Rollins Kathryn, Jd Christina M Pacheco, Daley Sean M, Nazir Niaman, Lewis Charley, Choi Won S, Daley Christine M
Center for American Indian Community Health, University of Kansas Medical Center, USA.
Department of Family Medicine, University of Kansas Medical Center, USA.
Juniper Online J Public Health. 2017 May;2(1). Epub 2017 May 26.
American Indians (AI) have the highest smoking rates of any racial/ethnic group in the U.S., in addition to low success rates of tobacco cessation. The substitution of commercial tobacco for traditional tobacco may have played a role in the prevalence rates of recreational tobacco use among AI. The present study explored the impact of tribal college students' knowledge, attitudes and beliefs about traditional tobacco use on their recreational cigarette smoking behaviors.
Multiple methods were used to recruit participants attending a tribal college. A total of 101 AI tribal college students completed a demographic survey and participated in focus groups or individual interviews assessing traditional and recreational tobacco use.
AI tribal college student's recreational smoking has an influence on various health behaviors, including poor eating habits, decreased physical activity, and elevated tobacco use in association with alcohol consumption. Differences between the use of and motivation behind smokeless tobacco and cigarette use were seen. In addition, participants reported differences between using tobacco for traditional purposes such as in ceremony or during prayer in comparison to recreational tobacco use. Conclusion: These findings highlight AI students' beliefs about recreational tobacco, smokeless tobacco, and traditional tobacco use. Differences related to behaviors associated with traditional tobacco use have important implications for future cessation efforts for AI smokers.
美国印第安人（AI）是美国所有种族/族裔群体中吸烟率最高的，此外戒烟成功率也很低。用商业烟草替代传统烟草可能对美国印第安人娱乐性烟草使用的流行率起到了一定作用。本研究探讨了部落大学生对传统烟草使用的知识、态度和信念对其娱乐性吸烟行为的影响。
采用多种方法招募就读于部落学院的参与者。共有101名美国印第安部落大学生完成了人口统计学调查，并参加了评估传统和娱乐性烟草使用情况的焦点小组或个人访谈。
美国印第安部落大学生的娱乐性吸烟对多种健康行为有影响，包括饮食习惯不良、体育活动减少以及与饮酒相关的烟草使用增加。观察到无烟烟草和香烟使用在使用情况和动机方面存在差异。此外，参与者报告了将烟草用于仪式或祈祷等传统用途与娱乐性烟草使用之间的差异。结论：这些发现凸显了美国印第安学生对娱乐性烟草、无烟烟草和传统烟草使用的信念。与传统烟草使用相关行为的差异对美国印第安吸烟者未来的戒烟努力具有重要意义。
