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Robert G. Robinson, Dr.P.H. Associate Director for Health Equity Office on Smoking and Health

Basic Assumptions. Core Determinates of Community, Race and EthnicityHistoryCultureContextGeography. History. African AmericansSlaveryAsian/Pacific IslandersWeapons testing in Pacific Rim (Micronesians)Hawaiian Annexation, banning traditional practicesHispanics/LatinosAppropriation of anc

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Robert G. Robinson, Dr.P.H. Associate Director for Health Equity Office on Smoking and Health

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    2. Basic Assumptions Core Determinates of Community, Race and Ethnicity History Culture Context Geography

    3. History African Americans Slavery Asian/Pacific Islanders Weapons testing in Pacific Rim (Micronesians) Hawaiian Annexation, banning traditional practices Hispanics/Latinos Appropriation of ancestral lands Native Americans Genocide

    4. Culture Religion Spirituality Family Elders Tradition Process

    5. Context Racism Sexism Poverty Under-employment Lack of access No health insurance

    6. Geography Urban Rural Mountains Access to the sea Vieques

    7. Community Competence

    8. Primary History Culture Context Geography

    9. Relative and Dynamic: H/C/C/G African Americans and Latinos History and culture Japanese and Chinese Apartheid South Africa (context) Native American and Alaskan Indians Geography and culture

    10. Secondary Language Common usage Common knowledge Literacy Reading level Design

    11. Secondary Salient Imagery Positive Imagery Multi-Generational Diversity

    12. Community Competence

    13. Community Development

    14. Community Development Core Components Capacity and Infrastructure Social Capital

    15. Community Development Capacity and Infrastructure Research/Researchers Community Competent Programs (e.g., communications, training, service, education) Leaders Organizations Networks

    16. Community Development (cont.) Social Capital Cooperation Collaboration Reciprocity Trust

    17. Community Development Priority One Capacity and Infrastructure = car Priority Two Social Capital = gas

    18. Community Development

    19. Community Prevention

    20. Interventions

    21. Intervention Components

    22. Populations Community AI/AN, AA/PI, B, H/L, W, L/G/B/T, Religion Groups Drug treatment, physically challenged, cancer patients/survivors Strata SES, Gender, Low Literacy Individuals Person, primary family

    23. Model to Eliminate Population Disparities

    24. Identify and Eliminate Tobacco-Related Disparities

    25. Prevalence (%) of Current Cigarette Smoking: Overall by Race—United States, 1965-2001

    26. Guiding Principles Heterogeneity/Diversity/Inclusivity Participatory Community and Race and SES Community Development Community Competence Service Policy Trust Comprehensiveness

    27. Challenges Measurement: qualitative and quantitative Resources Multi-sectorial: structure Analytic methods Breadth of indicators Unit of analysis

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