Spangler J G, Bell R A, Dignan M B, Michielutte R
Department of Family and Community Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27157, USA.
J Community Health. 1997 Apr;22(2):115-25. doi: 10.1023/a:1025112822200.
Tobacco use among some Native American tribes is high compared to the overall US population. Little is known, however, about tobacco use among Native Americans in North Carolina, a state with strong economic ties to tobacco. To assess the epidemiology of tobacco use in this population, data from the North Carolina Native American Cervical Cancer Project was reviewed. Nine hundred eighty-two Lumbee Indian women in Robeson County provided general demographic information as well as information on cancer risk knowledge, attitudes and behaviors during the 5-year study. Women were selected from the community using a random sample of 5200 persons from the tribal roll of approximately 40,000 persons. 20.6% of women were current smokeless tobacco users, while 23.7% were current smokers. Demographic and social support predictors were unique for the different types of tobacco use. Cigarette smoking was associated with younger age, higher education, excellent or good self-reported health, having a recent physical exam, separated or divorced marital status, low church participation, and alcohol consumption. Conversely, use of smokeless tobacco was associated with older age, lower education level, fair or poor self-reported health, widowed marital status, and having a high number of friends. These data show a high prevalence of smokeless tobacco use among women in this population, and a contrast in the predictors of tobacco use by source. Intervention programs for tobacco use cessation should be sensitive to these differences.
与美国总体人口相比，一些美国原住民部落的烟草使用率较高。然而，对于北卡罗来纳州与烟草经济联系紧密的美国原住民的烟草使用情况却知之甚少。为了评估该人群的烟草使用流行病学情况，对北卡罗来纳州美国原住民宫颈癌项目的数据进行了审查。在为期5年的研究中，罗布森县的982名伦贝印第安妇女提供了一般人口统计信息以及癌症风险知识、态度和行为方面的信息。这些妇女是从社区中大约40000人的部落名册中随机抽取的5200人中挑选出来的。20.6%的妇女是当前无烟烟草使用者，而23.7%是当前吸烟者。不同类型烟草使用的人口统计学和社会支持预测因素各不相同。吸烟与年龄较小、教育程度较高、自我报告健康状况良好或优秀、近期进行过体检、分居或离婚的婚姻状况、较低的教会参与度以及饮酒有关。相反，无烟烟草的使用与年龄较大、教育水平较低、自我报告健康状况一般或较差、丧偶的婚姻状况以及朋友数量较多有关。这些数据表明该人群中妇女无烟烟草使用率很高，且不同来源烟草使用的预测因素存在差异。针对戒烟的干预项目应考虑到这些差异。
