Community Action Plan Rowland Heights

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California State University, Long Beach *

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470

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Medicine

Date

Dec 6, 2023

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pdf

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33

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COMMUNITY TEACHING: SMOKING BY JANN M., MUSTAFA A., ANA P., SARA M., NICOLE T.
COMMUNITY SETTING AND COMMUNITY SETTING AND POPULATION POPULATION
Rowland Heights is a city located in the San Gabriel Valley within Los Angeles County. COMMUNITY SETTING AND POPULATION (World Population Review, n.d.) The population of Rowland Heights is 48,765 in 2023. 64.72% is Asian 16.38 % is White
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HEALTH CONCERN/PROBLEM IN HEALTH CONCERN/PROBLEM IN ROWLAND HEIGHTS ROWLAND HEIGHTS
Community Assessment Projects data (updated): Smoking Rate: Cultural Norms: - 13 of 16 Rowland Heights residents admitted smoking cigarettes, e-cigarettes, or vaping, mostly males. - There are more than 10 smoke shops in the area. - 9 of 10 residents who attended our teaching sessions smoke. - 15% of the population smoked tobacco products in 2018. - 16.1% in 2019. - 4.9% in 2022. - Most of the Asian community sees no issue with smoking tobacco products. - More than 50% of Asian men who have immigrated to the U.S. smoke tobacco products. . SMOKING IN ROWLAND HEIGHTS (County of Los Angeles Public Health, 2018),(Emanate Health, 2022) and (PIH Health Downey Hospital, 2022)
Nicotine is a highly addictive chemical delivered to the brain 90% of adult smokers began smoking before the age of 18, which makes them addicted and difficult to quit. Flavored tobacco products cause new users to get addicted. Quitting smoking leads the brain to get irritable. -The addict gets anxious and has difficulty focusing. Smoking Links to Diagnosis of Addiction and Chronic Diseases Results in over 480,000 deaths, including deaths of secondhand smoke. Cause of disease and disability. It is a risk factor for 4 of the 5 leading causes of death: 2800 cases of people who smoke e-cigarettes have lung injury. - Cardiovascular disease - Stroke - Lung Cancer - Chronic obstructive coronary disease (Centers for Disease Control and Prevention, n.d.) (LA County Department of Public Health, n.d.) (County of Los Angeles Public Health, 2022)
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PLAN TO ASSIST SMOKERS PLAN TO ASSIST SMOKERS POPULATION TO QUIT SMOKING POPULATION TO QUIT SMOKING
Post our teaching brochure in a public area. Hand out our teaching brochure throughout the community, especially near smoke shops. Provide free group teaching sessions to the residents collaborating with Project Access Resource Centers and the Rowland Heights Community Center. Participate in the community fair and/or local healthcare clinics to raise awareness and promote smoking cession programs/ counseling sessions. Plan to Assist Smokers Population to Quit Smoking
Promotional Flyer for Free Group Teaching Sessions
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Community Teaching Brochure
Community Teaching Brochure Front Back
Picture of the Group in Action
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FOUR LITERATURE REVIEWS FOUR LITERATURE REVIEWS Smoking
Spatial and Descriptive Analysis of Smoke and Vape Shop Locations Focusing on A Cancer Center Neighboring Catchment Area Lung cancer, primarily caused by tobacco use, is among the deadliest cancers. In the cancer center catchment area, 16 out of 35 San Gabriel Valley (SGV) cities scored the lowest tobacco control grade (F). To achieve our Cancer Center’s goal of comprehensive tobacco and cancer control, it is imperative to inform best practices and population health tobacco control priorities with state and county public health departments, local tobacco control coalitions, school districts, community healthcare providers, and communities, as well as the broader public health advocacy and organizations. LITERATURE REVIEW 1 (Ashing et al., 2021)
LITERATURE REVIEW 2 Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial Cigarette smoking among adults in LA County is one of the leading causes of preventable death. This study states that the implementation of smoking cessation programs in LA County-operated community clinics will best address this issue. Through this study, they determined the primary outcome of the study is higher rates of smoking cessation in the intervention sites as compared to those with matched LAC-operated non-intervention sites. (Baskerville et al., 2022)
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Asian immigrants in the U.S. are more vulnerable to smoking at higher rates than U.S.-born Asians. The Center for Disease Control and Prevention (CDC) established an Asian Smoker's quitline to serve Chinese, Korean, and Vietnamese immigrants. This study found that the quitline could serve as a model for delivering smoking cessation and behavioral services to geographically dispersed linguistic minority populations. Outreach to California Medicaid smokers for Asian language quitline services LITERATURE REVIEW 3 (Saw et al., 2018)
