AMERICAN INDIAN HEALTH COMMISSION FOR WASHINGTON STATE “ IMPROVING INDIAN HEALTH THROUGH TRIBAL-STATE COLLABORATION” Tobacco Cessation Washington State House of Representatives Health and Human Services Appropriation and Oversight Committee January 17, 2012 Jan Ward Olmstead, MPA
A MERICAN I NDIAN H EALTH C OMMISSION (AIHC) FOR W ASHINGTON S TATE • Tribally-driven Indian Health Organization • Provides a forum for tribal-state health issues • Collaborates to identify, prioritize, voice, and act on Indian health issues • Supports activities to prevent and reduce adverse health conditions and health disparities in Indian Country • Collaborates with governmental and non-profit organizations
I MPACT I N I NDIAN C OUNTRY U SE O F C OMMERCIAL T OBACCO Washington State Population Smoking Rates Adult Smokers 33% 15% Youth Smokers 21% 13% Mothers smoked within 3 mths of pregnancy 43% 17% Mothers smoked during pregnancy 28% 17% AI/AN All
Impact in Indian Country A MERICAN I NDIANS /A LASKA N ATIVE H EALTH E XPERIENCE Heart Disease and Stroke — rates of AI/AN deaths higher than any other race. Cancer — lung cancer is the leading cause of cancer deaths for AI/AN men and 2 nd leading cause for women Asthma — 18% of AI/AN adults have asthma. Youth who report exposure to 2 nd hand smoke are more likely to report having asthma Diabetes — 12% of AI/AN adults have diabetes; 30% of those smoke Low Birth Weight — AI/AN babies born prematurely with a low birth weight, 60% higher than all babies born in WA state. 8% of AI women who smoked had LBW babies. Infant Mortality – 11.1 per 1,000 AI/ANs infants die in the first year as compared to 5.2 per 1,000 of the total population. Sudden Infant Death Syndrome is 3 times higher than the population as a whole
Impact in Indian Country A MERICAN I NDIANS /A LASKA N ATIVE H EALTH E XPERIENCE • 45% AI/AN mothers who smoked before pregnancy are able to quit by their third trimester; many relapse after delivery • 63% Adult AI/AN say they want to quit • 58% Adult AI/AN tried to quit in the last year • 49% AI/AN youth (12 th grade) tried to quit in the last year
Impact in Indian Country American Indian/Alaska Native Quit Line Usage American Indian/Alaska Native Annual Calls Washington State Quit Line 2006 2007 2008 2009 2010
Impact in Indian Country A MERICAN I NDIANS /A LASKA N ATIVE I NITIATIVES Examples of Initiatives Smoke-free tribal housing Smoke-free ball fields/dugouts Smoke-free facilities and vehicles Smoke-free community events: Canoe Journey Collaborating with other clinics to refer clients to support Integrating tobacco with other chronic disease treatment Compliance checks on reservation stores (youth access) Incentive programs — recognition/reward
8 A MERICAN I NDIAN H EALTH C OMMISSION (AIHC) FOR W ASHINGTON S TATE Contact: Sheryl Lowe, Executive Director American Indian Health Commission for Washington State P.O. Box 226 Port Angeles, WA 98362 Phone: 360-775-5736 slowe@aihc-wa.com
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