Canadian Journal of Public Health

, Volume 106, Issue 4, pp e184–e188 | Cite as

Between a rock and a hard place: Smoking trends in a Manitoba First Nation

  • Natalie D. Riediger
  • Virginia Lukianchuk
  • Lisa M. Lix
  • Lawrence Elliott
  • Sharon G. BruceEmail author
Quantitative Research



The purpose of this study is to estimate and compare smoking prevalence over two time periods in a Manitoba First Nation community.


Data from two independent Diabetes Screening Studies in Sandy Bay First Nation, collected in 2002/2003 (n = 482) and 2011/2012 (n = 596), were used. Crude prevalence of current and ever smoking as well as current smoke exposure was estimated. Change over time was tested using a χ2 statistic.


The crude prevalence of current smoking was 74.0% (95% confidence interval [CI]: 70.1, 78.0) in 2002/2003 and 80.0% (95% CI: 76.8, 83.2) in 2011 /2012. The crude prevalence of ever smoking was 83.0% in 2002/2003 and 91.4% in 2011 /2012. The prevalence of both current smoking status and ever smoking were significantly higher in 2011 /2012 compared to 2002/2003 (p = 0.020 and p < 0.001 respectively). Among participants who were not current smokers, 58.5% (95% CI: 49.6, 67.4) and 76.5% (95% CI: 68.9, 84.1) reported at least one person who smoked in the home in 2002/2003 and 2011 /2012 respectively (p = 0.003). In 2011 /2012, 96.5% (95% CI: 94.8, 98.2) of those who reported having any children under the age of 18 living in the home were either a current smoker and/or reported that someone else smoked in the home.


Public health and policy initiatives are needed to address the increase in smoking prevalence in the study community.

Key words

Smoking First Nation Aboriginal community-based participatory research sovereignty 



L’objectif de l’étude est d’estimer et de comparer la prévalence de la cigarette pendant deux périodes dans une collectivité des Premières Nations au Manitoba.


Ce sont les données de deux Enquêtes sur le dépistage du diabète dans la Première Nation de Sandy Bay recueillies en 2002–2003 (n=482) et en 2011–2012 (n=596) qui ont servi. On a estimé la prévalence brute de la cigarette actuelle et jusqu’aujourd’hui de même que l’exposition actuelle à la fumée. Le changement au fil du temps a été testé au moyen de la statistique χ2.


La prévalence brute actuelle de la cigarette était de 74,0 % (intervalle de confiance [IC] de 95 %: 70,1, 78,0) en 2002–2003 et de 80,0 % (IC de 95 %: 76,8, 83,2) en 2011–2012. La prévalence brute de la cigarette jusqu’aujourd’hui était de 83,0 % en 2002–2003 et de 91,4 % en 2011–2012. La prévalence de la cigarette actuelle et jusqu’aujourd’hui était sensiblement supérieure en 2011–2012 par rapport à 2002–2003 (p = 0,020 et p < 0,001 respectivement). Parmi les participants qui ne fumaient pas à ce moment, 58,5 % (IC de 95 %: 49,6, 67,4) et 76,5 % (IC de 95 %: 68,9, 84,1) ont déclaré qu’au moins une personne fumait au foyer en 2002–2003 et en 2011–2012 respectivement (p = 0,003). En 2011–2012, 96,5 % (IC de 95 %: 94,8, 98,2) de ceux qui déclaraient avoir un enfant de moins de 18 ans qui vivait au foyer fumaient ou déclaraient que quelqu’un fumait au foyer, ou les deux.


Des initiatives de santé publique ou politiques sont essentielles pour traiter la prévalence accrue de la cigarette dans la collectivité de l’étude.

Mots Clés

cigarette Première Nation autochtone recherche participative axée sur la collectivité souveraineté 


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Copyright information

© The Canadian Public Health Association 2015

Authors and Affiliations

  • Natalie D. Riediger
    • 1
    • 2
  • Virginia Lukianchuk
    • 3
  • Lisa M. Lix
    • 1
  • Lawrence Elliott
    • 1
  • Sharon G. Bruce
    • 1
    Email author
  1. 1.Department of Community Health Sciences, Faculty of MedicineUniversity of ManitobaWinnipegCanada
  2. 2.Manitoba First Nations Centre for Aboriginal Health ResearchUniversity of ManitobaWinnipegCanada
  3. 3.Sandy Bay Health Centre, Sandy Bay Ojibway First NationMariusCanada

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