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Smoking-related knowledge, attitudes, and behaviors among Alaska Native people: a population-based study

TitleSmoking-related knowledge, attitudes, and behaviors among Alaska Native people: a population-based study
Publication TypeJournal Article
Year of Publication2013
AuthorsRohde, K, Boles, M, Bushore, CJ, Pizacani, BA, Maher, JE, Peterson, E
JournalInt J Circumpolar HealthInt J Circumpolar Health
ISBN Number2242-3982 (Electronic)<br/>1239-9736 (Linking)
Accession Number23984275
KeywordsAdolescent, Adult, Aged, Alaska/epidemiology, Behavioral Risk Factor Surveillance System, Female, Health Knowledge, Attitudes, Practice/ ethnology, Humans, Indians, North American/ psychology/statistics & numerical data, Male, Middle Aged, Prevalence, Smoking Cessation/ethnology/psychology/statistics & numerical data, Smoking/epidemiology/ ethnology/psychology, Tobacco Smoke Pollution, Young Adult
AbstractBACKGROUND: Several studies have shown that Alaska Native people have higher smoking prevalence than non-Natives. However, no population-based studies have explored whether smoking-related knowledge, attitudes, and behaviors also differ among Alaska Native people and non-Natives. OBJECTIVE: We compared current smoking prevalence and smoking-related knowledge, attitudes, and behavior of Alaska Native adults living in the state of Alaska with non-Natives. METHODS: We used Alaska Behavioral Risk Factor Surveillance System data for 1996 to 2010 to compare smoking prevalence, consumption, and cessation- and second-hand smoke-related knowledge, attitudes, and behaviors among self-identified Alaska Native people and non-Natives. RESULTS: Current smoking prevalence was 41% (95% CI: 37.9%-44.4%) among Alaska Native people compared with 17.1% (95% CI: 15.9%-18.4%) among non-Natives. Among current every day smokers, Alaska Natives were much more likely to smoke less than 10 cigarettes per day (OR = 5.0, 95% CI: 2.6-9.6) than non-Natives. Compared with non-Native smokers, Alaska Native smokers were as likely to have made a past year quit attempt (OR = 1.4, 95% CI: 0.9-2.1), but the attempt was less likely to be successful (OR = 0.5, 95% CI: 0.2-0.9). Among current smokers, Alaska Natives were more likely to believe second-hand smoke (SHS) was very harmful (OR = 4.5, 95% CI: 2.8-7.2), to believe that smoking should not be allowed in indoor work areas (OR = 1.9, 95% CI: 1.1-3.1) or in restaurants (OR = 4.2, 95% CI: 2.5-6.9), to have a home smoking ban (OR = 2.5, 95% CI: 1.6-3.9), and to have no home exposure to SHS in the past 30 days (OR = 2.3, 95% CI: 1.5-3.6) than non-Natives. CONCLUSION: Although a disparity in current smoking exists, Alaska Native people have smoking-related knowledge, attitudes, and behaviors that are encouraging for reducing the burden of smoking in this population. Programs should support efforts to promote cessation, prevent relapse, and establish smoke-free environments.
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