Tobacco use prevalence – disentangling associations between Alaska Native race, low socio-economic status and rural disparities
Background . Tobacco use rates are exceptionally high among indigenous people in North America. Alaska Native, low socio-economic status (SES) and rural communities are high-priority populations for Alaska's Tobacco Control program. Design . For the purpose of better informing tobacco con...
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2013
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Online Access: | https://doi.org/10.3402/ijch.v72i0.21582 https://doaj.org/article/22c3936e4ccb480db75fd9c3a6285ec2 |
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ftdoajarticles:oai:doaj.org/article:22c3936e4ccb480db75fd9c3a6285ec2 2023-05-15T15:14:59+02:00 Tobacco use prevalence – disentangling associations between Alaska Native race, low socio-economic status and rural disparities Julia A. Dilley Erin Peterson Matthew Bobo Kathryn E. Pickle Kristen Rohde 2013-08-01T00:00:00Z https://doi.org/10.3402/ijch.v72i0.21582 https://doaj.org/article/22c3936e4ccb480db75fd9c3a6285ec2 EN eng Taylor & Francis Group http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/21582/pdf_1 https://doaj.org/toc/2242-3982 doi:10.3402/ijch.v72i0.21582 2242-3982 https://doaj.org/article/22c3936e4ccb480db75fd9c3a6285ec2 International Journal of Circumpolar Health, Vol 72, Iss 0, Pp 1-9 (2013) Alaska/epidemiology Smoking/epidemiology Prevalence Smoking/ethnology Indians North American Tobacco smokeless Arctic medicine. Tropical medicine RC955-962 article 2013 ftdoajarticles https://doi.org/10.3402/ijch.v72i0.21582 2022-12-31T11:57:15Z Background . Tobacco use rates are exceptionally high among indigenous people in North America. Alaska Native, low socio-economic status (SES) and rural communities are high-priority populations for Alaska's Tobacco Control program. Design . For the purpose of better informing tobacco control interventions, we conducted a descriptive study to describe high-priority groups using prevalence-based and proportion-based approaches. Methods . With data from 22,311 adults interviewed for Alaska's 2006–2010 Behavioral Risk Factor Surveillance System (BRFSS), we used stratified analysis and logistic regression models to describe the current use of cigarettes and smokeless tobacco (SLT) (including iq'mik, a unique Alaska Native SLT product) among the 3 populations of interest. Results . “Population segments” were created with combinations of responses for Alaska Native race, SES and community type. We identified the highest prevalence and highest proportion of tobacco users for each type of tobacco by “segment.” For cigarette smoking, while the largest proportion (nearly one-third) of the state's smokers are non-Native, high SES and live in urban settings, this group also has lower smoking prevalence than most other groups. Alaska Native, low SES, rural residents had both high smoking prevalence (48%) and represented a large proportion of the state's smokers (nearly 10%). Patterns were similar for SLT, with non-Native high-SES urban residents making up the largest proportion of users despite lower prevalence, and Alaska Native, low SES, rural residents having high prevalence and making up a large proportion of users. For iq'mik use, Alaska Native people in rural settings were both the highest prevalence and proportion of users. Conclusion . While Alaska Native race, low SES status and community of residence can be considered alone when developing tobacco control interventions, creating ... Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Alaska Directory of Open Access Journals: DOAJ Articles Arctic International Journal of Circumpolar Health 72 1 21582 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Alaska/epidemiology Smoking/epidemiology Prevalence Smoking/ethnology Indians North American Tobacco smokeless Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Alaska/epidemiology Smoking/epidemiology Prevalence Smoking/ethnology Indians North American Tobacco smokeless Arctic medicine. Tropical medicine RC955-962 Julia A. Dilley Erin Peterson Matthew Bobo Kathryn E. Pickle Kristen Rohde Tobacco use prevalence – disentangling associations between Alaska Native race, low socio-economic status and rural disparities |
topic_facet |
Alaska/epidemiology Smoking/epidemiology Prevalence Smoking/ethnology Indians North American Tobacco smokeless Arctic medicine. Tropical medicine RC955-962 |
description |
Background . Tobacco use rates are exceptionally high among indigenous people in North America. Alaska Native, low socio-economic status (SES) and rural communities are high-priority populations for Alaska's Tobacco Control program. Design . For the purpose of better informing tobacco control interventions, we conducted a descriptive study to describe high-priority groups using prevalence-based and proportion-based approaches. Methods . With data from 22,311 adults interviewed for Alaska's 2006–2010 Behavioral Risk Factor Surveillance System (BRFSS), we used stratified analysis and logistic regression models to describe the current use of cigarettes and smokeless tobacco (SLT) (including iq'mik, a unique Alaska Native SLT product) among the 3 populations of interest. Results . “Population segments” were created with combinations of responses for Alaska Native race, SES and community type. We identified the highest prevalence and highest proportion of tobacco users for each type of tobacco by “segment.” For cigarette smoking, while the largest proportion (nearly one-third) of the state's smokers are non-Native, high SES and live in urban settings, this group also has lower smoking prevalence than most other groups. Alaska Native, low SES, rural residents had both high smoking prevalence (48%) and represented a large proportion of the state's smokers (nearly 10%). Patterns were similar for SLT, with non-Native high-SES urban residents making up the largest proportion of users despite lower prevalence, and Alaska Native, low SES, rural residents having high prevalence and making up a large proportion of users. For iq'mik use, Alaska Native people in rural settings were both the highest prevalence and proportion of users. Conclusion . While Alaska Native race, low SES status and community of residence can be considered alone when developing tobacco control interventions, creating ... |
format |
Article in Journal/Newspaper |
author |
Julia A. Dilley Erin Peterson Matthew Bobo Kathryn E. Pickle Kristen Rohde |
author_facet |
Julia A. Dilley Erin Peterson Matthew Bobo Kathryn E. Pickle Kristen Rohde |
author_sort |
Julia A. Dilley |
title |
Tobacco use prevalence – disentangling associations between Alaska Native race, low socio-economic status and rural disparities |
title_short |
Tobacco use prevalence – disentangling associations between Alaska Native race, low socio-economic status and rural disparities |
title_full |
Tobacco use prevalence – disentangling associations between Alaska Native race, low socio-economic status and rural disparities |
title_fullStr |
Tobacco use prevalence – disentangling associations between Alaska Native race, low socio-economic status and rural disparities |
title_full_unstemmed |
Tobacco use prevalence – disentangling associations between Alaska Native race, low socio-economic status and rural disparities |
title_sort |
tobacco use prevalence – disentangling associations between alaska native race, low socio-economic status and rural disparities |
publisher |
Taylor & Francis Group |
publishDate |
2013 |
url |
https://doi.org/10.3402/ijch.v72i0.21582 https://doaj.org/article/22c3936e4ccb480db75fd9c3a6285ec2 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health Alaska |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health Alaska |
op_source |
International Journal of Circumpolar Health, Vol 72, Iss 0, Pp 1-9 (2013) |
op_relation |
http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/21582/pdf_1 https://doaj.org/toc/2242-3982 doi:10.3402/ijch.v72i0.21582 2242-3982 https://doaj.org/article/22c3936e4ccb480db75fd9c3a6285ec2 |
op_doi |
https://doi.org/10.3402/ijch.v72i0.21582 |
container_title |
International Journal of Circumpolar Health |
container_volume |
72 |
container_issue |
1 |
container_start_page |
21582 |
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1766345376232636416 |