Commercial Tobacco Cessation Interventions for American Indian and Alaska Native Persons Living in the United States: A Narrative Systematic Review of Effectiveness Using a Health Equity Lens

Details

• Alternative Title:
  Am J Health Promot
• Personal Author:
  Alcantara, Iris C. ; Villaluz, Nicole ; McAleer, Kelly ; Valliani, Inara ; Ross, Leslie W.
• Description:
  Objective: ; Identify commercial tobacco cessation interventions for American Indian and Alaska Native (AI/AN) communities, focusing on strategies used to advance health equity, including strategies to address social determinants of health (SDOH), community engagement, and cultural tailoring. ; Data Source: ; We searched Medline, Embase, PsycINFO, Cochrane Library, CINAHL, Scopus, ProQuest Central, Academic Search Complete, JSTOR, and Indigenous/Tribal health-related journals and databases. ; Study Inclusion and Exclusion Criteria: ; We included peer-reviewed studies on commercial tobacco cessation for AI/AN persons published January 1998-April 2023 that reported quit rates/attempts. We excluded studies that only used pharmaceutical interventions. ; Data Extraction: ; Two reviewers independently assessed each study against our inclusion/exclusion criteria. A reviewer extracted data, and another checked for completeness. ; Data Synthesis: ; Synthesis focused on reported intervention effectiveness and strategies used for addressing SDOH, community engagement, and cultural tailoring. We used a synthesis matrix which allowed for comparison across studies. ; Results: ; We screened 1116 articles and included 12 for synthesis. Of the 12, five engaged community health workers; four included SDOH elements; and six were reported effective. Of these six, five included early-stage community engagement and four were culturally tailored. ; Conclusions: ; There are few commercial tobacco cessation interventions for AI/AN populations. Building capacity, including tribal capacity, to develop and test multi-level, culturally grounded cessation interventions that address relevant SDOH may advance commercial tobacco cessation efforts in these populations.
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• Subjects:
  • American Indian or Alaska Native
  • Health Equity
  • Health Promotion
  • Humans
  • Social Determinants of Health
  • Tobacco Use Cessation
• Keywords:
  • commercial tobacco cessation
  • American Indian
  • Alaska Native
  • health equity
• Source:
  Am J Health Promot. 39(2):330-347
• Pubmed ID:
  39438073
• Pubmed Central ID:
  PMC11663087
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Volume:
  39
• Issue:
  2
• Download URL:
  https://stacks.cdc.gov/view/cdc/175237/cdc_175237_DS1.pdf
• File Type:
  [PDF - 606.97 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:de4f2c5c10d7c8ee08d2eb2f9bb6cb4d2634eca1c07a6c7d372627f639661f70a3735dc177e29eecd542eff0a5b6550a901ee0b5f34195f9e887e0c186bcff22