This work was conducted at the Keck School of Medicine, University of Southern California, 1000 South Fremont, Unit 8, Alhambra, CA 91803; and the College of Public Health, University of Oklahoma Health Sciences Center, 801 NE 13th Street, Oklahoma City, OK 73104.
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Building capacity to address tobacco-related disparities among American Indian and Hispanic/Latino communities: conceptual and systemic considerations
Article first published online: 10 SEP 2007
DOI: 10.1111/j.1360-0443.2007.01962.x
Issue
Addiction
Special Issue: Conceptual and Methodological Issues for Research on Tobacco-Related Health Disparities
Volume 102, Issue Supplement s2, pages 112–122, October 2007
Additional Information
How to Cite
Báezconde-Garbanati, L., Beebe, L. A. and Pérez-Stable, E. J. (2007), Building capacity to address tobacco-related disparities among American Indian and Hispanic/Latino communities: conceptual and systemic considerations. Addiction, 102: 112–122. doi: 10.1111/j.1360-0443.2007.01962.x
All authors have no conflicts of interests.
Publication History
- Issue published online: 10 SEP 2007
- Article first published online: 10 SEP 2007
- Abstract
- Article
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Keywords:
- American Indians;
- capacity building;
- community tobacco control;
- health disparities;
- Hispanic/Latinos;
- tobacco-related disparities
ABSTRACT
Aim To discuss systemic and conceptual issues that surround capacity building for tobacco control in traditionally underserved communities, by presenting two case studies, one in an American Indian community and another in a Hispanic/Latino community.
Design Key informant interviews, cross-sectional surveys and case study methods were used to create community-specific conceptual frameworks for building capacity for tobacco control. These models of capacity building serve as the backdrop for the development of the two case studies.
Setting, participants, measurements Interview and survey participants were identified through convenience and snowball sampling, using a community-based participatory process in an American Indian community in Oklahoma and among the Hispanic/Latino Tobacco Education Partnership (H/LTEP) organizations in California. Using qualitative and quantitative methods, two case studies were created based on the results of interviews with key informants in each of the respective communities, outcomes of efforts to build capacity in tobacco control are presented.
Findings The extent to which American Indian and Hispanic/Latino communities have the capacity to address effectively the disproportionate burden of tobacco abuse is contingent upon the presence of leadership, collaboration, programs, distribution of funds and resources, development of policies and an underlying understanding of community strengths, history, values and participation. Common characteristics emerge from the case studies that help bridge differences in definition and measurement across both populations and programs.
Conclusion The conceptual frameworks for capacity building presented provide insight that enhances the ability of priority populations to engage in tobacco control strategies using culturally and language appropriate interventions.