Center for American Indian Community Health, University of Kansas Medical Center, MS 1030, 3901 Rainbow Blvd., Kansas City, KS, 66160, USA.
Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS, USA.
J Community Health. 2020 Jun;45(3):526-533. doi: 10.1007/s10900-019-00771-1.
American Indian (AI) smokeless tobacco use rates are the highest of all racial/ethnic groups within the United States. Despite this, no effective cessation program currently exists that acknowledges the cultural significance of tobacco among many American Indian tribal nations. Participants were smokeless tobacco users, over 18 years of age, and were recruited through community partners. We modified the All Nations Snuff Out Smokeless Tobacco group-based program to be delivered as a one-time education session intervention. This was delivered to 80 participants and follow-up data was collected by self-report at 6-months. The mean age of participants was 35 and most were male (70%). A majority (69%) grew up on a AI reservation; the mean age of first smokeless tobacco use was 16 years of age. Of program completers reached for 6-month post baseline, 46% reported 0 days of SLT use; 13.5% of participants reduced; while 36% reported continued daily use. In intention to treat analysis those lost to follow-up are considered current users, the quit rate was 12.5% and among those who were still using, 4.0% reduced their use. In this study, a one-time education session intervention was effective for those who prefer an individual based approach to quitting SLT use. Follow up strategies to increase participant retention at 6-months should be explored.
美国印第安人（AI）的无烟烟草使用率在美国所有种族/族裔群体中最高。尽管如此，目前还没有有效的戒烟计划承认烟草在许多美国印第安部落国家的文化意义。参与者为无烟烟草使用者，年龄在 18 岁以上，并通过社区合作伙伴招募。我们修改了全民族戒烟无烟草团体计划，将其作为一次性教育课程干预措施提供。该计划为 80 名参与者提供，并通过自我报告在 6 个月时收集随访数据。参与者的平均年龄为 35 岁，大多数为男性（70%）。大多数（69%）在 AI 保留地长大；首次使用无烟烟草的平均年龄为 16 岁。在达到 6 个月基线后进行的 6 个月随访中，46%的参与者报告无无烟烟草使用日；13.5%的参与者减少使用；而 36%的参与者报告继续每天使用。在意向治疗分析中，那些失访的人被视为当前使用者，戒烟率为 12.5%，而那些仍在使用的人中有 4.0%减少了使用。在这项研究中，一次性教育课程干预措施对那些喜欢个人戒烟方法的人是有效的。应探索增加参与者在 6 个月时保留率的后续策略。
