Cigarette Use Among American Indians and Alaska Natives in Metropolitan Areas, Rural Areas, and Tribal Lands. (September 2019)
- Record Type:
- Journal Article
- Title:
- Cigarette Use Among American Indians and Alaska Natives in Metropolitan Areas, Rural Areas, and Tribal Lands. (September 2019)
- Main Title:
- Cigarette Use Among American Indians and Alaska Natives in Metropolitan Areas, Rural Areas, and Tribal Lands
- Authors:
- Cunningham, James K.
Ritchey, Jamie
Solomon, Teshia A.
Cordova, Felina M. - Abstract:
- Abstract : Context: Cigarette use among the US general population is significantly lower in metropolitan areas than in rural areas. Objective: To assess whether cigarette use among American Indians and Alaska Natives (AI/AN) is lower in metropolitan areas than in rural areas and tribal lands (which are predominantly rural). Design: Data came from the National Survey on Drug Use and Health (2012-2016). Regressions with adjustments for demographics were performed to assess whether cigarette use differed in association with type of place. Settings: The AI/AN in tribal lands (n = 1569), nontribal large metropolitan (1+ million people) areas (n = 582), nontribal small metropolitan (<1 million) areas (n = 1035), and nontribal rural areas (n = 1043). Main Outcome Measures: Cigarette abstinence, current smoking, daily use, number of cigarettes used, and days of use—all in the past month. Nicotine dependence was also examined. Results: Metropolitan (large or small) areas versus rural areas: no statistically significant differences in cigarette use were found. Metropolitan (large or small) areas versus tribal lands: days of cigarette use and daily use were significantly lower in tribal lands. Tribal lands were also lower than small metropolitan areas regarding number of cigarettes used and nicotine dependence. Rural areas versus tribal lands: cigarette measures were consistently lower in tribal lands. For example, the prevalence of current smokers, daily users and nicotine dependence,Abstract : Context: Cigarette use among the US general population is significantly lower in metropolitan areas than in rural areas. Objective: To assess whether cigarette use among American Indians and Alaska Natives (AI/AN) is lower in metropolitan areas than in rural areas and tribal lands (which are predominantly rural). Design: Data came from the National Survey on Drug Use and Health (2012-2016). Regressions with adjustments for demographics were performed to assess whether cigarette use differed in association with type of place. Settings: The AI/AN in tribal lands (n = 1569), nontribal large metropolitan (1+ million people) areas (n = 582), nontribal small metropolitan (<1 million) areas (n = 1035), and nontribal rural areas (n = 1043). Main Outcome Measures: Cigarette abstinence, current smoking, daily use, number of cigarettes used, and days of use—all in the past month. Nicotine dependence was also examined. Results: Metropolitan (large or small) areas versus rural areas: no statistically significant differences in cigarette use were found. Metropolitan (large or small) areas versus tribal lands: days of cigarette use and daily use were significantly lower in tribal lands. Tribal lands were also lower than small metropolitan areas regarding number of cigarettes used and nicotine dependence. Rural areas versus tribal lands: cigarette measures were consistently lower in tribal lands. For example, the prevalence of current smokers, daily users and nicotine dependence, respectively, was 37.9%, 25.9%, and 16.3% in rural areas and 27.4%, 13.6%, and 8.9% in tribal lands. Conclusions: Differences in cigarette use between AI/AN in nontribal rural and metropolitan areas were not indicated. Instead, the place differences found were lower cigarette use in tribal lands than in nontribal rural areas and, to some extent, metropolitan areas. These findings can help inform policy makers working to develop context-sensitive anticommercial tobacco efforts for AI/AN. … (more)
- Is Part Of:
- Journal of public health management and practice. Volume 25(2019)Supplement 5
- Journal:
- Journal of public health management and practice
- Issue:
- Volume 25(2019)Supplement 5
- Issue Display:
- Volume 25, Issue 5 (2019)
- Year:
- 2019
- Volume:
- 25
- Issue:
- 5
- Issue Sort Value:
- 2019-0025-0005-0000
- Page Start:
- Page End:
- Publication Date:
- 2019-09
- Subjects:
- American Indians and Alaska Natives -- cigarette use -- metropolitan -- rural -- tribal lands
Public health administration -- United States -- Periodicals
253.6 - Journal URLs:
- http://journals.lww.com/jphmp/pages/default.aspx ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/PHH.0000000000001026 ↗
- Languages:
- English
- ISSNs:
- 1078-4659
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 5043.553000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 12143.xml