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Discovering unique tobacco use patterns among Alaska Native people

International Journal of Circumpolar Health. 2013;72(0):1-9 DOI 10.3402/ijch.v72i0.21208


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Journal Title: International Journal of Circumpolar Health

ISSN: 2242-3982 (Online)

Publisher: Taylor & Francis Group

Society/Institution: Circumpolar Health Research Network

LCC Subject Category: Medicine: Internal medicine: Special situations and conditions: Arctic medicine. Tropical medicine

Country of publisher: United Kingdom

Language of fulltext: English

Full-text formats available: PDF, HTML



Julia A. Dilley

Erin Peterson

Vanessa Y. Hiratsuka

Kristen Rohde


Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 9 weeks


Abstract | Full Text

Background . Alaska Native people are disproportionately impacted by tobacco-related diseases in comparison to non-Native Alaskans. Design. We used Alaska's Behavioral Risk Factor Surveillance System (BRFSS) to describe tobacco use among more than 4,100 Alaska Native adults, stratified by geographic region and demographic groups. Results . Overall tobacco use was high: approximately 2 out of every 5 Alaska Native adults reported smoking cigarettes (41.2%) and 1 in 10 reported using smokeless tobacco (SLT, 12.3%). A small percentage overall (4.8%) reported using iq'mik, an SLT variant unique to Alaska Native people. When examined by geographic region, cigarette smoking was highest in remote geographic regions; SLT use was highest in the southwest region of the state. Use of iq'mik was primarily confined to a specific area of the state; further analysis showed that 1 in 3 women currently used iq'mik in this region. Conclusion . Our results suggest that different types of tobacco use are epidemic among diverse Alaska Native communities. Our results also illustrate that detailed analysis within racial/ethnic groups can be useful for public health programme planning to reduce health disparities.