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.
  
  
• Subjects:
  American Indian Or Alaska Native Health Equity Health Promotion Humans Social Determinants Of Health Tobacco Use Cessation United States
• Keywords:
  Alaska Native American Indian Commercial Tobacco Cessation Health Equity
• Source:
  Am J Health Promot. 39(2):330-347
• Pubmed ID:
  39438073
• Pubmed Central ID:
  PMC11663087
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  39
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:de4f2c5c10d7c8ee08d2eb2f9bb6cb4d2634eca1c07a6c7d372627f639661f70a3735dc177e29eecd542eff0a5b6550a901ee0b5f34195f9e887e0c186bcff22
• Download URL:
  https://stacks.cdc.gov/view/cdc/175237/cdc_175237_DS1.pdf
• File Type:
  [PDF - 606.97 KB ]