Citation: International Journal of Circumpolar Health. 76(1):1398009, 2017.Journal: International journal of circumpolar health.Published: 2017ISSN: 1239-9736.Full author list: Koller KR; Flanagan CA; Day GE; Patten C; Umans JG; Austin MA; Hopkins SE; Raindl C; B Boyer B.UI/PMID: 29130421.Subject(s): Adolescent | Adult | Age Factors | Aged | Aged, 80 and over | Alaska/ep [Epidemiology] | *Alaska Natives/sn [Statistics & Numerical Data] | Arctic Regions/ep [Epidemiology] | Female | Health Behavior | Humans | Male | Middle Aged | Prevalence | Self Report | Sex Factors | Smoking/eh [Ethnology] | *Tobacco Use/eh [Ethnology] | Tobacco, Smokeless | Young AdultInstitution(s): MedStar Health Research InstituteActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access onlineDigital Object Identifier: https://dx.doi.org/10.1080/22423982.2017.1398009 (Click here)Abbreviated citation: Int J Circumpolar Health. 76(1):1398009, 2017.Local Holdings: Available online through MWHC library: 2002 - present.Abstract: Tobacco use prevalence among Alaska Native (AN) people living in Alaska is greater than the general population prevalence statewide and nationally. Better understanding of regional tobacco use is needed to improve cessation efforts and reduce prevalence. Using self-reported baseline data from the Western Alaska Tribal Collaborative for Health study, we describe tobacco use patterns among AN people in two western Alaska regions. Data were stratified by age group and sex. Dual- and multi-product use in the Yukon-Kuskokwim (Y-K) region was stratified by concurrent vs sequential use. Overall, 87% of the cohort reported having used tobacco. In Norton Sound, cigarette (98%) was the predominant tobacco type. In Y-K 71% smoked, 76% used smokeless tobacco (ST), with 47% reporting use of both products. ST use in Y-K consisted of commercial ST and homemade iqmik. Y-K women reported more ST product use, while men reported more cigarette use. Among dual- and multi-product users, the majority reported concurrent use, with no significant differences between men and women. Distinct regional differences include high smoking prevalence in Norton Sound and frequent use of smoking and ST products in Y-K. Findings support modification of cessation programmes to address regional variations in tobacco use patterns.