在纳瓦霍族推行无烟政策。
Advancing smoke-free policy adoption on the Navajo Nation.
作者信息
Nez Henderson Patricia, Roeseler April, Moor Gregg, Clark Hershel W, Yazzie Alfred, Nez Priscilla, Nez Chantal, Sabo Samantha, Leischow Scott J
机构信息
Black Hills Center for American Indian Health, Rapid City, South Dakota, USA.
California Tobacco Control Program, California Department of Public Health, Sacramento, California, USA.
出版信息
Tob Control. 2016 Oct;25(Suppl 1):i26-i31. doi: 10.1136/tobaccocontrol-2016-053109.
BACKGROUND
Comprehensive smoke-free laws are effective at protecting non-smokers and reducing tobacco use, yet they are not widely adopted by tribal governments.
METHODS
A series of smoke-free policy initiatives on the Navajo Nation, beginning in 2008, were reviewed to identify key issues, successes and setbacks.
RESULTS
It has been essential that proposed policies acknowledge the Navajo people's spiritual use of nát'oh, a sacred plant used for gift-giving, medicinal purposes and traditional ceremonies, while simultaneously discouraging a secular use of commercial tobacco. Concern that smoke-free policies economically harm tribal casinos has been a major barrier to broad implementation of comprehensive smoke-free laws in Navajo Nation.
CONCLUSIONS
It is necessary for tobacco control researchers and advocates to build relationships with tribal leaders and casino management in order to develop the business case that will take comprehensive smoke-free policies to scale throughout tribal lands.
背景
全面无烟法律在保护非吸烟者和减少烟草使用方面是有效的，但部落政府并未广泛采用这些法律。
方法
对纳瓦霍族自2008年起开展的一系列无烟政策倡议进行了审查，以确定关键问题、成功之处和挫折。
结果
至关重要的是，拟议政策既要承认纳瓦霍人将nát'oh（一种用于送礼、药用和传统仪式的神圣植物）用于精神目的，同时又要劝阻对商业烟草的世俗使用。对无烟政策会在经济上损害部落赌场的担忧，一直是纳瓦霍族全面无烟法律广泛实施的主要障碍。
结论
烟草控制研究人员和倡导者有必要与部落领导人及赌场管理层建立关系，以便制定商业案例，从而在整个部落土地上全面推行无烟政策。
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