ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Policy
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1464022
Community Dynamics Influencing Commercial Tobacco Control Policy Development on California American Indian Lands: A Qualitative Analysis of Baseline CAITIE Data
Provisionally accepted
- 1UC San Diego Health, University of California, San Diego, San Diego, United States
- 2Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, California, United States
- 3University of California, Davis, Davis, California, United States
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Commercial tobacco control policies are credited with substantially decreasing the rates of commercial tobacco use among the general US population over the last few decades, yet determining the attitudes, values and beliefs that make such policies more or less appropriate for American Indian communities remains of great interest in efforts to address tobacco-related health disparities. Through the qualitative analysis of 57 baseline interviews conducted by the CAITIE project in 2021 and 2022, we explain and explore community dynamics that favor or oppose new commercial tobacco control policies in California American Indian communities.The community dynamics that favor new policies include themes of changing social norms and the influence of Tribal leadership. The community dynamics that oppose new policies include respect for autonomy, preference for 'small-p' policies, and concern for lost revenue. An understanding of these dynamics may help to inform more fruitful efforts to address commercial tobacco use both within Tribal communities and in partnerships between Natives and non-Natives.
Keywords: American Indian and Alaska Native, Policy development and implementation, Tobacco Control, qualitative research, Health Disparities
Received: 12 Jul 2024; Accepted: 23 Jun 2025.
Copyright: © 2025 Wiebe-Anderson, Lippert and Al-Delaimy. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jeremiah Wiebe-Anderson, UC San Diego Health, University of California, San Diego, San Diego, United States
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