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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Tobacco Treatment in a Low-Income Asian and Pacific Islander Community

Ann Jimenez McMillan, MPH, TTS, Smoke-Free Families Program, Health Education Department, Kalihi-Palama Health Center, 915 North King St., Honolulu, HI 96817 and Doris Segal Matsunaga, MPH, Health Education Department, Kalihi-Palama Health Center, 915 North King St., Honolulu, HI 96817.

Objective: High tobacco use rates have been documented among some Asian and Pacific Islander (API) ethnic groups. A community health center (CHC) serving a low-income API community lacked comprehensive tobacco treatment services for high-risk patients, including pregnant women, API immigrants, adults with cardiovascular disease, mentally ill and homeless. This presentation will describe four years of program experience, including organizational capacity building, culturally tailored tobacco treatment methods and patient outcomes.

Methods: Starting with a planning grant from Hawaii tobacco settlement funds, the Kalihi-Palama Smoke-Free Families Program (SFFP) first targeted perinatal patients and parents of young children, later expanding to include high-risk adults with cardiovascular disease and homeless clients. Intensive counseling by a clinical tobacco counselor, was piloted in May 2002, and continues four years later. An internal Task Force of key clinical providers planned and continues to guide SFFP. An external Advisory Board convenes to share community resources. A smoking cessation database was developed in 2004, and now provides useful patient outcomes data. Program continues to build capacity by training clinical and outreach staff in effective referrals and Brief Intervention, and by developing culturally tailored materials.

Results: SFFP has effectively integrated tobacco cessation counseling into clinical services and demonstrated that these services can change tobacco use behavior of some high-risk, low income patients. Of 153 patients who received intensive counseling interventions, 36% quit for at least 30 days, while 64% reduced by 50%. Perinatal patients had higher rates: 58% quit at least 30 days; 68% reduced by 50%.