Lukowski Amy V, Young Susan E, Morris Chad D, Tinkelman David
National Jewish Health, Denver, CO;
Behavioral Health & Wellness Program, Department of Psychiatry, University of Colorado, Aurora, CO.
Nicotine Tob Res. 2016 Nov;18(11):2124-2129. doi: 10.1093/ntr/ntw154. Epub 2016 Jun 17.
American Indians and Alaska Natives (AI/AN) have the highest smoking prevalence (29.2%) of any other racial/ethnic group in the United States and lower quit rates. Comprehensive health care services, including commercial tobacco cessation treatments, are difficult to access for many AI/AN individuals due to poverty, the rural distribution of tribal territories, cultural barriers and the lack of funding for these programs. Due, in part, to these health care gaps, AI/AN communities are disproportionally affected by nicotine dependence and associated chronic medical and psychiatric conditions.
We report on data from National Jewish Health that provides telephonic tobacco cessation services for 14 states in the United States. We examine how AI/AN callers who were predominately AI callers differ from their counterparts (i.e., callers identifying as other ethnic groups) in terms of demographic characteristics, commercial tobacco use history, rates of emotional or mental health issues, and rates of chronic illness.
Findings from the quitline analyses show a higher rate of preadolescent onset of commercial tobacco use in the AI/AN callers. AI/AN callers are also more likely to live with another commercial tobacco user. Results demonstrate that AI/AN callers are disproportionately impacted by mental health challenges, including high levels of stress, anxiety, and depression. Similarly, AI/AN callers report more chronic medical issues including diseases of the lungs and cardiovascular system.
These findings stress the critical need for tailored efforts to better reach AI/AN commercial tobacco users who are considering treatment, in order to make meaningful gains in commercial tobacco cessation for this vulnerable population.
These findings demonstrate the disproportionate impact of commercial tobacco use on the AI/AN population who utilizes quitline services. These data stress the critical need for tailored efforts to better reach AI/AN commercial tobacco users who are considering treatment, in order to make meaningful gains in commercial tobacco cessation for this vulnerable population.
美国印第安人和阿拉斯加原住民（AI/AN）的吸烟率在美国所有其他种族/族裔群体中最高（29.2%），戒烟率较低。由于贫困、部落领地的农村分布、文化障碍以及这些项目缺乏资金，许多AI/AN个体难以获得包括商业烟草戒烟治疗在内的全面医疗保健服务。部分由于这些医疗保健差距，AI/AN社区受尼古丁依赖以及相关慢性医学和精神疾病的影响尤为严重。
我们报告了美国国家犹太健康中心的数据，该中心为美国14个州提供电话戒烟服务。我们研究了以AI为主的AI/AN来电者在人口统计学特征、商业烟草使用史、情绪或心理健康问题发生率以及慢性病发生率方面与其他来电者（即自认为是其他族裔的来电者）有何不同。
戒烟热线分析结果显示，AI/AN来电者中商业烟草使用的青春期前开始率较高。AI/AN来电者也更有可能与另一位商业烟草使用者同住。结果表明，AI/AN来电者受到心理健康挑战的影响尤为严重，包括高度压力、焦虑和抑郁。同样，AI/AN来电者报告的慢性医学问题更多，包括肺部和心血管系统疾病。
这些发现强调了迫切需要做出针对性努力，以便更好地接触到正在考虑接受治疗的AI/AN商业烟草使用者，从而在帮助这一弱势群体戒烟方面取得有意义的成果。
这些发现表明商业烟草使用对使用戒烟热线服务的AI/AN人群产生了不成比例的影响。这些数据强调了迫切需要做出针对性努力，以便更好地接触到正在考虑接受治疗的AI/AN商业烟草使用者，从而在帮助这一弱势群体戒烟方面取得有意义的成果。
