Correlates of cigarette smoking among selected Southwest and Northern plains tribal groups: the AI-SUPERPFP Study.
OBJECTIVE
We describe the prevalence and correlates of cigarette smoking in 2 American Indian tribal groups.


METHODS
We performed multinomial logistic regression on epidemiological data from a population-based, cross-sectional study of Southwest and Northern Plains American Indians aged 15 to 54 years.


RESULTS
We found that 19% of Southwest men, 10% of Southwest women, 49% of Northern Plains men, and 51% of Northern Plains women were current smokers. Male gender and younger age were associated with higher odds of smoking in the Southwest tribe, whereas current or former marriage and having spent less time on a reservation were associated with higher odds of smoking in the Northern Plains population. Alcohol consumption was strongly associated with higher odds of smoking in both groups.


CONCLUSIONS
Cigarette smoking is a major public health concern among American Indians. Because correlates and smoking patterns vary among different tribal groups, each group's unique characteristics should be considered when designing and implementing comprehensive, culturally appropriate interventions in American Indian communities.
Nez Henderson
Patricia
P
American Indian Program, University of Colorado Health Sciences Center, Aurora, USA. pnhenderson@bhcaih.org <pnhenderson@bhcaih.org>
Jacobsen
Clemma
C
Beals
Janette
J
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006801:Humans; D007198:Indians, North American; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D017678:Sex Distribution; D012907:Smoking / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology