Breathing clean air is sa’áh naagháí bik’eh hózhóó (SNBH): A culturally centred approach to understanding commercial smoke-free policy among the diné (Navajo people)

Carmenlita Chief, Samantha J Sabo, Hershel Clark, Patricia Nez Henderson, Alfred Yazzie, Jacqueline Nahee, Scott J. Leischow

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction Indigenous worldviews and research approaches are fundamental to make meaning of complex health issues and increase the likelihood of identifying existing cultural protective factors that have contributed to the resilience and survival of Indigenous people worldwide. Objective We describe the process for applying the Diné (Navajo) paradigm of Sa’áh Naagháí Bik’eh Hózhóó (SNBH), a belief system that guides harmonious living, and demonstrate how the application of SNBH enhances understanding of Navajo principles for well-being. Specifically, we juxtapose this analysis with a conventional qualitative analysis to illuminate and interpret Diné perspectives on the health and economic impact of commercial secondhand smoke and smoke-free policy. Methods Focus groups were conducted throughout Navajo Nation to assess the appeal and impact of several evidence-based messages regarding the health and economic impact of smoke-free policy. Results Diné perspectives have shifted away from family and cultural teachings considered protective of a smoke-free life, and struggle to balance the ethical and economics of respect for individual and collective rights to live and work in smoke-free environments. Conclusions Indigenous-centred approaches to public health research and policy analysis contribute to understanding the cultural knowledge, practices and beliefs that are protective of the health and well-being of Indigenous people.

Original languageEnglish (US)
Pages (from-to)i19-i25
JournalTobacco Control
Volume25
DOIs
StatePublished - Oct 1 2016

Fingerprint

Smoke-Free Policy
Respiration
Air
air
Economics
Health
health
economic impact
Smoke
well-being
Tobacco Smoke Pollution
Policy Making
Public Policy
Health Policy
worldview
research approach
Focus Groups
Research
resilience
appeal

Keywords

  • Disparities
  • Public opinion
  • Public policy
  • Secondhand smoke

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Breathing clean air is sa’áh naagháí bik’eh hózhóó (SNBH) : A culturally centred approach to understanding commercial smoke-free policy among the diné (Navajo people). / Chief, Carmenlita; Sabo, Samantha J; Clark, Hershel; Henderson, Patricia Nez; Yazzie, Alfred; Nahee, Jacqueline; Leischow, Scott J.

In: Tobacco Control, Vol. 25, 01.10.2016, p. i19-i25.

Research output: Contribution to journalArticle

Chief, Carmenlita ; Sabo, Samantha J ; Clark, Hershel ; Henderson, Patricia Nez ; Yazzie, Alfred ; Nahee, Jacqueline ; Leischow, Scott J. / Breathing clean air is sa’áh naagháí bik’eh hózhóó (SNBH) : A culturally centred approach to understanding commercial smoke-free policy among the diné (Navajo people). In: Tobacco Control. 2016 ; Vol. 25. pp. i19-i25.
@article{998904d7e0714ac1b7bc06442f8067a8,
title = "Breathing clean air is sa’{\'a}h naagh{\'a}{\'i} bik’eh h{\'o}zh{\'o}{\'o} (SNBH): A culturally centred approach to understanding commercial smoke-free policy among the din{\'e} (Navajo people)",
abstract = "Introduction Indigenous worldviews and research approaches are fundamental to make meaning of complex health issues and increase the likelihood of identifying existing cultural protective factors that have contributed to the resilience and survival of Indigenous people worldwide. Objective We describe the process for applying the Din{\'e} (Navajo) paradigm of Sa’{\'a}h Naagh{\'a}{\'i} Bik’eh H{\'o}zh{\'o}{\'o} (SNBH), a belief system that guides harmonious living, and demonstrate how the application of SNBH enhances understanding of Navajo principles for well-being. Specifically, we juxtapose this analysis with a conventional qualitative analysis to illuminate and interpret Din{\'e} perspectives on the health and economic impact of commercial secondhand smoke and smoke-free policy. Methods Focus groups were conducted throughout Navajo Nation to assess the appeal and impact of several evidence-based messages regarding the health and economic impact of smoke-free policy. Results Din{\'e} perspectives have shifted away from family and cultural teachings considered protective of a smoke-free life, and struggle to balance the ethical and economics of respect for individual and collective rights to live and work in smoke-free environments. Conclusions Indigenous-centred approaches to public health research and policy analysis contribute to understanding the cultural knowledge, practices and beliefs that are protective of the health and well-being of Indigenous people.",
keywords = "Disparities, Public opinion, Public policy, Secondhand smoke",
author = "Carmenlita Chief and Sabo, {Samantha J} and Hershel Clark and Henderson, {Patricia Nez} and Alfred Yazzie and Jacqueline Nahee and Leischow, {Scott J.}",
year = "2016",
month = "10",
day = "1",
doi = "10.1136/tobaccocontrol-2016-053081",
language = "English (US)",
volume = "25",
pages = "i19--i25",
journal = "Tobacco Control",
issn = "0964-4563",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Breathing clean air is sa’áh naagháí bik’eh hózhóó (SNBH)

