Alaska Native Medical Center, Anchorage Anchorage, AK 99508, USA.
Nicotine Tob Res. 2013 Feb;15(2):401-6. doi: 10.1093/ntr/nts137. Epub 2012 Sep 4.
We examined the characteristics, attitudes, beliefs, and exposure to tobacco products in a cohort of rural dwelling Alaska Native (AN) people.
We conducted a study of 400 of AN adult tobacco users and nonusers living in Southwestern Alaska. Questionnaires covered variables such as demographics, tobacco-use history, current tobacco use and dependence scales, general health status, attitudes and beliefs about tobacco, and quitting history.
The study population smoked 7.8 cigarettes per day compared with 16.8 on average for the U.S. population: a significant proportion of the population engaged in dual use of cigarettes and smokeless tobacco products. Over one third (40.9%), first tried tobacco at age 11 or younger. The mean measures of tobacco addiction (e.g., Fagerstrom Test for Nicotine Dependence, Severson Scale of Smokeless Tobacco Dependence) scores were lower compared with other U.S. populations.
Very high tobacco-use prevalence, dual product use, and early tobacco use are observed in Southwestern AN people. Unexpectedly these did not appear to be correlated with heavier individual tobacco use or higher levels of addiction in this population.
我们研究了居住在阿拉斯加西南部的农村阿拉斯加原住民（AN）人群的特征、态度、信念和烟草制品暴露情况。
我们对 400 名成年 AN 烟草使用者和非使用者进行了研究。调查问卷涵盖了人口统计学、烟草使用史、当前烟草使用和依赖量表、一般健康状况、对烟草的态度和信念以及戒烟史等变量。
研究人群每天吸烟 7.8 支，而美国人口平均每天吸烟 16.8 支：相当一部分人同时使用香烟和无烟烟草制品。超过三分之一（40.9%）的人在 11 岁或更小的时候首次尝试吸烟。与其他美国人群相比，烟草成瘾的平均衡量标准（如尼古丁依赖 Fagerstrom 测试、无烟烟草依赖 Severson 量表）得分较低。
在阿拉斯加西南部的原住民中，烟草使用率非常高，同时使用两种产品，并且很早就开始使用烟草。出乎意料的是，在这个人群中，这些因素似乎与个人吸烟量的增加或成瘾程度的增加无关。
