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Eliminating Disparities

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Show Me: COMPETENT APPROACHES

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To help create a culturally competent tobacco control program for a Native American group in Colorado, a program set about trying to determine what tribal members thought would be the most effective approaches to the problem. The table below illustrates some of their findings.

Assessing Native American Priorities

Themes Frequency

Programs should promote positive role models in the community.

5

Use of an overall wellness model works well in Indian country.

11

Kids can influence their parents’ behavior.

1

There are strong messages in Indian country to take care of each other.

2

The state should bring together community-based coalitions. Many agencies are willing to play a role.

22

Indian people must do this work, and are available to do this work.

5

Programs should be more culturally based

9

Tribes as sovereign nations must be involved in the solution.

9

Tobacco sponsorship of Indian country events should no longer be visible.

9

There should be more education about commercial tobacco use vs. traditional (ceremonial) tobacco use.

8

Incentives may be important to promote participation.

2

Media involvement should be used to change the community perception.

8

Guilt-based programs offend people. Use programs that are non-judgmental.

1

There is a need to support people who are quitting.

6

There is a need for creativity.

2

Schools and teachers should be involved.

3

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