Regional and gender differences in tobacco use among American Indian youth

Datos Bibliográficos

ID15415224
AutoresNichea S Spillane (0000-0002-4110-3255, University of Rhode Island, autor de correspondencia), Hayley Treloar Padovano (0000-0001-5347-4291, Brown University), Melissa R Schick (0000-0003-0689-6672, University of Rhode Island)
Año2019
Volumen19
Número4
Páginas553-566
Fecha de publicación2019-01-11
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaJournal of Ethnicity in Substance Abuse (JOURNAL)
Identificadores de la revistaISSN: 1533-2640 • E-ISSN: 1533-2659
EditorialTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15332640.2018.1548321
PMID30633663
OpenAlexW2909677536
IdiomaEN
Citas recibidas5
Referencias citadas30

Tobacco use is among the top preventable causes of death in the United States, and American Indian (AI) adolescents tend to use tobacco at higher rates compared to the general population. To examine regional and gender differences in rates of smoked, smokeless, and poly-tobacco use among AI adolescents as compared to White counterparts, participants were sampled as part of a larger ongoing study examining substance use among American Indian adolescents who completed the American Drug and Alcohol Survey. A multilevel analytic approach was used to examine the effects of demographic variables on tobacco use. AI disparities were present for past month and lifetime rates of smoked and smokeless tobacco use, and these disparities varied by region and gender. AI disparities in smoked tobacco use were largest in the Upper Great Lakes region, with odds of current and ever smoking among AIs 3.34 to 4.15 times that of Whites, respectively, p p ≥ .675. With regard to gender differences, AI disparities in reports of ever smoking were largest among females, OR = 2.61, p p < .001. Our results suggest a need for prevention and intervention programs to be implemented with consideration for adolescents' demographic characteristics, including geographic region, gender, and AI status

Environmental health · Health equity · Population · Public health · Smokeless tobacco · Tobacco control · Tobacco use · Demography · Medicine · Obesity, Physical Activity, Diet · School Health and Nursing Education · Smoking Behavior and Cessation