Commercial Tobacco Cessation

American Indians and Alaska Natives have some of the highest rates of commercial tobacco use among all races. We also have among the highest rates of chronic diseases associated with commercial tobacco use. Culturally appropriate commercial tobacco use cessation is an important area of work within tribal communities and is vital in the effort to reduce health disparities in tribal communities.

The most successful cessation programs in our communities address and respect tribal culture and family norms.

Please feel free to explore the resources below to learn more about commercial tobacco cessation, how individuals can learn to quit, and public health efforts to reduce smoking rates within tribal communities.

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Link University of Arizona Healthcare Partnership 5A’s Program

The 5A’s is a brief tobacco intervention characterized by five steps: Ask, Advise, Assess, Assist and Arrange. This intervention aims to assist individuals in quitting the use of commercial tobacco.

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Link A Promise Partnership’s “More than the 5A’s” Toolkit and Workbook

“More than the 5A’s: Implementing a Commercial Tobacco Cessation Intervention in Tribal Communities” workbook is a resource to develop a step-by-step implementation plan, especially for those who work in a community-based or health-promotion program in a tribal community or urban setting.

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Link All Nations Breath of Life

All Nations Breath of Life is a smoking cessation program designed to respect the use of traditional tobacco.

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Link Second Wind

The Second Wind program is a smoking cessation program for tribal communities, adapted from American Cancer Society’s Fresh Start program by the Muscogee Creek Nation of Oklahoma.

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Link Second Wind, First Breath

Second Wind, First Breath is a smoking cessation support group curriculum for pregnant and post-partum American Indian Women.

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Link American Indian and Alaska Native Cessation Resources

National Institute of Health – American Indian Health

A comprehensive listing of AI/AN cessation-related resources compiled by the National Institutes of Health – American Indian Health program.

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Link Healthy Indian Country Initiative Promising Prevention Practices Resource Guide, NIHB

The Promising Prevention Practices Resource Guide highlights promising practices across Indian Country and addresses both evidence-based practices and practice-based evidence.

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Link The Guide to Community Preventative Services: Tobacco Use Prevention and Control, CDC

The Community Guide addresses the effectiveness of community-based interventions for strategies to promote tobacco use and control, including increasing cessation.

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Link Best Practices for Comprehensive Tobacco Control Programs, CDC

Best Practices for Comprehensive Tobacco Control Programs is an evidence-based guide designed to help agencies plan and establish effective commercial tobacco control programs.

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Powerpoint Basic Tobacco Intervention Skills Certification for Native Communities

Stephanie Bliss, Inter-Tribal Council of Michigan and Theresa Carino, Red Star Innovations

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Powerpoint Introduction to the 5 A Model, Brandi Buckless, American Indian Cancer Foundation

Stephanie Bliss, Inter-Tribal Council of Michigan and Theresa Carino, Red Star Innovations