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

Henderson, Patricia Nez; Kanekar, Shalini; Yang, Wen; Buchwald, Dedra; Goldberg, Jack; Choi, Won Sik; Okuyemi, Kolawole S.; Ahluwalia, Jasjit S.

doi:10.2105/ajph.2008.155473

Cited by 31 publications

(29 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results are inconsistent with previous studies reporting a higher prevalence of smoking in males than females [26][27][28] . In general, nonetheless, self-reported health status in the study sample was consistent with recent research among AI/AN college students 29 …”

Section: Inferential Statisticscontrasting

confidence: 99%

Use of cell phones and computers for health promotion and tobacco cessation by American Indian college students in Montana

Dotson¹,

Nelson²,

Young³

et al. 2017

Rural Remote Health

Self Cite

View full text Add to dashboard Cite

A B S T R A C TIntroduction: Cell phones and personal computers have become popular mechanisms for delivering and monitoring health information and education, including the delivery of tobacco cessation education and support. Tobacco smoking is prevalent among American Indians (AIs) and Alaska Natives (ANs), with 26% AI/AN adult men smoking compared to 19% of Caucasian adult males and 22% of African American adult males. Smoking is even more prevalent in Northern Plains AI populations, with 42% of men and women reporting current smoking. The literature on the availability and use of cell phones and computers, or the acceptability of use in health promotion among AIs and ANs, is scant. The authors report findings from a survey of AI students regarding their cell phone and computer access and use. The survey was conducted to inform the development and implementation of a text messaging smoking cessation intervention modeled on a program developed and used in Australia. Methods: A 22-item paper and pencil survey was administered to students at tribal colleges in rural Montana. The survey questions included cell phone ownership and access to service, use of cell phones and computers for health information, demographics, tobacco use habits, and interest in an intervention study. The study was reviewed and determined exempt by the institutional review boards at the tribal colleges and the lead research university. The study was conducted by researchers at the tribal colleges. Survey respondents received $10 when the survey was completed and returned. Data analysis was performed with the Statistical Package for the Social Sciences. Results: Among 153 AI respondents, the mean age was 29 years, range was 18-64 years. Overall, 40% reported smoking cigarettes with a mean age of 16 years at initiation. A total of 131 participants (86%) had cell phones and, of those, 122 (93%) had unlimited text messaging. A total of 104 (68%) had smart phones (with internet access), although 40% of those with smart phones reported that internet access on their phone was very slow or location limited. A total of 146 (95%) participants reported having access to a computer, although 32% of those did not have daily access. Students aged less than 23 years were more likely to have cell phones with internet access. Cell phone ownership differed by site (93% vs 77%, p=0.007). About 60% of the respondents who smoked indicated interest in participating in the intervention study.Conclusions: This study revealed that AI tribal college students in the rural communities surveyed had less cell phone, smart phone, and computer and internet access than that reported for undergraduate college students elsewhere in the USA. Research efforts and public health interventions must be culturally appropriate and technologically viable, therefore access to and acceptability of mobile technology must be evaluated when planning and implementing interventions for rural and other marginalized populations. The findings from this study contribute to the literature regard...

show abstract

Section: Inferential Statisticscontrasting

confidence: 99%

Use of cell phones and computers for health promotion and tobacco cessation by American Indian college students in Montana

Dotson¹,

Nelson²,

Young³

et al. 2017

Rural Remote Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Substance abuse patterns have shown great variation, sometimes related to tribe, region, or urban or rural status (4,5,7,8). For example, there are vast differences in alcohol and tobacco use between the Southwest region and the Great Plains (7,9). Further, while high rates of substance use disorders among AI/AN are reported, there is also evidence of high rates of abstinence relative to other groups (1,2).…”

Section: Diversity Within the Ai/an Populationmentioning

confidence: 99%

Advancing American Indian and Alaska Native Substance Abuse Research: Current Science and Future Directions

Etz

Arroyo

Crump

et al. 2012

The American Journal of Drug and Alcohol Abuse

View full text Add to dashboard Cite

American Indians and Alaska Natives (AI/AN) have disproportionately high rates of substance abuse yet there is little empirical research addressing this significant public health problem. This paper is an introduction to a special issue that includes cutting edge science in this research area. We identify several areas that require consideration in this field and indicate how the papers in the special issue address these gaps. These overarching areas of need, which should be considered in any substantive research, include attention to heterogeneity within the population, research that has tangible health benefits, continued work on research methods and strategies, increased focus on strength based and community oriented approaches, and the need for strong research partnerships. The special issue marks a major step forward for AI/AN substance abuse research. However, articles also highlight where more work is need to improve public health in AI/AN communities by addressing identified gap areas.

show abstract

“…One study of two American Indian tribes, which were culturally and regionally distinct, showed the Northern Plains group had higher cumulative incidence of smoking initiation and earlier ages of initiation than the Southwest group. 26 California Asian Americans are lighter smokers than the general population, with these smokers more likely to be women, not Koreans, higher educated, and bilingual with high English proficiency. 27 One study described how the South Asian community uses cultural tobacco products (eg, paan, paan masala) but have little knowledge about their health harms.…”

Section: Surveillancementioning

confidence: 97%

Working to Eliminate Cancer Health Disparities from Tobacco: A Review of the National Cancer Institute’s Community Networks Program

Tong¹,

Fagan²,

Cooper³

et al. 2015

NICTOB

Self Cite

View full text Add to dashboard Cite

Introduction: In 2005, the National Cancer Institute funded the Community Networks Program (CNP), which aimed to reduce cancer health disparities in minority racial/ethnic and underserved groups through community-based participatory research, education, and training. The purpose of this study was to describe the CNP model and their tobacco-related work in community-based research, education, and training using a tobacco disparities research framework. Methods: We conducted a comprehensive review of the CNP tobacco-related activities including publications, published abstracts, research activities, trainee pilot studies, policy-related activities, educational outreach, and reports produced from [2005][2006][2007][2008][2009]. Two authors categorized the tobaccorelated activities and publications within the framework. Results: Although there was no mandate to address tobacco, the CNPs produced 103 tobaccorelated peer-reviewed publications, which reflects the largest proportion (12%) of all CNP cancerrelated publications. Selected publications and research activities were most numerous under the framework areas "Psychosocial Research, " "Surveillance, " "Epidemiology, " and "Treatment of Nicotine Addiction. " Thirteen CNPs participated in tobacco control policymaking in mainstream efforts that affected their local community and populations, and 24 CNPs conducted 1147 tobacco-related educational outreach activities. CNP activities that aimed to build research and infrastructure capacity included nine tobacco-related pilot projects representing 16% of all CNP cancer-related pilot projects, and 17 publications acknowledging leveraged partnerships with other organizations, a strategy encouraged by the CNP.

show abstract

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

Cited by 31 publications

References 42 publications

Use of cell phones and computers for health promotion and tobacco cessation by American Indian college students in Montana

Use of cell phones and computers for health promotion and tobacco cessation by American Indian college students in Montana

Advancing American Indian and Alaska Native Substance Abuse Research: Current Science and Future Directions

Working to Eliminate Cancer Health Disparities from Tobacco: A Review of the National Cancer Institute’s Community Networks Program

Contact Info

Product

Resources

About