Alaska Native Teens Aiming to Quit Tobacco

描述（由申请人提供）：阿拉斯加原住民（AN）在美国少数民族中烟草使用率最高。居住在阿拉斯加农村的阿拉斯加土著青年的烟草使用率特别高。在2003年阿拉斯加州青年危险行为调查中，45%的阿拉斯加青年使用香烟，25%使用无烟烟草。2003年，BRFSS、YRBS和PRAMS中烟草使用流行率唯一增加的是使用ST的AN高中女生。我们先前与阿拉斯加原住民合作的焦点小组报告表明，许多儿童在子宫内暴露于烟草，3岁以下的儿童可能经常使用Iqmik。在阿拉斯加西部的AN儿童和青少年中进行的一项研究中，我们发现，随着年龄的增长，曾经和现在使用烟草的流行率稳步上升。在6-10岁的儿童中，25%的人报告曾尝试吸烟。相比之下，酒精和其他药物使用的流行率非常低。使用烟草的AN青少年未来与烟草相关的发病率和死亡率的风险很高。癌症相关的死亡率在AN中有所增加。7，8然而，为AN青少年开发的戒烟干预措施并不存在。因此，需要与AN青年联合开展形成性工作，以制定和测试可行的、文化上适当的和可接受的干预措施。作为展示接受文化定制的干预措施，是有效的AN青年的第一步，重要的是要评估他们的干预措施的偏好。这项建议建立在我们以前的重点小组工作与AN青少年。青少年表达了停止使用烟草的兴趣和愿望。青少年认为缺乏有关如何停止烟草使用的资源、教育或咨询。一些人报告说，成年人已经停止使用尼古丁贴片或口香糖或自己使用烟草，但参与者从未见过停止使用烟草的药物。阿拉斯加土著部落健康联合会针对使用烟草的阿拉斯加土著青年制作了一个有文化针对性的视频系列，题为“戒烟挑战”。这些视频介绍了阿拉斯加原住民的个人故事，他们患有1）与烟草有关的疾病; 2）失去亲人与烟草有关的疾病; 3）目前患有与烟草有关的疾病。这些视频被设计成一个系列，由一个受过训练的成年人在观看每个视频或时间轴之前、期间和之后促进青少年对烟草的感觉，作为戒烟协议的一部分。该协议的设计将来自这项拟议研究中所获得的信息。

DESCRIPTION (provided by applicant): Alaska Natives (AN) have the highest prevalence rates of tobacco use among ethnic minorities in the United States. The rates of tobacco use are particularly high among Alaska Native youth residing on in rural Alaska. In the State of Alaska 2003 Youth Risk Behavioral Survey 45% of AN youth use cigarettes and 25% use smokeless tobacco (ST). The only increase in tobacco use prevalence in the BRFSS, YRBS and PRAMS in 2003, is among AN high school girls who use ST. Reports from our prior focus group work with Alaska Natives indicate that many children are exposed to tobacco in utero, and Iqmik may be used regularly by children as young as 3 years old. In a study conducted among AN children and adolescent in Western Alaska, we found the prevalence of ever and current use of tobacco increased steadily with age. Of children 6-10 years of age, 25% reported having tried tobacco. In contrast, the prevalence rates of alcohol and other drug use were very low. AN adolescents who use tobacco are at high risk for future tobacco-related morbidity and mortality. Cancer-related mortality has increased among AN.7,8 However, tobacco cessation interventions developed for AN adolescents do not exist. Thus, formative work conducted jointly with AN youth is needed to develop and test interventions that are feasible and culturally appropriate and acceptable. As an initial step toward demonstrating the acceptance of culturally-tailored interventions that are effective for AN youth, it is important to assess their preferences for interventions. This proposal builds on our previous focus group work with AN adolescents. The adolescents expressed interest and desire to stop using tobacco. The adolescents perceived a lack of availability of resources, education, or counseling about how to stop tobacco use. Some reported learning that adults had stopped using tobacco with the nicotine patches or gum or on their own, but the participants had never seen medications to stop using tobacco. The Alaska Native Tribal Health Consortium developed a culturally specific video series targeted toward Alaska Native youth who use tobacco, entitled the "Challenge to Quit". These videos feature personal stories of Alaska Natives who have suffered from 1) a tobacco related disease; 2) loss of a loved one from a tobacco related disease; 3) currently suffer from a tobacco related disease. The videos are designed to be used in a series that is facilitated by an adult trained to facilitate the teens feelings about tobacco before, during and after viewing the each video or a timeline of weeks, as part of a cessation protocol. The design of that protocol would be derived from information learned in this proposed study.