Focus groups of Y–K Delta Alaska Natives: attitudes toward tobacco use and tobacco dependence interventions

Renner, Caroline C.; Patten, Christi A.; Enoch, Carrie; Petraitis, John; Offord, Kenneth P.; Angstman, Sarah; Garrison, Andrew; Nevak, Caroline; Croghan, Ivana T.; Hurt, R. Douglas

doi:10.1016/j.ypmed.2003.11.005

Cited by 55 publications

(77 citation statements)

References 11 publications

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“…This availability may also contribute to some difference in use observed between the two regions. Patterns of ST use among AN women are unlike those reported for women nationally and our results support findings for high prevalence of iqmik use by AN women reported in other studies [38,42]. The use of ST among girls and women in other countries has emerged as an important public health concern [43,44].…”

Section: Discussionsupporting

confidence: 83%

“…Previous exploratory studies conducted in western Alaska reported that, although tobacco has no ceremonial use, iqmik is considered a “natural” product and, thus, its use is considered a healthier practice than cigarette smoking. Hence, iqmik use is culturally acceptable for women to use during pregnancy and, in some communities, for young children to assist in its production with pre-mastication prior to storage and later adult consumption [37,38]. …”

Section: Methodsmentioning

confidence: 99%

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High tobacco use prevalence with significant regional and sex differences in smokeless tobacco use among Western Alaska Native people: the WATCH study

Koller

Flanagan

Day

et al. 2017

International Journal of Circumpolar Health

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Tobacco use prevalence among Alaska Native (AN) people living in Alaska is greater than the general population prevalence statewide and nationally. Better understanding of regional tobacco use is needed to improve cessation efforts and reduce prevalence. Using self-reported baseline data from the Western Alaska Tribal Collaborative for Health study, we describe tobacco use patterns among AN people in two western Alaska regions. Data were stratified by age group and sex. Dual- and multi-product use in the Yukon-Kuskokwim (Y-K) region was stratified by concurrent vs sequential use. Overall, 87% of the cohort reported having used tobacco. In Norton Sound, cigarette (98%) was the predominant tobacco type. In Y-K 71% smoked, 76% used smokeless tobacco (ST), with 47% reporting use of both products. ST use in Y-K consisted of commercial ST and homemade iqmik. Y-K women reported more ST product use, while men reported more cigarette use. Among dual- and multi-product users, the majority reported concurrent use, with no significant differences between men and women. Distinct regional differences include high smoking prevalence in Norton Sound and frequent use of smoking and ST products in Y-K. Findings support modification of cessation programmes to address regional variations in tobacco use patterns.

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Section: Discussionsupporting

confidence: 83%

Section: Methodsmentioning

confidence: 99%

High tobacco use prevalence with significant regional and sex differences in smokeless tobacco use among Western Alaska Native people: the WATCH study

Koller

Flanagan

Day

et al. 2017

International Journal of Circumpolar Health

View full text Add to dashboard Cite

show abstract

“…The ash increases the pH of the mixture, resulting in higher nicotine bioavailability and speed of absorption . Both commercial and homemade STs are used throughout Alaska; however, Eskimo people most commonly use iqmik (Alaska Department of Health and Social Services (AK DHSS), 2009; Hurt et al, 2005;Renner et. al., 2004;.…”

Section: Introductionmentioning

confidence: 99%

Tobacco Use Among Southwestern Alaska Native People

Renner

Lanier

Lindgren

et al. 2012

Nicotine & Tobacco Research

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“…Indeed, this study showed a substantial proportion (nearly Effectiveness of a quitline for Alaska Native people 20%) of ANAI QL callers thought the pace of the questions was too fast. Also, the social acceptance and widespread use of tobacco in the Alaska Native population (20) should be considered in tailoring a QL intervention to this group. Additional research is needed to determine which modifications are needed to achieve greater effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a tobacco quitline in an indigenous population: a comparison between Alaska Native people and other first-time quitline callers who set a quit date

Boles

Rohde

et al. 2009

International Journal of Circumpolar Health

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Objectives. To conduct a descriptive, comparative study of the acceptability and effectiveness of a tobacco cessation quitline (QL) among Alaska Native people and non-Alaska Native people. Study design. From January 2006 to January 2007, we conducted telephone surveys of first-time Alaska QL callers who set a quit date. We attempted to reach them by phone about 3 months after their call to the QL. Methods. Analyses compared 7-day point prevalence quit rates, satisfaction measures, experiences and general perceptions of QLs by Alaska Native and non-Alaska Native callers. Results. We surveyed 39.8% (n=772) of the 1,941 adult tobacco users we attempted to contact. The 7-day point prevalence quit rate among Alaska Native survey participants at the 3-month follow-up was 22.2% (CI: 14.8% -32.0%), compared to 40.7% (CI: 36.7% -44.9%) for non-Alaska Native survey participants. Eighty-three percent (CI: 74.6% -89.3%) were somewhat/very satisfied overall with the QL program compared to 90.3% (CI: 87.6% -92.4%) for non-Alaska Native participants. Conclusions. Although the QL was less effective for Alaska Native callers than other QL callers, Alaska Native peoples' quit rates and satisfaction were still quite good. Despite this, more effort should be made to address specific Alaska Native values and social and cultural barriers to quitting tobacco.

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Focus groups of Y–K Delta Alaska Natives: attitudes toward tobacco use and tobacco dependence interventions

Cited by 55 publications

References 11 publications

High tobacco use prevalence with significant regional and sex differences in smokeless tobacco use among Western Alaska Native people: the WATCH study

High tobacco use prevalence with significant regional and sex differences in smokeless tobacco use among Western Alaska Native people: the WATCH study

Tobacco Use Among Southwestern Alaska Native People

Effectiveness of a tobacco quitline in an indigenous population: a comparison between Alaska Native people and other first-time quitline callers who set a quit date

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