Prevalence of tobacco use among Alaska Natives: a review.
BACKGROUND
Previous reports documented high rates of tobacco use among Alaska Natives (Eskimos, Indians, and Aleuts). In this population, tobacco use is the leading preventable cause of death. Lung cancer is the leading cause of cancer death among Alaska Natives and tobacco is responsible for over one-third of all cancer deaths in this population. Until recently there has been no systematic surveillance of the prevalence of tobacco use in this high-risk population. Data that did exist were not readily available to those primarily responsible for the health care of this population. This is the first time since 1990 that data on Alaska Natives have been collected in one analysis; this permits a more representative evaluation of tobacco use.


METHODS
Data on tobacco use were obtained and analyzed from national and state surveys and selected research projects from 1988 to 1993.


RESULTS
Alaska Natives have high prevalence of tobacco use, including both cigarettes and smokeless tobacco. Tobacco use prevalence among Alaska Natives exceeds that of Alaska non-Natives, U.S. whites, and American Indians/Alaska Natives in the United States outside of Alaska. Smoking prevalence among Alaska Native women is twice that of non-Native women in Alaska and nearly twice as high among pregnant Alaska Natives than pregnant non-Natives. Overall, prevalence of smokeless tobacco use was four times higher among Alaska Natives than comparative state and national populations.


CONCLUSIONS
Because this population has such high rates of tobacco use, it is important to public health that monitoring and educational programs be in place and that data specific to Alaska Natives be made available.
Kaplan
S D
SD
Alaska Area Native Health Service, Anchorage 99501, USA.
Lanier
A P
AP
Merritt
R K
RK
Siegel
P Z
PZ
D000413:Alaska / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data; D004930:Inuit / Q000706:statistics & numerical data*; D008297:Male; D010947:Plants, Toxic; D011247:Pregnancy; D015995:Prevalence; D017678:Sex Distribution; D012907:Smoking / Q000208:ethnology; D014029:Tobacco Use Disorder / Q000208:ethnology*; D014030:Tobacco, Smokeless; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data