Tobacco Industry Marketing Exposure and Commercial Tobacco Product Use Disparities among American Indians and Alaska Natives

Carroll, Dana Mowls; Soto, Claradina; Baezconde‐Garbanati, Lourdes; Huang, Lee-Wen; Lienemann, Brianna A.; Meissner, Helen I.; Rose, Shyanika W.; Unger, Jennifer B.; Cruz, Tess Boley

doi:10.1080/10826084.2019.1664589

Cited by 11 publications

(10 citation statements)

References 27 publications

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Section: Resultsmentioning

confidence: 99%

“…Fifteen articles focused on the tobacco industry 49–64. These predominately covered marketing, including direct-to-consumer marketing targeting Indigenous populations and/or the use of traditional Native American imagery in tobacco advertisements 49–65. For example, ‘Red Man’, a racist slur, is a popular chewing tobacco in the USA and ‘Native American Spirit’ cigarette company use American Indian imagery on its packaging 50.…”

Section: Resultsmentioning

confidence: 99%

“…[49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] These predominately covered marketing, including direct-to-consumer marketing targeting Indigenous populations and/or the use of traditional Native American imagery in tobacco advertisements. [49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65] For example, 'Red Man', a racist slur, is a popular chewing tobacco in the USA and 'Native American Spirit' cigarette company use American Indian imagery on its packaging. 50 A survey of Native American/Alaskan Native participants indicated a belief that these companies were affiliated with tribes and smoking these brands was healthier.…”

Section: Extractive Industrymentioning

confidence: 99%

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The commercial determinants of Indigenous health and well-being: a systematic scoping review

et al. 2022

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IntroductionHealth inequity within Indigenous populations is widespread and underpinned by colonialism, dispossession and oppression. Social and cultural determinants of Indigenous health and well-being are well described. Despite emerging literature on the commercial determinants of health, the health and well-being impacts of commercial activities for Indigenous populations is not well understood. We aimed to identify, map and synthesise the available evidence on the commercial determinants of Indigenous health and well-being.MethodsFive academic databases (MEDLINE Complete, Global Health APAPsycInfo, Environment Complete and Business Source Complete) and grey literature (Australian Indigenous HealthInfoNet, Google Scholar, Google) were systematically searched for articles describing commercial industry activities that may influence health and well-being for Indigenous peoples in high-income countries. Data were extracted by Indigenous and non-Indigenous researchers and narratively synthesised.Results56 articles from the USA, Canada, Australia, New Zealand, Norway and Sweden were included, 11 of which were editorials/commentaries. The activities of the extractive (mining), tobacco, food and beverage, pharmaceutical, alcohol and gambling industries were reported to impact Indigenous populations. Forty-six articles reported health-harming commercial practices, including exploitation of Indigenous land, marketing, lobbying and corporate social responsibility activities. Eight articles reported positive commercial industry activities that may reinforce cultural expression, cultural continuity and Indigenous self-determination. Few articles reported Indigenous involvement across the study design and implementation.ConclusionCommercial industry activities contribute to health and well-being outcomes of Indigenous populations. Actions to reduce the harmful impacts of commercial activities on Indigenous health and well-being and future empirical research on the commercial determinants of Indigenous health, should be Indigenous led or designed in collaboration with Indigenous peoples.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Extractive Industrymentioning

confidence: 99%

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The commercial determinants of Indigenous health and well-being: a systematic scoping review

et al. 2022

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“…Respondents who identified as American Indian/Alaskan Native in combination with any other race(s) were classified into the American Indian/Alaskan Native group in order to increase the sample size. Prior studies using PATH data have applied a similar classification approach [ 59 , 60 , 61 , 62 ]. Finally, due to the small sample sizes for those identifying as Native Hawaiian/Guamanian/Chamorro/Samoan/Other Pacific Islander or ‘more than one race’ (with the exception of American Indian/Alaskan Native), we combined these respondents into one group to increase power.…”

Section: Methodsmentioning

confidence: 99%

Risk Perceptions of Low Nicotine Cigarettes and Alternative Nicotine Products across Priority Smoking Populations