LITERATURE REVIEW 4 Disentangling individual and neighborhood differences in the intention to quit smoking in Asian American male smokers (Vyas et al., 2020) Few studies have assessed how neighborhood and built environments contribute to individual-level behavior, like smoking. The study used baseline data from 340 Chinese and Vietnamese male daily smokers. This study determined an association between spatial or neighborhood variations and intention to quit smoking among Chinese and Vietnamese American smokers. The findings demonstrate the need to understand contextual factors that contribute to disparities within and between certain groups.
THE ADVANTAGES IT WILL HAVE ON THE COMMUNITY LEARNING THEORY/ HEALTH LEARNING THEORY/ HEALTH PROMOTION PROMOTION
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INTERPERSONAL INDIVIDUAL (INTRAPERSONAL) SOCIO-ECOLOGICAL MODEL CHANGING SMOKING BEHAVIORS COMMUNITY SOCIETAL Education One on One Counseling 5 A's Friends Family Social Norms (Advertsiment, infuencers) Standards & Practices Social Networks ADVERTISING SMOKE FREE LAWS EDUCATION Supportive/Positive Role Models (Han & Son, 2022) (Caraballo et al., 2019)
TRANSTHEORETICAL MODEL SMOKING CESSATION PRECONTEMPLATION Gives no thought to quitting use, and has no intention to quit in the near future (i.E, within the next 6 months) CONTEMPLATION Has begun to examine their tobacco use and desire to quit; is weighing the pros and cons of quitting tobacco PREPARATION Has made a commitment to quit (usually within the next 30 days), and has begun developing a plan for quitting ACTION Has put their plan for quitting tobacco into action (<6 months) MAINTENANCE Has successfully sustained abstinence for atleast 6 months or more (Gaddey, n.d.) (Scroggs,2021) (Transtheoretical Model (TTM) | Maryland TCRC, n.d.)
UNDERSTANDING SUPPORT Healthy Lifestyle How will Rowland Heights Benefit? Understanding is crucial to removing the shame that is associated frequently to smoking habits. It can be helpful to manage daily obstacles, make difficult decisions, or even during a stressful situation to have a support system to rely on. The most significant component and aim of our community action is promoting a healthier lifestyle and habits.
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MEASUREABLE GOALS MEASUREABLE GOALS GOALS WE WANT TO ACHIEVE WITH A "STOP GOALS WE WANT TO ACHIEVE WITH A "STOP SMOKING JOURNEY" SMOKING JOURNEY"
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Measurable goals Provide Resources Raise Awareness Informative Brochures Support (emotional/physical): AA Substance abuse programs Fitness Style: Guiding the community with a healthy lifestyle w/ a non smoking life. Stress Management Classes We will provide Facts about smoking Teach our community about negative effects of smoking Offer brief counseling Connecting community with additional resources, like a quitline
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COMMUNITY AGENCIES COMMUNITY AGENCIES Available Community Resources
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COMMUNITY AGENCIES Primary care - ICNA Relief Located: 19164 East Walnut Drive North, Rowland Heights, CA 91748 Describe: ICNA Relief works towards and through its programs, it seeks to make a positive difference in the lives of those in need and promote a world where all individuals can thrive. Needs: Local Provides Free Health & Wellness Services MEETS: Focused Smoking Programs Behavioral Support Nicotine Replacement Therapy Addiction Treatment DOES NOT MEET: Problem: Only available one day out of the week. Does not offer smoking cessation treatments. Only community agency in Rowland Heights
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Tips ads on a variety of media channels to reach communities and groups Focus on smoking cessation Targets adults in ages 18 through 54 who smoke & low socioeconomic status Provides a Hot line that you can reach out to, 1-800- QUIT-NOW. (CDC,2023) Face to Face Counseling Meets DOES NOT MEET Describe The Tips campaign A campaign that CDC offers for the community to help people QUIT smoking It builds public awareness of the immediate health damage caused by smoking and secondhand smoke exposure. (CDC, 2023) NEEDS Problems People do not meet in person Only Hot-line is provided (CDC,2023)
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COMMUNITY ACTION COMMUNITY ACTION
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ASK: Identify and document tobacco/nicotine use status in the community ADVISE: Urge all individuals who use tobacco/nicotine to quit. ASSESS: Ask individuals whether they are willing to quit or make an attempt to quit. ASSIST: For individuals attempting to quit, offer cessation medications unless contraindicated and provide counseling. ARRANGE: Follow ups beginning the first week after quit date. Developing Smoking Cessation Programs
