Cardiovascular Risk Factors Among Native American Women Inter‐Tribal Heart Project Participants

Struthers, Roxanne; Baker, Martha; Savik, Kay

doi:10.1111/j.1552-6909.2006.00069.x

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…For example, A.I./A.N. are at higher risk for many tobacco-related health problems (Fagan et al, 2007; Oser et al, 2006; Struthers et al, 2006). In addition, various risk factors for smoking including lower socioeconomic status and high rates of unemployment and poverty are elevated among many A.I./A.N.…”

Section: Discussionmentioning

confidence: 99%

Nicotine dependence and psychiatric and substance use comorbidities in a sample of American Indian male veterans

Dickerson¹,

O’Malley²,

Cañive³

et al. 2009

Drug and Alcohol Dependence

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Substantial co-morbidity exists between nicotine dependence and other substance abuse and psychiatric disorders among this sample of American Indian male veterans, particularly for lifetime diagnoses. Screening for all psychiatric disorders among American Indian/Alaska Native smokers may be warranted. Although these results are similar to those observed among the general U.S. population, unique risk factors exist among American Indians/Alaska Natives which may require further attention. Specific public health and clinical interventions to reduce the rate of nicotine dependence among American Indians/Alaska Natives are recommended.

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Section: Discussionmentioning

confidence: 99%

Nicotine dependence and psychiatric and substance use comorbidities in a sample of American Indian male veterans

Dickerson¹,

O’Malley²,

Cañive³

et al. 2009

Drug and Alcohol Dependence

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“…The prevalence of smoking among American Indians and Alaska Natives, for example, is greater than 50% in many communities, roughly 2.5 times the prevalence in the US general population. [2][3][4][5][6][7] Furthermore, over the past 3 decades, rates of smoking have been rising in some tribal communities that have historically low rates, 2,8 roughly paralleling the increases in smoking-related diseases, including lung cancer and respiratory and cardiovascular diseases, in American Indians and Alaska Natives. 9,10 Smoking also contributes to the observation that American Indians and Alaska Natives trail only African Americans in years of potential life lost, 11 a key indicator of population health.…”

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confidence: 99%

Patterns of Cigarette Smoking Initiation in Two Culturally Distinct American Indian Tribes

et al. 2009

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Objectives. To better understand patterns of initiation among American Indians we examined age-related patterns of smoking initiation during adolescence and young adulthood in 2 American Indian tribes. Methods. We used log-rank comparison and a Cox proportional hazard regression model to analyze data from a population-based study of Southwest and Northern Plains American Indians aged 18 to 95 years who initiated smoking by age 18 years or younger. Results. The cumulative incidence of smoking initiation was much higher among the Northern Plains Indians (47%) than among the Southwest Indians (28%; P < .01). In the Southwest, men were more likely than women to initiate smoking at a younger age (P < .01); there was no such difference in the Northern Plains sample. Northern Plains men and women in more recent birth cohorts initiated smoking at an earlier age than did those born in older birth cohorts. Southwest men and women differed in the pattern of smoking initiation across birth cohorts as evidenced by the significant test for interaction (P = .01). Conclusion. Our findings underscore the need to implement tobacco prevention and control measures within American Indian communities.

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“…Survey respondents were non-Hispanic whites, African Americans, and Mexican Americans) (7). Similarly, the Inter-Tribal Heart Project, a study of cardiovascular disease in American Indian women in Minnesota and Wisconsin, showed high rates of cardiovascular disease risk factors (8). …”

Section: Introductionmentioning

confidence: 99%

Lessons Learned in Community Research Through The Native Proverbs 31 Health Project

Kimes¹,

Golden²,

Maynor³

et al. 2014

Prev. Chronic Dis.

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BackgroundAmerican Indian women have high rates of cardiovascular disease largely because of their high prevalence of hypertension, diabetes, and obesity. This population has high rates of cardiovascular disease-related behaviors, including physical inactivity, harmful tobacco use, and a diet that promotes heart disease. Culturally appropriate interventions are needed to establish health behavior change to reduce cardiovascular disease risk.Community ContextThis study was conducted in Robeson County, North Carolina, the traditional homeland of the Lumbee Indian tribe. The study’s goal was to develop, deliver, and evaluate a community-based, culturally appropriate cardiovascular disease program for American Indian women and girls.MethodsFormative research, including focus groups, church assessments, and literature reviews, were conducted for intervention development. Weekly classes during a 4-month period in 4 Lumbee churches (64 women and 11 girls in 2 primary intervention churches; 82 women and 8 girls in 2 delayed intervention churches) were led by community lay health educators. Topics included nutrition, physical activity, and tobacco use cessation and were coupled with messages from the Proverbs 31 passage, which describes the virtuous, godly woman. Surveys collected at the beginning and end of the program measured programmatic effects and change in body mass index.OutcomeChurches were very receptive to the program. However, limitations included slow rise in attendance, scheduling conflicts for individuals and church calendars, and resistance to change in cultural traditions.InterpretationChurches are resources in developing and implementing health promotion programs in Christian populations. Through church partnerships, interventions can be tailored to suit the needs of targeted groups.

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Cardiovascular Risk Factors Among Native American Women Inter‐Tribal Heart Project Participants

Cited by 8 publications

References 23 publications

Nicotine dependence and psychiatric and substance use comorbidities in a sample of American Indian male veterans

Nicotine dependence and psychiatric and substance use comorbidities in a sample of American Indian male veterans

Patterns of Cigarette Smoking Initiation in Two Culturally Distinct American Indian Tribes

Lessons Learned in Community Research Through The Native Proverbs 31 Health Project

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