TY - BOOK AU - Umans, Jason G TI - High tobacco use prevalence with significant regional and sex differences in smokeless tobacco use among Western Alaska Native people: the WATCH study SN - 1239-9736 PY - 2017/// KW - *Alaska Natives/sn [Statistics & Numerical Data] KW - *Tobacco Use/eh [Ethnology] KW - Adolescent KW - Adult KW - Age Factors KW - Aged KW - Aged, 80 and over KW - Alaska/ep [Epidemiology] KW - Arctic Regions/ep [Epidemiology] KW - Female KW - Health Behavior KW - Humans KW - Male KW - Middle Aged KW - Prevalence KW - Self Report KW - Sex Factors KW - Smoking/eh [Ethnology] KW - Tobacco, Smokeless KW - Young Adult KW - MedStar Health Research Institute KW - Journal Article N1 - Available online through MWHC library: 2002 - present N2 - 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 UR - https://dx.doi.org/10.1080/22423982.2017.1398009 ER -