Advertisement

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
  • 1 Downloads

Abstract

Objectives

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

Methods

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.

Results

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.

Conclusion

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 

Résumé

Objectifs

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.

Méthodes

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.

Résultats

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.

Conclusion

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 

References

  1. 1.
    Godel J. Use and misuse of tobacco among aboriginal peoples - update 2006. Paediatr Child Health 2006;11(10):681–92.Google Scholar
  2. 2.
    Houston TK, Kiefe CI, Person SD, Pletcher MJ, Liu K, Iribarren C. Active and passive smoking and development of glucose intolerance among young adults in a prospective cohort: CARDIA study. BMJ 2006;332(7549):1064–69. PMID: 16603565.CrossRefGoogle Scholar
  3. 3.
    Ley SH, Hegele RA, Harris SB, Mamakeesick M, Cao H, Connelly PW, et al. HNF1A G319S variant, active cigarette smoking and incident type 2 diabetes in Aboriginal Canadians: A population-based epidemiological study. BMC Med Gen 2011;12:1. PMID: 21208426. doi: 10.1186/1471-2350-12-1.CrossRefGoogle Scholar
  4. 4.
    Retnakaran R, Hanley AJ, Connelly PW, Harris SB, Zinman B. Cigarette smoking and cardiovascular risk factors among Aboriginal Canadian youths. CMAJ 2005;173:885–89. PMID: 16217111. doi: 10.1503/cmaj.045159.CrossRefGoogle Scholar
  5. 5.
    Janz T. Current Smoking Trends. Health at a Glance. Statistics Canada Catalogue no. 82-624-X. Date modified, June 19, 2012. Available at: https://doi.org/www.statcan.gc.ca/pub/82-624-x/2012001/article/11676-eng.htm (Accessed March 6, 2014).Google Scholar
  6. 6.
    Pierce JP. International comparisons of trends in cigarette smoking prevalence. Am J Public Health 1989;79:152–57. PMID: 2913832.CrossRefGoogle Scholar
  7. 7.
    Dwyer-Lindgren L, Mokdad AH, Srebotnjak T, Flaxman AD, Hansen GM, Murray CJL. Cigarette smoking prevalence in US counties: 1996–2012. Popul Health Metr 2014;12:5. PMID: 24661401. doi: 10.1186/1478-7954-12-5.CrossRefGoogle Scholar
  8. 8.
    Smith P, Frank J, Mustard C. Trends in educational inequalities in smoking and physical activity in Canada: 1974–2005. J Epidemiol Community Health 2009;63:317–23. PMID: 19147632. doi: 10.1136/jech.2008.078204.CrossRefGoogle Scholar
  9. 9.
    Tjepkema M, Wilkins R, Goedhuis N, Pennock J. Cardiovascular disease mortality among First Nations people in Canada, 1991–2001. Chronic Dis Inj Can 2012;32:200–7. PMID: 23046802.PubMedGoogle Scholar
  10. 10.
    Riediger ND, Lix LM, Lukianchuk V, Bruce S. Trends in diabetes and cardiometabolic conditions in a Canadian First Nation community. Prev Chronic Dis 2014;11(E198):1–8. PMID: 25393746. doi: 10.5888/pcd11.140334.Google Scholar
  11. 11.
    Bruce SG, Young TK. Prevalence and risk factors for neuropathy in a Canadian First Nation community. Diabetes Care 2008;31(9):1837–41. PMID: 18509208. doi: 10.2337/dc08-0278.CrossRefGoogle Scholar
  12. 12.
    Bruce SG, Riediger ND, Zacharias JM, Young TK. Obesity and obesity-related co-morbidity in a Canadian First Nation population. Prev Chronic Dis 2011; 8:A03.PubMedGoogle Scholar
  13. 13.
    Riediger ND, Bruce SG, Young TK. Cardiovascular risk according to plasma apolipoprotein and lipid profile in a Canadian First Nation. Prev Chronic Dis 2011;9(1):A05. PMID: 21159217.Google Scholar
  14. 14.
