Cultural and demographic correlates of dual tobacco use in asample of Alaska Native adults who smoke cigarettes

Tobacco Induced Diseases

卷:18

Maria Crouch¹  Jordan Skan¹  Matthew Schnellbaecher¹  Anna E. Epperson²  Neal L. Benowitz³  Judith j. Prochaska⁴ 

[1] Cardiology Department,Alaska Native Tribal HealthConsortium, Anchorage,United States;

[2] Division of AdolescentMedicine, Department ofPediatrics, Stanford UniversitySchool of Medicine, Stanford,United States;

[3] Program in ClinicalPharmacology, Division ofCardiology, Departmentof Medicine, University ofCalifornia San Francisco, SanFrancisco, United States;

[4] Stanford PreventionResearch Center, Departmentof Medicine, StanfordUniversity, Stanford, UnitedStates;

关键词: cigarettes;    tobacco;    dual/poly-tobacco use;    alaska native;   

DOI  :  10.18332/tid/122902

来源: DOAJ

【 摘 要 】

IntroductionApproximately 9 million American adults use two or more tobaccoproducts regularly, referred to as dual or poly tobacco users. InAlaska, where tobacco is not native, approximately 20% of the population smokescigarettes, and among smokers, 10% use two or more tobacco products. Previousresearch suggests that dual tobacco product use may be especially high amongAlaska Native people. The current study examined cultural and demographiccharacteristics associated with dual tobacco use.MethodsAlaska Native adults reporting daily smoking and identified with highblood pressure or cholesterol were recruited in the Norton Sound region of Alaskabetween 2015–2019 as part of a treatment trial targeting cardiovascular diseaserisk factors. Participants reported their tribal group, level of identification withtheir Alaska Native heritage, speaking of their tribal language, basic demographiccharacteristics, and past 30-day use of tobacco products in addition to smokingcigarettes.ResultsParticipants (n=299) were 48.5% female and identified as Yup’ik (31.1%),Inupiat (60.5%), and other or multiple tribal group(s) (8.4%). Most participants(85.3%) strongly identified with their Alaska Native heritage. Past 30-daydual tobacco use was reported by 10.0%, specifically 9.0% chew/snuff, 1.3%e-cigarettes, and 0.7% Iq’mik. Multivariate regression models indicated that dualtobacco use was more likely among men (OR=3.35; 95% CI: 1.30–8.64), youngerparticipants (OR range: 10.97–12.35; 95% CI: 2.33–57.86), those identifying asYup’ik (OR=2.86; 95% CI: 1.13–7.19), and those who identified very little or notat all with their Alaska Native heritage (OR=2.98; 95% CI: 1.14–7.77).ConclusionsYoung men identifying as Yup’ik were more likely to use dualforms of tobacco. Stronger identification with one’s Alaska Native heritage wasassociated with lower risk of dual tobacco use. The findings highlight cultural anddemographic factors for further consideration and attention in tobacco cessationtreatment interventions.

【 授权许可】

Unknown