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Patricia Nez Henderson, MD, MPH, Clemma Jacobsen, MS, Janette Beals, PhD and the AI-SUPERPFP Team

Patricia Nez Henderson, Janette Beals, and the AI-SUPERPFP Team are with the American Indian and Alaska Native Programs, University of Colorado Health Sciences Center, Aurora. Nez Henderson is also with the Black Hills Center for American Indian Health, Rapid City, SD. Clemma Jacobsen is with the Center for Clinical and Epidemiological Research, University of Washington School of Medicine, Seattle.

Correspondence: Requests for reprints should be sent to Patricia Nez Henderson, MD, MPH, Black Hills Center for American Indian Health, 701 St. Joseph St, Ste 204, Rapid City, SD 57701 (e-mail: pnhenderson{at}bhcaih.org).

Objectives. We describe the prevalence and correlates of cigarette smoking in 2 American Indian tribal groups.

Methods. We performed multinomial logistic regression on epidemiological data from a population-based, cross-sectional study of Southwest and Northern Plains American Indians aged 15 to 54 years.

Results. We found that 19% of Southwest men, 10% of Southwest women, 49% of Northern Plains men, and 51% of Northern Plains women were current smokers. Male gender and younger age were associated with higher odds of smoking in the Southwest tribe, whereas current or former marriage and having spent less time on a reservation were associated with higher odds of smoking in the Northern Plains population. Alcohol consumption was strongly associated with higher odds of smoking in both groups.

Conclusions. Cigarette smoking is a major public health concern among American Indians. Because correlates and smoking patterns vary among different tribal groups, each group’s unique characteristics should be considered when designing and implementing comprehensive, culturally appropriate interventions in American Indian communities.

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