    AMC Health Information Research and Governance Committee (HIRGC), Elias B, LaPlante J. Manitoba First Nations Regional Longitudinal Health Survey (RHS) Report (2002/03). 2006. Available at: https://doi.org/amc.manitobachiefs.com/images/pdf/mb_fns_rhs_report_2002_03.pdf (Accessed November 18, 2013).Google Scholar
  15. 15.
    Health Canada. First Nations & Inuit Health - Tobacco. Date last updated, July 19, 2011. Available at: https://doi.org/www.hc-sc.gc.ca/fniah-spnia/substan/tobac-tabac/index-eng.php (Accessed February 4, 2014).Google Scholar
  16. 16.
    Lemstra M, Rogers M, Thompson A, Moraros J, Tempier R. Prevalence and risk indicators of smoking among on-reserve First Nations youth. Pediatr Child Health 2011;16(10):e71–77. PMID: 23204910.CrossRefGoogle Scholar
  17. 17.
    Phillips-Beck W. Want pregnant moms to stop smoking? Create a smoke free home and a supportive environment: Smoking in pregnancy in the context of First Nation Communities in Manitoba. Poster presented at the International Network for Indigenous Health Knowledge & Development Conference, October 5–10, 2014. Winnipeg, MB.Google Scholar
  18. 18.
    Bottorff JL, Johnson JL, Carey J, Hutchinson P, Sullivan D, Mowatt R, et al. A family affair: Aboriginal women’s efforts to limit second-hand smoke exposure at home. Can J Public Health 2010;101(1):32–35. PMID: 20364535.PubMedGoogle Scholar
  19. 19.
    Bottorff JL, Carey J, Mowatt R, Varcoe C, Johnson JL, Hutchinson P, et al. Bingo halls and smoking: Perspectives of First Nations women. Health Place 2009;15(4):1014–21. PMID: 19482540. doi: 10.1016/j.healthplace.2009.04.005.CrossRefGoogle Scholar
  20. 20.
    Passey ME, Gale JT, Sanson-Fisher RW. “It’s almost expected”: Rural Australian Aboriginal women’s reflections on smoking initiation and maintenance: A qualitative study. BMC Women’s Health 2011;11:55. PMID: 22152218. doi: 10.1186/1472-6874-11-55.CrossRefGoogle Scholar
  21. 21.
    Corsi DJ, Lear SA, Chow CK, Subramanian SV, Boyle MH, Teo KK. Socioeconomic and geographic patterning of smoking behavior in Canada: A cross-sectional multi-level analysis. PLoS Oe2013;8:e57646. PMID: 23469038.CrossRefGoogle Scholar
  22. 22.
    Samji H, Wardman D. First Nations communities and tobacco taxation: A commentary. Am Indian Alsk Native Ment Health Res 2009;16(2):1–10. PMID: 19639542.CrossRefGoogle Scholar
  23. 23.
    Tjepkema M, Wilkins R, Long A Socio-economic inequalities in cause-specific mortality: A 16-year follow-up study. Can J Public Health 2013;104: e472–78. PMID: 24495823.CrossRefGoogle Scholar
  24. 24.
    Wardman D, Khan NA. Registered Indians and tobacco taxation: A culturally-appropriate strategy? Can J Public Health 2005;96(6):451–53. PMID: 16350872.PubMedGoogle Scholar
  25. 25.
    US. Department of Health and Human Services, Centers for Disease Control and Prevention. Surgeon General’s Report—The Health Consequences of Involuntary Exposure to Tobacco Smoke 2006. Available at: https://doi.org/www.cdc.gov/tobacco/data_statistics/sgr/2006/index.htm (Accessed December 8, 2013).Google Scholar
  26. 26.
    Exposure to second hand smoke in vehicles, Canada, 2009. Tobacco Use in Canada: Findings from the CCHS. Physicians for a Smoke-free Canada. June 2010. Available at: https://doi.org/www.smoke-free.ca/factsheets/pdf/cchs/Canada-2009-shs-vehicles.pdf (Accessed February 28, 2014).Google Scholar
  27. 27.
    Bill 5. 3rd Session, 39th Legislature, Manitoba, 57 Elizabeth II, 2008. Available at https://doi.org/web2.gov.mb.ca/bills/39-3/pdf/b005.pdf (Accessed February 28, 2014).Google Scholar

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

Personalised recommendations