T2 - A culturally centred approach to understanding commercial smoke-free policy among the diné (Navajo people)

AU - Chief, Carmenlita

AU - Sabo, Samantha J

AU - Clark, Hershel

AU - Henderson, Patricia Nez

AU - Yazzie, Alfred

AU - Nahee, Jacqueline

AU - Leischow, Scott J.

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Introduction Indigenous worldviews and research approaches are fundamental to make meaning of complex health issues and increase the likelihood of identifying existing cultural protective factors that have contributed to the resilience and survival of Indigenous people worldwide. Objective We describe the process for applying the Diné (Navajo) paradigm of Sa’áh Naagháí Bik’eh Hózhóó (SNBH), a belief system that guides harmonious living, and demonstrate how the application of SNBH enhances understanding of Navajo principles for well-being. Specifically, we juxtapose this analysis with a conventional qualitative analysis to illuminate and interpret Diné perspectives on the health and economic impact of commercial secondhand smoke and smoke-free policy. Methods Focus groups were conducted throughout Navajo Nation to assess the appeal and impact of several evidence-based messages regarding the health and economic impact of smoke-free policy. Results Diné perspectives have shifted away from family and cultural teachings considered protective of a smoke-free life, and struggle to balance the ethical and economics of respect for individual and collective rights to live and work in smoke-free environments. Conclusions Indigenous-centred approaches to public health research and policy analysis contribute to understanding the cultural knowledge, practices and beliefs that are protective of the health and well-being of Indigenous people.

AB - Introduction Indigenous worldviews and research approaches are fundamental to make meaning of complex health issues and increase the likelihood of identifying existing cultural protective factors that have contributed to the resilience and survival of Indigenous people worldwide. Objective We describe the process for applying the Diné (Navajo) paradigm of Sa’áh Naagháí Bik’eh Hózhóó (SNBH), a belief system that guides harmonious living, and demonstrate how the application of SNBH enhances understanding of Navajo principles for well-being. Specifically, we juxtapose this analysis with a conventional qualitative analysis to illuminate and interpret Diné perspectives on the health and economic impact of commercial secondhand smoke and smoke-free policy. Methods Focus groups were conducted throughout Navajo Nation to assess the appeal and impact of several evidence-based messages regarding the health and economic impact of smoke-free policy. Results Diné perspectives have shifted away from family and cultural teachings considered protective of a smoke-free life, and struggle to balance the ethical and economics of respect for individual and collective rights to live and work in smoke-free environments. Conclusions Indigenous-centred approaches to public health research and policy analysis contribute to understanding the cultural knowledge, practices and beliefs that are protective of the health and well-being of Indigenous people.

KW - Disparities

KW - Public opinion

KW - Public policy

KW - Secondhand smoke

UR - http://www.scopus.com/inward/record.url?scp=85027263978&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85027263978&partnerID=8YFLogxK

U2 - 10.1136/tobaccocontrol-2016-053081

DO - 10.1136/tobaccocontrol-2016-053081

M3 - Article

C2 - 27697944

AN - SCOPUS:85027263978

VL - 25

SP - i19-i25

JO - Tobacco Control

JF - Tobacco Control

SN - 0964-4563

ER -