1 / 30

Jennifer Kue, Elizabeth Takahashi, & Carrie Furrer APHA 2008, San Diego, California

Tobacco use & Cessation among Asian Oregonians: A community-based participatory approach for reducing tobacco related health disparities in the Asian Population. Jennifer Kue, Elizabeth Takahashi, & Carrie Furrer APHA 2008, San Diego, California. Who are we?.

naoko
Télécharger la présentation

Jennifer Kue, Elizabeth Takahashi, & Carrie Furrer APHA 2008, San Diego, California

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Tobacco use & Cessation among Asian Oregonians: A community-based participatory approach for reducing tobacco related health disparities in the Asian Population Jennifer Kue, Elizabeth Takahashi, & Carrie Furrer APHA 2008, San Diego, California

  2. Who are we? • Asian Pacific Islander (API) Tobacco Prevention and Education Program (TPEP) • Asian Family Center, a program of the Immigrant and Refugee Community Organization (IRCO) • Non-profit community-based organization • Specific population grantee of the Oregon DHS TPEP • NPC Research, private research & evaluation firm

  3. Goals of Presentation • Describe project development process using a community-based participatory research (CBPR) approach • Explain quantitative phase (mail survey) • Explain qualitative phase (interviews) • Preliminary findings • Next steps/Lessons learned

  4. What is CBPR? • Approach to research & evaluation that engages community stakeholders in each project phase • Promotes shared learning & power • Iterative process • Values community expertise, traditions, priorities

  5. Collaborators • Asian Family Center • Oregon Tobacco Quit Line • Oregon Department of Human Services • NPC Research • International Language Bank (ILB) • API Health Network • Community members

  6. What Is the Problem? • 21% of adult Oregonians currently smoke cigarettes, compared to 10% of API adults (DHS, 2007) • Some evidence that specific API subpopulations bear a greater burden of tobacco use (e.g., 31% for Korean men; Lew & Tanjasiri, 2003) • Gap in knowledge of tobacco use & cessation resource utilization among Asian Oregonians

  7. Project Overview • What factors are related to tobacco use and utilization of cessation resources among Asian Oregonians? • demographics • linguistic acculturation • perceptions of harm of tobacco use • Two-phase mixed-methods research project to collect information: 1) mail survey & 2) in-person interview.

  8. Instrument Development: Survey • Brief assessment of • tobacco use • linguistic acculturation • perceptions of harm • attitudes toward and use of cessation resources • Items adapted from • Behavioral Risk Factor Surveillance System (BRFSS) • California Korean Tobacco Cessation Survey • Hmong Tobacco Use Survey Project

  9. Instrument Development: Translation • Translated into Simplified Chinese, Japanese, Korean, Lao, Mien, Tagalog, & Vietnamese • Iterative process with ILB’s professional translators and community members • Goal: balance cultural appropriateness and consistency

  10. Instrument Development: Interview • In-depth assessment of • attitudes toward tobacco use • cultural use of cigarettes • acculturation, perceptions of harm • motivation to quit • knowledge & utilization of cessation resources • Goal: Compliment and enrich information collected through brief survey.

  11. Instrument Development: Interview • Mix of qualitative and quantitative questions adapted from: • Behavioral Risk Factor Surveillance System (BRFSS) • Diverse Racial & Ethnic Groups and Nations (DREAGAN) Study • Hmong Tobacco Use Survey • Iterative process, including pilot testing • Conducted in English

  12. Research Design: Mail Survey • Selected 10 counties with the highest population of Asian Oregonians while maintaining geographical diversity • 1100 addresses from Survey Sampling International • Surnames identified as Asian • List only included larger Asian ethnic subgroups • Random sample within county • 200 addresses from IRCO database • IRB approval through Portland State University

  13. Research Design: Mail Survey • Process • Introduction letter • Survey + $2 incentive • Reminder cards • Second round of surveys • $100 lottery incentive • 45% response rate (N=491) • Acceptable range for mail surveys: 45-55%

  14. Research Design: Interview • Recruitment methods (N=19) • Press releases in Asian ethnic newspapers, radio stations, fliers, and mainstream media outlets • Word-of-mouth • Interview process • Recorded 1-hour interviews • Monetary incentive ($20 gift card) • Transcription

  15. Preliminary Findings: Sample N=432 Number in parentheses = # respondents of that ethnicity

  16. Preliminary Findings: Sample Number in parentheses = # respondents from that region

  17. Preliminary Findings: Sample Number in parentheses = # respondents in that age group

  18. Preliminary Findings: Prevalence • 12.6% currently smoke cigarettes • 14.0% currently use some form of tobacco • 8.6% current smokers (BRFSS definition) • 100+ cigarettes & currently smoke cigarettes • Smoking prevalence among Asian and Pacific Islanders was 10% (DHS, 2004-05).

  19. Preliminary Findings: Prevalence Number in parentheses = # respondents of that ethnicity

  20. Preliminary Findings: Prevalence N=425 Number in parentheses = # respondents in that age group

  21. Preliminary Findings: Prevalence Number in parentheses = # respondents of that gender

  22. Preliminary Findings: Prevalence N=426 Number in parentheses = # respondents from that region

  23. Preliminary Findings: Quit Line • What is the Oregon Tobacco Quit Line? • Telephone-based counseling service for tobacco cession (cognitive-behavioral therapy, educational materials, nicotine-replacement therapy). • Less than 1% of the callers in the 2007–08 contract year were APIs. • 36% had heard of the Oregon Tobacco Quit Line, but varied for different groups of respondents.

  24. Preliminary Findings: Quit Line N=405 Number in parentheses = # respondents of that ethnicity

  25. Preliminary Findings: Quit Line N=405 Number in parentheses = # respondents of that gender

  26. Preliminary Findings: Quit Line N=410 Number in parentheses = # respondents with that level of education

  27. Preliminary Findings: Quit Line N=413 Number in parentheses = # respondents from that region

  28. Results from a CBPR Perspective • AFC and NPC Research works together to develop research products • Results shared with community members for feedback and interpretation assistance • Products go to DHS for review • Dissemination based on the needs of the community, DHS, AFC/IRCO

  29. Lessons Learned • Need for collaboration • Difficulty in accessing target population • Challenges with translation • How to get a satisfactory response rate from a mail survey with limited resources • Challenges recruiting for interview • Need for support in managing and analyzing data collected

  30. Contact Information • Jennifer Kue, MPH & Elizabeth Takahashi, MPH • Asian Family Center, 4424 NE Glisan St., Portland, OR 97213 • Phone: (503) 235-9396 ext. 121 • jenniferk@mail.irco.org & elizabetht@mail.irco.org • www.irco.org • Carrie Furrer, Ph.D. • NPC Research, 4380 SW Macadam Ave., Ste. 530, Portland, OR 97239 • Phone: (503) 243-2436 ext. 110 • furrer@npcresearch.com • www.npcresearch.com

More Related