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Focus Groups of Alaska Native Adolescent Tobacco Users: Preferences for Tobacco Cessation Interventions and Barriers to Participation

Mayo Clinic College of Medicine, Rochester, Minnesota, patten.christi{at}mayo.edu

Carrie Enoch

Yukon-Kuskokwim Health Corporation, Bethel, Alaska

Caroline C. Renner, MPH

Alaska Native Tribal Health Consortium, Anchorage, Alaska

Kenneth P. Offord, MS

Mayo Clinic College of Medicine, Rochester, Minnesota

Caroline Nevak

Yukon-Kuskokwim Health Corporation, Bethel, Alaska

Stacy F. Kelley, BS

Alaska Native Tribal Health Consortium, Anchorage, Alaska

Janet Thomas, PhD

Department of Medicine, University of Minnesota, Minneapolis, Minnnesota

Paul A. Decker, MS

Mayo Clinic College of Medicine, Rochester, Minnesota

Richard D. Hurt, MD

Mayo Clinic College of Medicine, Rochester, Minnesota

Anne Lanier, MD, MPH

Alaska Native Tribal Health Consortium, Anchorage, Alaska

Judith S. Kaur, MD

Mayo Clinic College of Medicine, Rochester, Minnesota

Tobacco cessation interventions developed for Alaska Native adolescents do not exist. This study employed focus group methodology to explore preferences for tobacco cessation interventions and barriers to participation among 49 Alaska Natives (61% female) with a mean age of 14.6 (SD = 1.6) who resided in western Alaska. Using content analysis, themes from the 12 focus groups were found to be consistent across village, gender, and age groups. Program location or site (e.g., away from the village, hunting, fishing), a group-based format, and inclusion of medication and personal stories were reported to be important attributes of cessation programs. Motivators to quit tobacco were the perceived adverse health effects of tobacco, improved self-image and appearance, and the potential to be a future role model as a non—tobacco user for family and friends. Parents were perceived as potentially supportive to the adolescent in quitting tobacco. The findings will be used to develop tobacco cessation programs for Alaska Native youth.

Key Words: tobacco use • tobacco cessation • intervention • adolescents • Alaska Native • focus groups

This version was published on August 1, 2009

Health Education & Behavior, Vol. 36, No. 4, 711-723 (2009)
DOI: 10.1177/1090198107309456


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