Our goal, under the framework of equity, is to reduce/eliminate preventable postpartum maternal mortality and morbidity through collaborative, data-driven, clinical-community integration that supports the continuum of care with the focus on postpartum care.
Interrupting the Initiation of Smokeless Tobacco Use Among Rural California Firefighters
Research
Interrupting the Initiation of Smokeless Tobacco Use Among Rural California Firefighters
Who We Are
This is a community-based participatory research project and is being conducted in collaboration with PIRE-Ca (Pacific Institute for Research and Evaluation). The overarching aim is to interrupt initiation of smokeless tobacco use (SLT) and nicotine pouch (NP) use among new cohorts of rural California firefighters.
Smokeless tobacco rates among firefighters in the U.S. are high and growing. Moreover, nicotine pouches are increasingly popular among firefighters. Rural populations in California also have higher smokeless tobacco use rates than the general population and are a priority for California’s Endgame goals. Firefighters are role models and bedrocks of rural communities. Focusing on the firefighter training and recruitment stage may provide a window of opportunity to disrupt SLT/NP initiation; previous research has found a significant proportion of U.S. firefighters initiate SLT use after joining the fire service. The proposed project will uncover pivotal points along a fire student’s training path in which effective policy and programing could change social norms and prevent fire students from initiating smokeless tobacco use. An underlying hypothesis is that a new firefighter is particularly vulnerable to nicotine pouch and SLT initiation at the start of their career when their identity as a firefighter is forming. Therefore, if a new firefighter can abstain from using nicotine pouches and SLT for the first year or two of service, they will be able to continue their career as a firefighter with a much smaller risk of initiating use of these products. If successful, these partnerships and this pilot work will lay the groundwork for a full CPPRA application, which will expand to test several interventions informed by the rural firefighter participation in this proposed pilot.
Our Goals
1. Partnership Building: Develop and grow partnerships with local fire training programs at community colleges, CAL FIRE, and at local fire departments.
2. Community Advisory Board: Convene a Community Advisory Board (CAB) consisting of fire representatives to identify and implement strategies.
3. Prevention Education: Based on gathered data develop and test education materials about smokeless tobacco products.
4. Policy: review current policy and develop recommendations.
Funded by the University of California: Tobacco Related Disease Research Program
Compromiso Adelante means “engagement ahead” and is a tobacco control program located in Stanislaus County. Stanislaus County is a small rural county located in the Central Valley of California. Like many rural central valley counties, the smoking rate in Stanislaus County is higher than the state rate, 15.5 vs 6.7 percent and tobacco-related diseases take a larger toll in Stanislaus County than elsewhere in the state. The Latino population accounts for 48 percent and is the largest ethnic group in the county. Statewide, adult smoking prevalence rates are somewhat lower among Latinos than among non-Hispanic Whites, however in Stanislaus County Latino’s have the highest smoking rate of all ethnic groups in the county.
Latinos are now the largest ethnic group in the state of California, so it’s not surprising that the tobacco industry invests heavily in marketing to California Latinos with their product brands and ad campaigns. The industry invests in Hispanic and Latino community and civic organizations, sponsors community activities such as Mexican rodeos and soccer tournaments, sponsors primary and secondary education programs, made large donations to the U.S. Hispanic Chamber of Commerce, and has donated to many local Hispanic Chambers of Commerce. In these ways, the industry seeks to buy Latino support and influence and it is therefore imperative that efforts to end the tobacco epidemic center around engaging local Latino community organizations and non-traditional partners.
Funded by the California Department of Public Health, California Tobacco Control Program, Contract No. 22-11194
Our Goals
Partnerships
Partnerships: Building partnerships and engagement among Stanislaus County Latino-serving organizations and distributing community engagement funds to these organizations.
Tobacco Retail Licensing:
Tobacco Retail Licensing: Establishing tobacco retail licensing programs in the cities of Riverbank and Ceres with funding for enforcement of underage sales.
Promoting Health Connections is a program funded by a contract from Health Net Inc. Our program has the proud support of two committed organizations, CalViva/ Health Net and California Health Collaborative, sharing a common goal of promoting health and well-being. Working hand in hand with CalViva Health, California Health Collaborative focuses on addressing the needs of underserved and marginalized populations, with a mission to improve the quality of life and health of people in California. Together, we strive to empower communities with accessible health information, resources, and support, creating a lasting positive impact on the lives of Californians.
Our mission
Our mission is to enrich the communities of California by providing accessible health information and empowering individuals with knowledge, safety, and support. We are dedicated to maximizing our service offerings to promote well-being, foster connections, and enhance the overall health of our diverse population.
Our services
Bilingual Educational Programs and Support Services
The Promoting Health Connection Program provides culturally competent; evidence based educational presentations and trainings for members of the communities of Madera and Fresno County. The program focuses on Managed Care Accountability Set (MCAS) HEDIS measures including but limited to diabetes, blood pressure, breast cancer screenings, cervical cancer screenings, well child visits and immunizations. All of our services are offered in English or Spanish by our certified or subject matter trained Community Health Workers and Community Health Aides.
First Service
Educational Presentations/Participation in community events and wellness fairs
One time presentations for community members on the above topics or in-service trainings to professionals in our community.
Participation in community events to help engage and educate the community on our topic areas.
Second Service
Diabetes Education and Empowerment Program (DEEP)
A six-week course for those at risk of diabetes, with pre-diabetes or with a diabetes diagnoses to help manage and reduce weight, A1C numbers, and symptoms associated with Diabetes.
Third Service
Case Management
Individualized whole person support to facilitate appointment scheduling and Cal-Viva/ Health Net member follow-up/reminder calls to support Medi-Cal service utilization.
Direct Services
Meet Our Team
Our Team providing direct services consists of two (2) Community Health Coordinators, five (5) Community Health Workers, and four (4) Community Health Aides.
STAAND (Small Town Allies Against Nicotine Dependency)
Tobacco Prevention
STAAND (Small Town Allies Against Nicotine Dependency)
Who We Are
STAAND is a tobacco prevention project working in the rural Gold-Country region of central-eastern California. Rural Californian communities have much higher rates of tobacco-use than the rest of the state. Young people in rural areas often become addicted to tobacco at a younger age. Tobacco users in rural areas tend to use the products more often, leading to higher rates of addiction and disease. And people in rural areas use smokeless tobacco products, like chew and pouches, at much higher rates. All of this leads to more chronic disease in communities where access to quality healthcare and quit services is also a challenge.
1. Colleges: Establishing smoke, vape, and tobacco-free community colleges, fire training programs, and technical colleges
2. General Plans: Adopting tobacco-free and healthy community goals and policies into city and county general plan documents which provide a long-term vision for the community.
3. YAFT Coalition: Recruiting, training, and engaging young adults from rural Gold-Country communities to get involved in tobacco prevention, share their own stories related to tobacco and addiction, and advocate for tobacco-free and healthy communities where they live, learn, and work.