Denlinger-Apte

Pacek

Ross

et al. 2021

IJERPH

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Background: As the U.S. Food and Drug Administration considers a low nicotine product standard for cigarettes, it is important to examine how people who smoke, especially individuals from priority populations disproportionately affected by smoking, perceive low nicotine content (LNC) cigarettes and their relative risk perceptions of alternative nicotine delivery system (ANDS) products, including e-cigarettes and snus, and medicinal nicotine. Methods: Data are from Wave 4 (2016–2017) of the adult Population Assessment of Tobacco Use and Health (PATH) Study. We examined respondents’ absolute risk perceptions about nicotine, LNC cigarettes, ANDS products and medicinal nicotine; their relative risk perceptions of LNC cigarettes and ANDS products compared to conventional cigarettes; and their relative risk perceptions of medicinal nicotine compared to ANDS products. Results: The majority of respondents across priority smoking populations indicated snus, e-cigarettes, and LNC cigarettes were ‘about the same’ level of harmfulness or addictiveness as conventional cigarettes. The majority of respondents indicated e-cigarettes to be ‘about the same’ harmfulness as medicinal nicotine. Conclusions: Our study indicates that adults who smoke cigarettes generally have misperceptions about the harms of nicotine and the relative risks of ANDS products and such misperceptions exist regardless of their racial/ethnic identity, sexual orientation, and gender identity.

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“…Therefore, tobacco control programs for AIAN must communicate that regular recreational use of commercial tobacco is harmful, whereas ceremonial use of traditionally grown tobacco is an important cultural ritual; most general-audience tobacco control programs do not address this issue. The distinction between commercial and traditional tobacco use becomes even more nuanced because commercial tobacco is often advertised with AIAN names and images (e.g., Natural American Spirit, Red Man), and AIAN communities sometimes use commercial tobacco for ceremonies when traditionally grown tobacco is not available (Carroll et al, 2020;Soto et al, 2015;Unger et al, 2006), which can give youth the incorrect impression that recreational use of commercial tobacco is acceptable, safe, or spiritual. If AIAN adolescents are exposed to tobacco at young ages without understanding its cultural role, it may be a gateway to future experimentation.…”

Section: Unique Risk Factors For Commercial Tobacco Use Among Aian Youthmentioning

confidence: 99%

Project SUN: Pilot Study of a Culturally Adapted Smoking Cessation Curriculum for American Indian Youth

et al. 2022

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American Indian Alaska Native (AIAN) youth have disproportionately higher rates of commercial tobacco product use compared to other racial and ethnic groups in the U.S. These rates underscore a need for commercial tobacco product cessation interventions that are culturally informed. This project studied the development, implementation, and some impact data of an adapted version of Project EX, an evidence-based intervention for teen smoking cessation. Implementation challenges resulted in a change from a three-arm to a single-arm trial with 37 AIAN youth who participated in an eight-week curriculum. Intent-to-treat analysis with biochemical validation results indicated that 32% (N = 12/37) of youth quit smoking at the three-month follow-up. Participants reported being satisfied with the program overall and enjoying the culturally adapted activities. This study detailed the program's adaptation and lessons learned during implementation.

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Tobacco Industry Marketing Exposure and Commercial Tobacco Product Use Disparities among American Indians and Alaska Natives

Abstract: Background: Non-Hispanic American Indians and Alaska Natives (NH AI/AN) have the highest commercial tobacco use (CTU) among U.S. racial/ethnic groups. Tobacco marketing is a risk factor, however few studies examine it among NH AI/AN.

Cited by 11 publications

References 27 publications

The commercial determinants of Indigenous health and well-being: a systematic scoping review

The commercial determinants of Indigenous health and well-being: a systematic scoping review

Risk Perceptions of Low Nicotine Cigarettes and Alternative Nicotine Products across Priority Smoking Populations

Project SUN: Pilot Study of a Culturally Adapted Smoking Cessation Curriculum for American Indian Youth

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