International Union for Circumpolar Health Ministry of Public Health and Social Development of RF Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Sciences Medical Polar Fund “Science” The Northern Forum

Abstracts

Alcohol, smoking, and drug abuse

Background: Since 1998, when the first Clean Indoor Air Ordinance was passed in Bethel Alaska, nicotine dependence treatment has been a topic of interest and subsequent development among the Alaska Tribal Health System (ATHS).

Purpose: We evaluated tobacco cessation point prevalence rates and tobacco use screening rates in three ATHS hub cessation programs. Demographics will also be reported.

Methods: We developed a tobacco treatment database in use in the three sites which counselors use to enter and track patient data. We also use RPMS to track screening of tobacco use patients.

Results: Clinical Tobacco Use Screening Rates: Screening rates exceed the national IHS site screening rates. Screening rate goals for IHS nationally are 26% Alaska Rates for 6 sites combined were 36.7%. Individual site screening rates for YKHC reached as high as 40%, for BBAHC 100%, and for SEARHC 51%.

Quit Rates: Cessation point prevalence rates in all sites are currently a combined rate of 20% at 26 weeks and 15% at 52 weeks. Individual cessation point prevalence quit rates have reached as high as 40% at BBAHC, 15% YKHC and 15% at SEARHC.

Enrollment: Nicotine Dependence Treatment program enrollment increased at the three sites combined in 2002 from 800 patients to 1300 patients in 2005. Individual programs increased enrollment from 800 to 1600 patients at YKHC, 0 patients to 250 patients at BBAHC, and 0 patients to 250 patients at SEARHC from 2002 -2005.

Demographics: 40% of patients enrolled into the nicotine dependence treatment programs are male, 60% are female. Ages of the patients enrolled into the program range from 5 years old to 85 years old. The average age of enrollment patients is 35 years old. Please note that all data gathered is subject to change as new data will be submitted for evaluation after Feb 20th 2006. Result presented in this document is not final program data.

Conclusion: Tribal cessation programs are effectively treating nicotine dependent Alaska Native patients, and are producing screening and cessation rates higher than the national rates.

Note. Abstracts are published in author's edition

© 1996-2005, Siberian Branch of Russian Academy of Sciences, Novosibirsk
Last update: 06-Jul-2012 (11:52:05)