Ryan Christopher J, Leatherdale Scott T, Cooke Martin J
School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada; Department of Sociology and Legal Studies, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
Addict Behav. 2016 Mar;54:75-81. doi: 10.1016/j.addbeh.2015.12.004. Epub 2015 Dec 9.
The purpose of this study was to examine the correlates of current smoking among off-reserve First Nations and Métis adults, two Aboriginal Canadian groups that are at higher risk to smoke and more likely to suffer from chronic health conditions relative to their non-Aboriginal counterparts. A particular focus was on culturally specific factors and their associations with current smoking.
We used data from Statistics Canada's, 2012 Aboriginal Peoples Survey to investigate the correlates of smoking among 12,720 First Nations and Métis adults. Sequential binary logistic regression models were estimated to examine associations between smoking and culturally specific, demographic, geographic, socioeconomic and health-related variables.
Overall, 39.4% were current smokers. Multivariate results found that those who had hunted, fished or trapped within the last year were more likely to be smokers. In addition, respondents who were exposed to an Aboriginal language at home or outside the home were more likely to be smokers. Current smoking was significantly associated with being aged 35 to 49 years, living in a small population center, low income, low education, unemployment, being unmarried, low ratings of self-perceived health, heavy drinking and low body mass index. Respondents aged 65 years and older and those living in British Columbia were less likely to smoke.
The results of this study suggest that it may be useful to consider cultural characteristics, particularly language in efforts to reduce the prevalence of manufactured tobacco use among First Nations and Métis adults. Interventions should also consider demographic, geographic and socioeconomic variables, in addition to co-occurring health-risk behaviors.
本研究旨在调查保留地以外的原住民和梅蒂斯族成年人当前吸烟情况的相关因素，这两个加拿大原住民群体相对于非原住民而言，吸烟风险更高，患慢性健康疾病的可能性也更大。特别关注文化特定因素及其与当前吸烟情况的关联。
我们使用了加拿大统计局2012年原住民调查的数据，以调查12720名原住民和梅蒂斯族成年人吸烟情况的相关因素。估计了序贯二元逻辑回归模型，以检验吸烟与文化特定、人口统计学、地理、社会经济和健康相关变量之间的关联。
总体而言，39.4%的人是当前吸烟者。多变量结果发现，那些在过去一年中进行过狩猎、捕鱼或诱捕的人更有可能吸烟。此外，在家中或家外接触过原住民语言的受访者更有可能吸烟。当前吸烟与年龄在35至49岁、居住在小人口中心、低收入、低教育水平、失业、未婚、自我感知健康评分低、大量饮酒和低体重指数显著相关。65岁及以上的受访者以及居住在不列颠哥伦比亚省的人吸烟可能性较小。
本研究结果表明，在努力降低原住民和梅蒂斯族成年人中人造烟草使用率时，考虑文化特征，特别是语言，可能会有所帮助。除了同时存在的健康风险行为外，干预措施还应考虑人口统计学、地理和社会经济变量。
