Abstract
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.
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REFERENCES
Centers for Disease Control and Prevention. Use of smokeless tobacco among adults—United States, 1991. MMWR 1993;42:23–266.
Centers for Disease Control and Prevention. Cigarette smoking among women of reproductive age—United States, 1987–1992. MMWR 1994; 43:789–797.
Centers for Disease Control and Prevention. Cigarette smoking among adults—United States, 1993. MMWR 1994; 43:925–929.
Spangler JG, Dignan MB, Michielutte R, et al. Smokeless tobacco use among American Indian women—Southeastern North Carolina, 1991. MMWR 1995; 44:113–117.
Campbell DT, Stanley JC. Experimental and Quasi-experimental Designs for Research. Chicago: Rand McNally, 1963.
Kozlowski LT, Jelinek LC, Pope MA. Cigarette smoking among alcohol abusers: A continuing and neglected problem. Can J Public Health 1986 77:205–207.
Gardner JW, Lyon JL. Cancer in Utah Mormon women by church activity level. Am J Epidemiol 1982; 116:258–265.
Hundleby JD. Adolescent drug use in a behavioral matrix: A confirmation and comparison of the sexes. Addict Behav 1987; 12:103–112.
Sussman S, Holt L, Dent CW, et al. Activity involvement, risk taking, demographic variables and other drug use: Predictors of trying smokeless tobacco. NCI Monogr 1989; 8:57–62.
Ary DV. Use of smokeless tobacco among male adolescents: concurrent and prospective relationships. NCI Monogr 1989; 8:49–56.
Noland MP, Kryscio RJ, Riggs RS, Linville LH, Perritt LJ, Tucker TC. Use of snuff, chewing tobacco, and cigarettes among adolescents in a tobacco-producing area. Addict Behav 1990; 15:517–530.
Glover ED, O'Brien K, Holbert D. Prevalence of smokeless tobacco use in Pitt County, North Carolina. Int J Addict 1987; 22:557–565.
Ross TE. One Land, Three Peoples: A Geography of Robeson County, North Carolina. Southern Pines, NC: Karo Hallow Press, 1993.
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Spangler, J.G., Bell, R.A., Dignan, M.B. et al. Prevalence and Predictors of Tobacco Use Among Lumbee Indian Women in Robeson County, North Carolina. Journal of Community Health 22, 115–125 (1997). https://doi.org/10.1023/A:1025112822200
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DOI: https://doi.org/10.1023/A:1025112822200