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Perceptions, Barriers, and Suggestions for Creation of a Tobacco and Health Website Among American Indian/Alaska Native College Students

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Abstract

Information concerning American Indian/Alaska Native (AI/AN) Internet use and health information needs is dearth. Our research team explored Internet use among AI/AN college students to determine Internet use in relation to health information seeking behaviors. We used a tobacco site example for participants to describe what they desired in a health site designed specifically for AI/AN. Using a community-based participatory research approach, we conducted 14 focus groups with AI/AN college students (N = 108), to better understand their perceptions of and attitudes toward Internet use and health information needs. Daily Internet use was reported across strata yet health topics investigated differed among groups. Participants in all strata desired a health website that was easy to navigate and interactive. Respectful representation of Native culture was a concern, yet no consensus was reached for a multi-tribal audience. Participants felt a website should use caution with cultural depictions due to the possible misinterpretation. Overall, participants agreed that recreational and traditional tobacco use should be differentiated and the variation of traditional use among tribes acknowledged. Data concerning Internet use for health information among AI/AN college students are needed to establish baseline indicators to effectively address disparities.

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References

  1. Richardson, J., & McLeod, S. (2011). Technology leadership in Native American schools. Journal of Research in Rural Education, 27(7), 1–14.

    Google Scholar 

  2. United States Census Bureau. (2005). Census regions and divisions of the United States. Washington, DC.

  3. Ongunwele, S. (2006). We the people: American Indians and Alaska Natives in the United States. Washington, DC: United States Census Bureau.

    Google Scholar 

  4. Monroe, B. (2002). The Internet in Indian country. Computers and Composition, 19, 285–296.

    Article  Google Scholar 

  5. Dyson, L. (2011). Indigenous peoples on the Internet. In M. Consalyo & C. Ess (Eds.), The handbook of Internet studies. Oxford: Wiley.

    Google Scholar 

  6. McHenry, T. (2002). Words as big as the screen: Native American languages and the Internet. Language Learning and Technology, 6(2), 102–115.

    Google Scholar 

  7. Baldwin, G. (1995). Public access to the Internet: American Indian and Alaska Native issues. In B. Kahin & J. Keller (Eds.), Pubic access to the Internet (pp. 137–153). Cambridge: MIT Press.

    Google Scholar 

  8. Jones, S., Johnson-Yale, C., Millermaier, S., & Perez, F. (2009). U.S. college students’ Internet use: Race, gender and digital divides. Journal of Computer Mediated Communication, 14, 244–264.

    Article  Google Scholar 

  9. Cotten, S., & Jelenewicz, S. (2006). A disappearing digital divide among college students? Social Sciences Computer Review, 24(4), 497–506.

    Article  Google Scholar 

  10. Fortson, B., Scotti, J., Chen, Y., Malone, J., & Del Ben, K. (2007). Internet use, abuse, and dependence among students at a Southeastern regional university. Journal of American College Health, 56(2), 137–144.

    Article  PubMed  Google Scholar 

  11. Chou, C., Wu, H., & Chen, C. (2011). Re-visiting college students attitudes toward the Internet-based on a 6-T model: Gender and grade level difference. Computers & Education, 56(4), 939–947.

    Article  Google Scholar 

  12. Blue Bird Jemigan, v., & Lorig, K. (2011). The Internet diabetes self-management workshop for American Indian and Alaska Natives. Health Promotion Practice, 12, 261–270.

    Google Scholar 

  13. Geana, M. V., Daley, C. M., Nazir, N., Cully, L., Etheridge, J., Bledowski, C., et al. (2012). Use of online health information resources by American Indians and Alaska Natives. Journal of health communication. doi:10.1080/10810730.2011.650831.

  14. Geana, M. V., Greiner, K. A., Cully, A., Talawyma, M., & Daley, C. M. (2012). Improving health promotion to American Indians in the Midwest United States: Preferred sources of health information and its use for the medical encounter. Journal of Community Health,. doi:10.1007/s10900-012-9564-x.

