Dr. Christi Patton

So that's something that I've been focused on in my research is how do we enhance the utilization of these effective treatments? And so there are free treatments available too. So.

So that's something that I've been focused on in my research is how do we enhance the utilization of these effective treatments? And so there are free treatments available too. So.

Right, right.

Right, right.

So those are a couple of things I think about.

So those are a couple of things I think about.

Okay. Dr. Penn, I'm sorry for interrupting you, but you did work in, you said you did work in Alaska around maternal child health.

Okay. Dr. Penn, I'm sorry for interrupting you, but you did work in, you said you did work in Alaska around maternal child health.

Can you talk a little bit more about that? One of the things that I think about is that when parents smoke around the child, what was some of your work around maternal child health and smoking? Did that deter families from smoking? Was that a deterrent?

Can you talk a little bit more about that? One of the things that I think about is that when parents smoke around the child, what was some of your work around maternal child health and smoking? Did that deter families from smoking? Was that a deterrent?

In general, with Pregnant women, there's some brief counseling that providers can do just to ask the woman about their tobacco use, ask about their readiness to quit, give them resources, follow up with them. So that can be helpful also and with the clinician talking about secondhand smoke exposure and the effects on children.

In general, with Pregnant women, there's some brief counseling that providers can do just to ask the woman about their tobacco use, ask about their readiness to quit, give them resources, follow up with them. So that can be helpful also and with the clinician talking about secondhand smoke exposure and the effects on children.

So some of those interventions have been effective in pregnant women generally. In Alaska, we adapted that brief intervention to be culturally relevant with a lot of feedback from pregnant women. And we also had the intervention delivered by what we called native sisters or lay native elder women in the villages. And so that program was effective for tobacco abstinence postpartum.

So some of those interventions have been effective in pregnant women generally. In Alaska, we adapted that brief intervention to be culturally relevant with a lot of feedback from pregnant women. And we also had the intervention delivered by what we called native sisters or lay native elder women in the villages. And so that program was effective for tobacco abstinence postpartum.

So that was encouraging. And we integrated our programs for pregnant women. We did our research within the existing healthcare system. So we didn't have a research building and did all this research and then get positive results and then try to figure out how do we implement this within their existing healthcare system. We actually did the research in the healthcare setting.

So that was encouraging. And we integrated our programs for pregnant women. We did our research within the existing healthcare system. So we didn't have a research building and did all this research and then get positive results and then try to figure out how do we implement this within their existing healthcare system. We actually did the research in the healthcare setting.

So it's encouraging because now providers are using our materials. promoting the use of cessation services among pregnant women. The overall prevalence, however, has not reduced among pregnant women. So women in Alaska, Alaska native women, also, they not only smoke, they use a homemade form of smokeless tobacco called . So that's really ingrained in the community.

So it's encouraging because now providers are using our materials. promoting the use of cessation services among pregnant women. The overall prevalence, however, has not reduced among pregnant women. So women in Alaska, Alaska native women, also, they not only smoke, they use a homemade form of smokeless tobacco called . So that's really ingrained in the community.

Some women think it is safer to use because they're making the product themselves, and they burn a woody fungus that grows on the bark of birch trees in the area and use the ash to mix with tobacco leaves. So that's how it's made. But because the ash comes from a tree, it's perceived as safer. So again, kind of these perceptions of products being safer.

Some women think it is safer to use because they're making the product themselves, and they burn a woody fungus that grows on the bark of birch trees in the area and use the ash to mix with tobacco leaves. So that's how it's made. But because the ash comes from a tree, it's perceived as safer. So again, kind of these perceptions of products being safer.