No abstract

Objectives-To ascertain non-ceremonial tobacco use among rural American Indians in New Mexico (United States). Design-A geographically targeted telephone survey. Setting-Rural New Mexico. Participants-American Indian residents aged 18 years and older. Main outcome measures-Prevalence of ever-smokers and current smokers of cigarettes and ever-users and current users of smokeless tobacco, number of cigarettes smoked, and prevalence of cigarette smoking quitting behaviour. Results-Of the 1266 respondents, 38.5% (95% confidence interval (CI) = 34.5% to 42.1%) reported ever smoking, and 16.3% (95% CI = 13.5% to 19.0%) reported being current smokers. Current smokers averaged 7.6 (95% CI = 6.0 to 9.3) cigarettes per day. Current smoking prevalence was highest among men and lowest among college graduates. Prevalence of smokeless tobacco use was 24.1% for ever-use and 7.2% for current use and showed a strong male predominance of use.

Health-related quality of life for rural American Indians differs little from that of other New Mexicans and the general US population; however, when physical and mental health was rated as poor, fewer American Indians reported a limitation in usual activities. A telephone survey focusing on New Mexico American Indians is an efficient method by which to conduct surveillance of health-related quality of life.

ZusammenfassungDer Diabetes Typ 2 ist eine derWohlstandserkrankungen unserer Zeit. In diesem Beitrag werden die pathophysiologischen Zusammenhänge und Risikofaktoren dieser Erkrankung dargestellt. Osteopathische Behandlungsansätze werden unter Berücksichtigung anatomischer Gegebenheiten erläutert und die besondere Bedeutung der ganzheitlichen Begleitung von betroffenen Patienten wird dargestellt.