Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist
description
Transcript of Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist
![Page 1: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/1.jpg)
Priority Populations/New UsersIsaiah Brokenleg M.P.H.
Behavioral Health Epidemiologist
![Page 2: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/2.jpg)
Prerequisites
• Acknowledge and pay respect to the Indigenous people whose land we use
• Indians are not all alike• Unique and different from other
Communities of Color• But similar due to shared experiences• Not “new users,” but “new abusers”
![Page 3: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/3.jpg)
Traditional Tobacco
![Page 4: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/4.jpg)
Traditional Tobacco (Nicotiana rustica)
• Given as gift to the people (various stories)
• Not to be bought or sold• By itself (asema) or Mixed (kinnickinick)
![Page 5: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/5.jpg)
Commercial Tobacco
![Page 6: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/6.jpg)
Commercial Tobacco (Nicotiana tobaccum)
• Not traditional to this area, imported• Addictive• Harmful when abused• Used as substitute• Hiding in plain sight
![Page 7: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/7.jpg)
American Indian Tobacco Epidemiology
• According to BRFSS about 35.5% of American Indians (AI) in MN, WI & MI Smoke (n=126)
• The American Indian Community Tobacco Project found that 62% of AI adults in urban MN were smokers and only 12% had never smoked (n=300)
• 4 of the 5 leading causes of AI death in MN, WI, & MI are tobacco related
![Page 8: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/8.jpg)
Relationships with Research
• Past harms have created mistrust of research
• Standard research methods do not work in “Indian Country”– Selection bias– Not differentiating between spiritual and
abusive tobacco use
• Research conducted does not benefit the Indian community
![Page 9: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/9.jpg)
Relationships with Research
![Page 10: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/10.jpg)
Wisconsin Native Youth
Tobacco Survey
![Page 11: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/11.jpg)
What is the WNYTS?
• Culturally competent• Self-administered• School based • Tobacco survey
– Traditional/ceremonial use– Tobacco abuse– Thoughts/beliefs about tobacco– Environmental Tobacco Smoke exposure
![Page 12: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/12.jpg)
Challenges
• Racial conflicts– Within/between communities– Off reservation schools– Perceptions of Indian capabilities
• Scheduling with schools and staff• Communication• $$ Thanks WI TPCP!!! (hugs and
kisses)
![Page 13: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/13.jpg)
Successes
• First ever comprehensive statewide Native youth tobacco survey
• Used census method• Went about it in a “good way”• Large # of participants (N > 1800)• Built stronger relationships with
tribes, schools, and state• Demonstrated abilities of Indian work
![Page 14: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/14.jpg)
Ceremonial Tobacco Use
![Page 15: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/15.jpg)
Middle School Tobacco Abuse
![Page 16: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/16.jpg)
High School Tobacco Abuse
![Page 17: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/17.jpg)
Tobacco use = tobacco abuse?• Ceremonial users (at 1st glance) 40-
70% more likely to have abused or be current tobacco abusers
• Type of tobacco used in ceremony makes all the difference– Cigarettes for ceremony = 2 to 4 times
more likely to have abused or be current tobacco abusers
– Loose tobacco or traditional tobacco = 50-75% less likely to have abused or be be current tobacco abusers
![Page 18: Priority Populations/New Users Isaiah Brokenleg M.P.H. Behavioral Health Epidemiologist](https://reader036.fdocuments.us/reader036/viewer/2022062409/56814979550346895db6c6c7/html5/thumbnails/18.jpg)
Thanks!
Great Lakes Inter-Tribal Epidemiology CenterPO Box 9
Lac du Flambeau, WI 54548
715-588-3324
www.glitc.org/epicenter