Dr. Kelley Lee has studied the need to strengthen collective action on global health challenges related to tobacco control for over two decades, largely focusing her work outside of Canada. When the Langara College alum and internationally renowned global health researcher relocated back to Vancouver, she soon noticed that many of the tobacco control issues she’d observed abroad were happening right here at home.
“My research focuses on the tobacco industry and how it has grown its markets worldwide through a range of business and political strategies. We then noticed the high rates of commercial tobacco use in Indigenous communities, and the ineffectiveness of mainstream tobacco control approaches, and wondered if we could approach the issue from a different perspective,” Lee said. “We don’t have detailed data, but smoking rates in some First Nations communities can be triple the rate of use of non-Indigenous people in Canadian mainstream society.”
With this in mind, she worked with partners at the First Nations Health Authority to initiate the three-year Promoting Indigenous Led Action on Respecting Tobacco Project in 2017, aimed at improving health and wellness in B.C. First Nations communities.
Working in partnership with five B.C. communities, her team has been consulting with community members through engagement events, interviews, and focus groups, among other activities.
With consent, they are hoping to conduct a survey in each community to collect baseline data on tobacco use, and community opinions on commercial tobacco use and potential initiatives that would build on community strengths.
“We want to provide useful information to these communities based on local perspectives and what community members would like to do regarding tobacco use,” Lee said.
Tobacco use in Indigenous communities involves complex cultural and historical considerations, she added. Many communities use the plant for spiritual, medicinal and ceremonial purposes.
“If you come in and say ‘all tobacco is bad,’ that doesn’t resonate with cultural teachings. It is a very colonial approach,” she said. “We need to understand that in order to support health and wellness while respecting Indigenous cultures.”
Such an initiative, for example, might involve supporting traditional ways to use tobacco, such as burning during ceremonies, and offering tobacco leaves as gifts in pouches or tobacco ties. “We’ve learned that there can be healthy Indigenous relationships with tobacco, which do not involve inhaling smoke into your lungs,” she said. “When you’re inhaling commercial tobacco products, with added toxic chemicals and flavourings, that’s when cancers and other illnesses arise.
“Alternatively, traditional tobacco could be a part of the healing of Indigenous communities from the impacts of colonization through the recovery of traditional cultures.”
The project team, the majority of whom are Indigenous, plan to finish conducting their qualitative research by December, and then conduct the survey with the permission of the five communities in 2020.
They have until 2021 to finish the project, eventually leaving the communities with resources and a strategy document that will help them move forward.
“That’s the most important part, to leave the communities with something that is useful. Not just academics writing papers,” Lee said. “We want to conduct our research differently, and show that this will produce findings that are far more practical and useful.”
Courtesy of Black Press Media.