    PubMed  Google Scholar 

  15. Taualii, M., Bush, N., Bowen, D., & Forquera, R. (2010). Adaption of a smoking cessation and prevention website for urban American Indian/Alaska Native youth. Journal of Cancer Education, 25(1), 25–31.

    Article  Google Scholar 

  16. Choi, W. S., Daley, C. M., James, A., Thomas, J., Schupbach, R., Segraves, M., et al. (2006). Beliefs and attitudes regarding smoking cessation among American Indians: A pilot study. Ethnicity and Disease, 16(1), 35–40.

    PubMed  Google Scholar 

  17. Daley, C., Cowan, P., Nollen, N., Greiner, K., & Choi, W. (2009). Assessing the scientific accuracy, readability, and cultural appropriateness of a culturally-targeted smoking cessation program for American Indians. Health Promotion Practice, 10(3), 386–393.

    Article  Google Scholar 

  18. Daley, C., Greiner, K., Nazir, N., Daley, S., Solomon, C., Braiuca, S., et al. (2010). All nations breath of life: Using community-based participatory research to address health disparities in cigarette smoking among American Indians. Ethnicity and Disease, 20(4), 334–338.

    PubMed  Google Scholar 

  19. Daley, C., James, A., Ulrey, E., Joseph, S., Talawyma, A., Choi, W., et al. (2010). Using focus groups in community-based participatory research: Challenges and resolutions. Qualitative Health Research, 20(5), 697–706. doi:10.1177/1049732310361468.

    Article  Google Scholar 

  20. Bernard, (2006). Research methods in anthropology: Qualitative and quantitative approaches (4th ed.). Lanham, MD: AltaMira Press.

    Google Scholar 

  21. Erikson, K., & Stull, D. (1998). Doing team ethnography: Warnings and advice. Thousand Oaks, CA: Sage.

    Google Scholar 

  22. Israel, B., Parker, E., Rowe, Z., Salvatore, A., & Lopez, J. (2005). Community-based participatory research: Lessons learned from the Centers for Children’s Environmental Health and Disease Prevention Research. Environmental Health Perspectives, 113, 1463–1471.

    Article  PubMed  Google Scholar 

  23. Bissell, T. (2004). The digital divide dilemma: Preserving Native American culture while increasing access to information technology on reservations. Journal of Law, Technology & Policy, (Spring), 129–152.

  24. Brescia, W., & Daily, T. (2007). Economic development and technology-skill needs. American Indian Quarterly, 31(1), 23–43.

    Article  Google Scholar 

  25. Rodgers, J., & Veil, S. (2008). Reaching at risk populations: The inconsistency of communication channels among native american tribes in oklahoma. Paper presented at the International Communication Association, Montreal, Quebec, Canada. http://www.allacademic.com/meta/p233233_index.html.

  26. Wood, F. B., Sahali, R., Press, N., Burroughs, C., Mala, T. A., Siegel, E. R., et al. (2003). Tribal connections health information outreach: Results, evaluation, and challenges. Journal of the Medical Library Association, 91(1), 57–66.

    PubMed  Google Scholar 

  27. Daley, C., Faseru, B., Nazir, N., Solomon, C., Greiner, K., Ahluwalia, J., et al. (2011). Influence of traditional tobacco use on smoking cessation among American Indians. Addiction, 106(5), 1003–1009. doi:10.1111/j.1360-0443.2011.03391.x.

    Article  PubMed  Google Scholar 

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Acknowledgments

Funding for this study was provided by the American Lung Association (SB-40588-N; PI: Daley). Drs. Choi, Daley, and Greiner’s time were supported in part by the National Institute on Minority Health and Health Disparities (5 P20MD004805-02; PI: Daley).

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Correspondence to Melissa K. Filippi.

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Filippi, M.K., McCloskey, C., Williams, C. et al. Perceptions, Barriers, and Suggestions for Creation of a Tobacco and Health Website Among American Indian/Alaska Native College Students. J Community Health 38, 486–491 (2013). https://doi.org/10.1007/s10900-012-9634-0

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