A quasi-experimental replication of an intervention for promoting tobacco control policies in Northwest Indian tribes is described and the process of intervention including issues of collaboration among research institutions and Indian organizations is discussed. Policy status and stringency were assessed by means of telephone interviews with two key contacts per tribe, and by a count of enacted policies. There were significant pre-post changes in the primary outcome measure, a composite summary score of tobacco policy stringency, and changes were also reflected in enacted policies. The intervention effects observed were similar to those found in the prior randomized trial and suggest a robust, disseminable intervention. Much of the success achieved was attributed to the role of an Indian organization in planning the project and implementing the intervention and evaluation protocols.
Gender differences reveal slightly higher rates of use for males.
F.D., Gilliland, et. Design-A geographically targeted telephone survey. Setting-Rural New Mexico. Participants-American Indian residents aged 18 years and older. Current smoking prevalence was highest among men and lowest among college graduates.