Dr. Christi Patton

the decrease in social norms around smoking as we learn more about the health effect. But the U.S. Surgeon General's report on the effects of tobacco, I think that was in the 70s. That was sort of a landmark report kind of spurring people's knowledge or awareness of the health effect.

the decrease in social norms around smoking as we learn more about the health effect. But the U.S. Surgeon General's report on the effects of tobacco, I think that was in the 70s. That was sort of a landmark report kind of spurring people's knowledge or awareness of the health effect.

Right. Well, on a public health level, we have made many advancements with smoke-free policies, tobacco-free campaigns, going to mass media campaigns. So the overall prevalence from 1950s being in the high 40s to now 12% of the U.S. population, that is an advance, but yeah, still a long way to go. And also the tobacco industry aggressively markets certain subpopulations.

Right. Well, on a public health level, we have made many advancements with smoke-free policies, tobacco-free campaigns, going to mass media campaigns. So the overall prevalence from 1950s being in the high 40s to now 12% of the U.S. population, that is an advance, but yeah, still a long way to go. And also the tobacco industry aggressively markets certain subpopulations.

So within certain communities like Alaska Native American Indian communities, for example, the prevalence remain high, but within those communities, the social norms around tobacco is still more towards acceptability. So, and that's a result of the tobacco industry marketing certain segments. So youth,

So within certain communities like Alaska Native American Indian communities, for example, the prevalence remain high, but within those communities, the social norms around tobacco is still more towards acceptability. So, and that's a result of the tobacco industry marketing certain segments. So youth,

So the overall prevalence is really affected by these sub communities that are more vulnerable to the tobacco industry. So the tobacco industry is a large force. They have a lot of money. They can make their cigarettes pretty cheaply. There's high demand. So.

So the overall prevalence is really affected by these sub communities that are more vulnerable to the tobacco industry. So the tobacco industry is a large force. They have a lot of money. They can make their cigarettes pretty cheaply. There's high demand. So.

I think overall there's greater awareness of the health effects and the prevalence has gone down, which is encouraging, but you know, at the same time, other tobacco nicotine products have gained in popularity.

I think overall there's greater awareness of the health effects and the prevalence has gone down, which is encouraging, but you know, at the same time, other tobacco nicotine products have gained in popularity.

Yeah, clearance. Yeah, no, I was going to say, it's always about the money in America, right? It's about making that money. But I think that one of the things that I want to go back, because I know that you do a lot of community-based participatory research. I want to go back to adolescence. I mean, the adolescence, use of tobacco.

Yeah, clearance. Yeah, no, I was going to say, it's always about the money in America, right? It's about making that money. But I think that one of the things that I want to go back, because I know that you do a lot of community-based participatory research. I want to go back to adolescence. I mean, the adolescence, use of tobacco.

And can you talk about that and some of the research that maybe you've done with that? And I know that you have specifically dealt with specific communities. And I'd like to hear more about what are some of the struggles in terms of those areas as well.

And can you talk about that and some of the research that maybe you've done with that? And I know that you have specifically dealt with specific communities. And I'd like to hear more about what are some of the struggles in terms of those areas as well.

So among youth generally in the U.S. and in Minnesota, e-cigarette use is most common, followed by nicotine pouches and cigarettes. So with youth, it's difficult because with adults, there's effective treatments. So behavioral counseling, FDA approved medications for tobacco cessation. Whereas in youth, behavioral counseling, coaching is effective.

So among youth generally in the U.S. and in Minnesota, e-cigarette use is most common, followed by nicotine pouches and cigarettes. So with youth, it's difficult because with adults, there's effective treatments. So behavioral counseling, FDA approved medications for tobacco cessation. Whereas in youth, behavioral counseling, coaching is effective.

But there is really, at this time, no evidence that nicotine patches, gum, and so on are effective for youth. So there's some limits to the treatment for youth cessation. So among adults and youth in the United States and Minnesota, Alaska Native American Indian communities do have higher rates of tobacco use. And that's the communities that I've been focusing on.

But there is really, at this time, no evidence that nicotine patches, gum, and so on are effective for youth. So there's some limits to the treatment for youth cessation. So among adults and youth in the United States and Minnesota, Alaska Native American Indian communities do have higher rates of tobacco use. And that's the communities that I've been focusing on.

And it's important to distinguish commercial tobacco use from traditional tobacco. tobacco use. So tobacco is part of the culture when used in a ceremonial, spiritual way among many Native American communities. So what we're really talking about is the commercial products or commercial use of tobacco as opposed to traditional use.

And it's important to distinguish commercial tobacco use from traditional tobacco. tobacco use. So tobacco is part of the culture when used in a ceremonial, spiritual way among many Native American communities. So what we're really talking about is the commercial products or commercial use of tobacco as opposed to traditional use.