American Indians (AI) have the highest smoking rates of any ethnic group in the US (40.8%), followed most closely by African Americans (24.3%) and Whites (23.6%). Additionally, AI women are the only group in whom smoking prevalence has increased over the past two decades, from 34.1% to 40.9%. Smoking rates among AI smokers vary by region and are highest in the Northern Plains 44.1%, and lowest in the Southwest 21.2%. AI smokers also have more difficulty quitting smoking compared to other ethnic groups, evidenced by their significantly lower quit ratios and are among the least successful in maintaining long term abstinence. While health disparities like these have existed for years among AI, the epidemiology of smoking and nicotine dependence has not been optimally described among this underserved population. Our prior work developing a smoking cessation program has revealed that although very high numbers of AI smoke, they typically smoke one-half the number of cigarettes per day compared with a smoker in the majority culture. We have also observed a younger age of initiation. As such, we now propose a formal investigation to understand these patterns. Such factors relating to tobacco use, nicotine dependence and metabolism maybe different between AI and the general U.S. population, and even among AI subgroups. These possible differences have not been previously investigated and must be studied if we are to make significant inroads in developing culturally relevant smoking prevention and cessation strategies for this population. Our overarching thematic hypothesis is that the susceptibility of AI to cigarette smoking and nicotine dependence and its consequences has both an underlying nicotine metabolism component as well as psychosocial, cultural, and environment causes. We are well-positioned to explore this issue for the first time in this population. Our objective is to establish a cohort of AI tribal college/university students to determine the predictors of smoking initiation (non-use to experimentation) and progression (experimentation to established use).
Much of what is known about the process of smoking initiation and progression comes from quantitative studies with non-Native populations. Information related to smoking use among Al tribal college/university (TCU) students is entirely unknown and critically needs further investigation. This study will be the first of its kind among Al college students who are at the highest risk among all ethnic groups for tobacco dependence.
|Pacheco, Christina M; Wellever, Anthony; Nazir, Niaman et al. (2018) Clearing the air: American Indian tribal college students' exposure to second hand smoke & attitudes towards smoke free campus policies. J Am Coll Health 66:133-140|
|Berryhill, Kelly; Hale, Jason; Chase, Brian et al. (2018) Food Security and Diet Among American Indians in the Midwest. J Community Health 43:901-907|
|Daley, Christine M; Hale, Jason W; Berryhill, Kelly et al. (2017) Diabetes Self-Management Behaviors among American Indians in the Midwestern United States. ARC J Diabetes Endocrinol 3:34-41|
|Rollins, Kathryn; Jd, Christina M Pacheco; Daley, Sean M et al. (2017) American Indian Tribal College Student's Knowledge, Attitudes and Beliefs about Recreational and Traditional Tobacco Use. Juniper Online J Public Health 2:|
|Allenbrand, Ryan; Barnes, Charles S; Mohammed, Mubeen et al. (2017) Comparison of allergens collected from furnace filters and vacuum floor dust. Ann Allergy Asthma Immunol 118:108-109|
|Rollins, Kathryn; Lewis, Charley; Goeckner, Ryan et al. (2017) American Indian Knowledge, Attitudes, and Beliefs About Smokeless Tobacco: A Comparison of Two Focus Group Studies. J Community Health 42:1133-1140|
|Wick, Jo; Berry, Scott M; Yeh, Hung-Wen et al. (2017) A novel evaluation of optimality for randomized controlled trials. J Biopharm Stat 27:659-672|
|Garrard, Lili; Price, Larry R; Bott, Marjorie J et al. (2016) A novel method for expediting the development of patient-reported outcome measures and an evaluation across several populations. Appl Psychol Meas 40:455-468|
|Choi, Won S; Nazir, Niaman; Pacheco, Christina M et al. (2016) Recruitment and Baseline Characteristics of American Indian Tribal College Students Participating in a Tribal College Tobacco and Behavioral Survey. Nicotine Tob Res 18:1488-93|
|Filippi, Melissa K; Perdue, David G; Hester, Christina et al. (2016) COLORECTAL CANCER SCREENING PRACTICES AMONG THREE AMERICAN INDIAN COMMUNITIES IN MINNESOTA. J Cult Divers 23:21-7|
Showing the most recent 10 out of 35 publications