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Health Fair Choose a Theme: Cardiovascular, Respiratory Disease, and Cancer Choose a Venue: Community Center. Find Sponsors: local businesses, local healthcare workers, clinics Advertise: social media: tiktok, instagram, email. flyers. community out reach
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Acupuncture Program Acupuncture slows down the body's stress response, which assists in helping the curb of craving for tobacco and nicotine. Acupuncture has also been used to help combat addiction and cravings for substances. Visit: https://tinachenherbs.com/ for local eastern medicine
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Ashing, K. T., Song, G., O’Connor, T. G., Obodo, U., Abuan, F., Dawson, C. T., Tiep, B., Macalintal, J., Yeung, S., Xie, B., & Tsou, M. (2021). Spatial and Descriptive Analysis of Smoke and Vape Shop Locations Focusing on a Cancer Center Neighboring Catchment Area. Papers in Applied Geography, 1–11. https://doi.org/10.1080/23754931.2021.1947354 Baskerville, W., Friedman, T. C., Hurley, B., Hsieh, S., Dixon, T., Mtume, N., Lee, M., Rodriguez, L. M. B., Lopez, B., & Ray, L. A. (2022). Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial. Trials, 23(1). https://doi.org/10.1186/s13063-022-06023-3 Caraballo, R. S., Rice, K., Neff, L. J., & Garrett, B. E. (2019). Social and Physical Environmental Characteristics Associated With Adult Current Cigarette Smoking. Preventing Chronic Disease, 16. https://doi.org/10.5888/pcd16.180373 Centers for Disease Control and Prevention. (n.d.). Why Quitting Smoking Is Hard. Retrieved May 13, 2023, from https://www.cdc.gov/tobacco/campaign/tips/quit-smoking/quit-smoking-medications/why-quitting-smoking-is- hard/index.html#:~:text=As%20nicotine%20stimulates%20parts%20of,might%20get%20anxious%20or%20upset.Second%20hand%20smoker: Centers for Disease Control and Prevention. (2023, May 4). About the campaign. Centers for Disease Control and Prevention. https://www.cdc.gov/tobacco/campaign/tips/about/index.html#references County of Los Angeles Public Health. (n.d.). City And Community Health Profiles Rowland Heights . http://publichealth.lacounty.gov/ohae/docs/cchp/pdf/2018/RowlandHeights.pdf County of Los Angeles Public Health. (2022). COMPREHENSIVE TOBACCO CONTROL SERVICES IN LOS ANGELES COUNTY. Retrieved May 13, 2023, from http://publichealth.lacounty.gov/cg/docs/2022-001RFPComprehensiveTobConSvcs/2022-001RFPTCS.pdf Emanate Health. (2022). Emanate Health Community Health Needs Assessment . Retrieved May 14, 2023, from https://res.cloudinary.com/dpmykpsih/image/upload/emanate-health-site-360/media/74cd68b59c2e4b949fbf0ccd05e4a814/2022-emanate- health-chna.pdf Gaddey, H. L. (n.d.). Smoking Cessation Interventions. AAFP. https://www.aafp.org/pubs/afp/issues/2022/1100/smoking-cessation-interventions.html
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Han, G., & Son, H. (2022). A systematic review of socio-ecological factors influencing current e-cigarette use among adolescents and young adults. Addictive Behaviors, 135, 107425. https://doi.org/10.1016/j.addbeh.2022.107425 LA County Department of Public Health. (n.d.). Youth Access to Tobacco. County of Los Angeles Public Health. Retrieved May 13, 2023, from http://publichealth.lacounty.gov/tob/youthaccess.htm Mallin, R. (2002, March 15). Smoking cessation: Integration of behavioral and drug therapies. American Family Physician.https://www.aafp.org/pubs/afp/issues/2002/0315/p1107.html#:~:text=The%20five%2Dstage%20transtheoretical%20model,addictive% 20behaviors%20such%20as%20smoking.&text=The%20five%20stages%20in%20this,preparation%2C%20action%2C%20and%20maintenance. PIH Health Downey Hospital. (2022). COMMUNITY HEALTH NEEDS ASSESSMENT 2022. PIH Health. Retrieved May 13, 2023, from https://www.pihhealth.org/app/files/public/cbe4c661-a9c5-476d-bc89-de447879855f/FINAL_CHNA%20Report%202022-Downey.9.23.22.pdf Saw, A., Stewart, S. L., Cummins, S. E., Kohatsu, N. D., & Tong, E. K. (2018). Outreach to California Medicaid Smokers for Asian Language Quitline Services. American Journal of Preventive Medicine, 55(6), S196–S204. https://doi.org/10.1016/j.amepre.2018.08.008 Scroggs, Lauren Bethune. (May 2021). USING THE SOCIAL ECOLOGICAL MODEL AS A FRAMEWORK TO UNDERSTAND PSYCHOSOCIAL ENVIRONMENTAL VARIABLES THAT MEDIATE OR MODERATE NICOTINE ADDICTION (Doctoral Dissertation, East Carolina University). Retrieved from the Scholarship. Transtheoretical Model (TTM) | Maryland TCRC. (n.d.). https://marylandtcrc.org/health-behavior-models/transtheoretical-model-ttm World Population Review. (n.d.). Rowland Heights, California Population 2023. https://worldpopulationreview.com/us-cities/rowland-heights-ca- population Vyas, P., Tsoh, J. Y., Gildengorin, G., Stewart, S. L., Yu, E. P., Guan, A., Pham, A. T., Burke, N. J., & McPhee, S. R. (2020). Disentangling individual and neighborhood differences in the intention to quit smoking in Asian American male smokers. Prev Med Rep, 18, 101064. https://doi.org/10.1016/j.pmedr.2020.101064
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Thank You
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