183776 American Indian Adolescent Secondhand Smoke Exposure

Sunday, October 26, 2008

Kristine Rhodes, MPH , Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN
Jean Forster, PhD, MPH , Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN
Isaiah Brokenleg, MPH , Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS
Genelle Lamont, MPH , Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN
John Poupart, MPA , American Indian Policy Center, Saint Paul, MN
Introduction: Cigarette smoking among American Indian adolescents is higher than other populations, and limited data indicate that this is especially pronounced in the Upper Midwest where adult smoking rates are extremely high (42 62%). Little is known about American Indian secondhand smoke (SHS) exposure. We examined SHS exposure among American Indian adolescents in Minneapolis and St. Paul, along with other social and environmental factors associated with adolescent cigarette smoking. Methods: Cross-sectional sample of 336 American Indians age 11 to 18 were given a self-administered survey. Data were analyzed using bivariate chi-square tests and multivariate logistical stepwise regression. Results: Almost 37% of the adolescents smoked cigarettes in the previous 30 days. Social exposure to cigarette smoking and SHS was very strong; 78% live with at least one adult smoker, 59% have a friend who smokes and 44% have a sibling who smokes. More than 75% reported being in a room where someone was smoking in the previous week. Yet more than 65% report a household rule against them smoking, and 43% report a rule against any smoking in the home. Nonsmokers were most likely to report household rules against them smoking, and living in a household with a smoking ban. SHS exposure was also strongly associated with smoking frequency. Conclusion: These results indicate that American Indians in this area have not benefited from tobacco control and prevention strategies. Future efforts should stress the importance of promoting smoke-free homes as a youth prevention strategy.

Learning Objectives:
1. Recognize high rates of cigarette smoking and secondhand smoke exposure for American Indians. 2. List common sources of social exposure to cigarettes and SHS for American Indian adolescents. 3. Describe correlation between cigarette smoke exposure with adolescent smoking. 4. Discuss potential benefits of smoke-free policies for American Indians.

Keywords: Adolescents, American Indians

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Education: BAS in Community Health Education from University of MN and MPH from University of MN SPH Experience: American Indian (Anishinaabe) professional with more than 15 years tobacco control experience in the American Indian community and more than 7 years experience working on community based participatory research in the American Indian community. Authored and co-authored several manuscripts on research findings in American Indian community. Presented research findings at numerous conferences and workshops.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.