000			03067nam a22005177a 4500
008			171205s20172017 xxu||||| |||| 00| 0 eng d
022			_a1239-9736
040			_aOvid MEDLINE(R)
099			_a29130421
245			_aHigh tobacco use prevalence with significant regional and sex differences in smokeless tobacco use among Western Alaska Native people: the WATCH study.
251			_aInternational Journal of Circumpolar Health. 76(1):1398009, 2017
252			_aInt J Circumpolar Health. 76(1):1398009, 2017
253			_aInternational journal of circumpolar health
260			_c2017
260			_fFY2018
266			_d2017-12-05
501			_aAvailable online through MWHC library: 2002 - present
520			_aTobacco 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.
546			_aEnglish
650			_a*Alaska Natives/sn [Statistics & Numerical Data]
650			_a*Tobacco Use/eh [Ethnology]
650			_aAdolescent
650			_aAdult
650			_aAge Factors
650			_aAged
650			_aAged, 80 and over
650			_aAlaska/ep [Epidemiology]
650			_aArctic Regions/ep [Epidemiology]
650			_aFemale
650			_aHealth Behavior
650			_aHumans
650			_aMale
650			_aMiddle Aged
650			_aPrevalence
650			_aSelf Report
650			_aSex Factors
650			_aSmoking/eh [Ethnology]
650			_aTobacco, Smokeless
650			_aYoung Adult
651			_aMedStar Health Research Institute
657			_aJournal Article
700			_aUmans, Jason G
790			_aAustin MA, B Boyer B, Day GE, Flanagan CA, Hopkins SE, Koller KR, Patten C, Raindl C, Umans JG
856			_uhttps://dx.doi.org/10.1080/22423982.2017.1398009 _zhttps://dx.doi.org/10.1080/22423982.2017.1398009
942			_cART _dArticle
999			_c2857 _d2857