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Addressing Tobacco Use in AA and NHPI communities The Language of Quitting December 13, 2010

Gillian Asido Asian Pacific Partners for Empowerment, Advocacy and Leadership (APPEAL). Addressing Tobacco Use in AA and NHPI communities The Language of Quitting December 13, 2010. AA and NHPI Community Demographics. One of the fastest growing groups 15 million Asian Americans in 2010

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Addressing Tobacco Use in AA and NHPI communities The Language of Quitting December 13, 2010

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  1. Gillian Asido Asian Pacific Partners for Empowerment, Advocacy and Leadership (APPEAL) Addressing Tobacco Use in AA and NHPI communitiesThe Language of QuittingDecember 13, 2010

  2. AA and NHPI CommunityDemographics One of the fastest growing groups • 15 million Asian Americans in 2010 • 1.2 million Native Hawaiians and Pacific Islanders • 24 million AAs and NHPIs by 2020 Diverse Community • Over 100 languages/dialects spoken in the United States

  3. Where Asian Americancommunities live

  4. Where Native Hawaiian and Pacific Islander communities live

  5. Tobacco-related Diseases that Disproportionately Effect Asian Americans Top 3 Causes of Death in AA and NHPI communities: • Tobacco-related cancer • Cardiovascular disease • Stroke (smoking increases risk for stroke)

  6. Challenges facing the AA and NHPI community • High use of tobacco within certain subgroups • Lack of resources to address tobacco control • Lack of data and data aggregation • Socioeconomic and geographic diversity of the AA and NHPI community • Continued targeting of the community by the tobacco industry (in native countries and in the U.S.) • Model Minority Myth

  7. *Current Smokers who smoke > 100 cigarettes in their lifetime and currently smoking every day or some days Source: National Health Interview Surveys, selected years 2001-2007, aggregate data

  8. Smoking Prevalence Ranges for Selected Asian American Men1 Prevalence (%) Highest reported smoking rate between 1985 - 2001 Lowest reported smoking rate between 1985 - 2001 Selected Asian American Men 1. Lew R, Park Tanjasiri S. Slowing the Epidemic of Tobacco Use Among Asian Americans and Pacific Islanders. Am J Public Health 2003; 93(5): 764-8.

  9. Smoking Prevalence Ranges for Selected Asian American Women1 Prevalence (%) Highest reported smoking rate between 1985 - 2001 Lowest reported smoking rate between 1985 - 2001 Selected Asian American Women 1. Lew R, Park Tanjasiri S. Slowing the Epidemic of Tobacco Use Among Asian Americans and Pacific Islanders. Am J Public Health 2003; 93(5): 764-8.

  10. Tobacco Use among Native Hawaiians and Other Pacific Islanders • Smoking is high for both Native Hawaiian males (up to 42%) and females (up to 35%) • NHOPI girls had the highest smoking prevalence among middle school girls (25.4%) • Guam – 3rd highest smoking prevalence among U.S. states and territories (MMWR 2009) • For Pacific Islanders, tobacco use includes chewing tobacco mixed with betelnut

  11. Results from Tobacco Industry Documents 1988-1995 • AAPI market important due to population growth and geographic clustering • AAPIs had “predisposition to smoking” and increased consumer purchasing power • High percentage of AAPI retail business owners • Philip Morris’ PUSH, PULL and CORPORATE GOODWILL strategies

  12. Heavy targeting of the tobacco industry in the U.S. and overseas Source: www.trinketsandtrash.org

  13. HOW HAVE WE BEEN ADRESSING THIS PROBLEM NATIONALLY?

  14. Who is APPEAL? Pacific Islands Continental U.S. Alaska

  15. Addressing Tobacco in AA and NHPI communities • Capacity Building • Leadership Development • Policy Change • Cessation

  16. In Summary • Tobacco-related disparities exist in our communities • Continued need for culturally tailored approaches to tobacco • An Asian Quitline offers a cost effective, culturally tailored resource to Asian communities

  17. Need for an Asian Quitline • Allocate funds for the cultural and linguistic adaptation of the quitline • Continue community capacity building work • Make tobacco cessation a priority by: - referring patients- support the Asian Quitline and other AA and NHPI community cessation resources

  18. APPEAL Asian Pacific Partners for Empowerment, Advocacy and Leadership www.appealforcommunities.org Gillian Asido gasido@appealforhealth.org(510) 318-7804

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