Contexts of tobacco use and perspectives on smoking cessation among a sample of Urban American Indians

Jan Gryczynski, Robert Feldman, Olivia Carter-Pokras, Mariano Kanamori, Lu Chen, Susan Roth

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


American Indians have the highest prevalence of cigarette use in the United States, but there is a shortage of knowledge about American Indians' own perspectives on smoking and cessation. The purpose of this exploratory qualitative study was to obtain information on American Indians' views that would be useful for subsequent intervention planning and development. Four focus groups were conducted with urban American Indians living in Maryland to explore the sociocultural contexts of tobacco use and their perspectives on various mainstream and culturally-specific smoking cessation strategies and service delivery models. Tobacco interventions targeting American Indians should increase service access, address negative experiences with medications, emphasize empowerment for behavior change, explicitly distinguish ceremonial tobacco from cigarette use, and send culturally-relevant messages. Smoking cessation programs and health promotion efforts may be perceived as more relevant by the target population if they incorporate an understanding of the social and cultural facets of smoking behavior.

Original languageEnglish (US)
Pages (from-to)544-558
Number of pages15
JournalJournal of health care for the poor and underserved
Issue number2
StatePublished - May 1 2010
Externally publishedYes


  • American Indians
  • Focus groups
  • Minority health
  • Smoking cessation
  • Urban

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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