大幅下降,但与其他群体相比,夏威夷原住民太平洋岛民(NHPI)的吸烟率仍然居高不下。将NHPI的吸烟数据与亚洲人的数据汇总,使得人们忽视了NHPI所面临的严重吸烟问题,从而限制了用于减少其社区烟草相关健康差距的资金、项目和政策。在加利福尼亚州,社区组织(CBO)在支持该州全面的烟草控制项目中发挥了重要作用,该项目堪称美国最成功的项目之一。在这篇评论中,我们描述了南加州五个为NHPI服务的CBO的烟草控制活动,以及它们如何为数千名夏威夷原住民、查莫罗人、马绍尔人、萨摩亚人、汤加人及其他太平洋岛民亚群体提供了反烟草教育,并通过宣传和建立联盟来推动其社区的无烟环境政策。CBO及其社区成员的共同努力为减少加利福尼亚州NHPI人群的烟草相关差距做出了重要贡献。

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