Tri-Ethnic Center for Prevention Research, Department of Psychology, Colorado State University, Fort Collins, CO 80523-1879, USA.
Tri-Ethnic Center for Prevention Research, Department of Psychology, Colorado State University, Fort Collins, CO 80523-1879, USA.
Drug Alcohol Depend. 2024 Apr 1;257:111124. doi: 10.1016/j.drugalcdep.2024.111124. Epub 2024 Feb 15.
Past research has found significant nicotine use disparities for reservation-area American Indian adolescents when compared to national levels. However, adolescent nicotine use has changed markedly, with reduced smoking and rapid increases in nicotine vaping. This study presents 2021-2022 prevalence estimates of tobacco product use, perceived harm and availability for reservation-area American Indian youth, with comparisons to the Monitoring the Future (MTF) national study.
Participants were 8th, 10th and 12th grade students. American Indian data were 33 reservation-area schools in 2021-2022 (n=2420); MTF data were 308 schools in Spring 2022 (n=31,438). Measures were lifetime, 30-day cigarette smoking, smokeless tobacco use, and nicotine vaping; past-year nicotine vaping; daily smoking; perceived harmfulness and availability of these tobacco products. Prevalence and 95% confidence intervals were computed by grade.
Estimated prevalence of lifetime, monthly and daily cigarette smoking among American Indian 8th and 10th graders was higher than national levels. Nicotine vaping prevalence was similar between samples. American Indian students were less likely to report tobacco product use poses great risk, but also less likely to report tobacco products are easily available.
Although estimated smoking prevalence among American Indian 8th and 10th graders was higher than national levels, prevalence appears lower than reported in earlier studies, suggesting declining disparities. Prevalence of nicotine vaping among reservation-area American Indian adolescents generally mirrors the national population; however, a lower percentage reported regular nicotine vaping poses a serious risk. This discrepancy suggests a need for prevention and intervention efforts culturally tailored for this population.
与全国水平相比，过去的研究发现，保留地的美国印第安青少年在尼古丁使用方面存在显著差异。然而，青少年尼古丁使用情况发生了显著变化，吸烟减少，尼古丁吸食电子烟迅速增加。本研究报告了保留地的美国印第安青年在 2021-2022 年期间使用烟草产品、感知危害和供应情况的流行率估计值，并与监测未来（MTF）全国研究进行了比较。
参与者为 8 年级、10 年级和 12 年级的学生。2021-2022 年期间，美国印第安人的数据来自 33 所保留地学校（n=2420）；MTF 数据来自 2022 年春季的 308 所学校（n=31438）。测量指标包括终生、30 天吸烟、无烟烟草使用和尼古丁吸食电子烟、过去一年尼古丁吸食电子烟、每日吸烟、对这些烟草产品的感知危害和可获得性。按年级计算流行率和 95%置信区间。
8 年级和 10 年级美国印第安学生终生、每月和每日吸烟的估计流行率高于全国水平。两个样本的尼古丁吸食电子烟流行率相似。美国印第安学生报告烟草产品使用带来巨大风险的可能性较小，但报告烟草产品容易获得的可能性也较小。
尽管 8 年级和 10 年级美国印第安学生的吸烟估计流行率高于全国水平，但似乎低于早期研究报告的水平，表明差距在缩小。保留地的美国印第安青少年尼古丁吸食电子烟的流行率总体上与全国人口相似；然而，报告定期吸食尼古丁电子烟有严重风险的比例较低。这种差异表明需要针对该人群进行文化上适当的预防和干预努力。
