The rate of Native American adult cigarette use in Oklahoma is 33.6%, exceeding the average state adult smoking rate of 24.7%. The present study examines differences in attitudes toward cigarette use and perceptions of tobacco-related health dangers held by Native Americans in Oklahoma. We analyze cross-sectional data from the 2004 and 2008 Oklahoma Adult Tobacco Surveys (n = 4,530) in order to evaluate whether Native American Oklahomans held differing perspectives of the risks of cigarette use and secondhand smoke. Oklahoma Native Americans were less likely than Oklahoma whites to believe that cigarettes are addictive, maternal smoking is harmful, and secondhand smoke is harmful. There was no significant difference between Oklahoma whites and Native Americans in the belief that certain diseases could be attributed to cigarettes and secondhand smoke. We conclude that for those identifying as Native Americans, Oklahoma agencies can bolster knowledge in the areas of cigarette addiction, maternal tobacco use, and the dangers of secondhand smoke with more effective messages.
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References
1.
Census, The American Community—American Indians and Alaskan Natives: 2004, U.S. Census Bureau2007.
2.
OKDOH, Fact Sheet: Smoking Among Adults, Oklahoma Department of Health, 2009.
3.
OKDOH, American Indian Culture Card: A Guide to Build Cultural Awareness, Oklahoma Department of Health, ND.
4.
CDC, Vital Signs: Current Cigarette Smoking among Adults Aged =18 years—United States, 2005–2010, Morbidity and Mortality Weekly Report, 60, pp. 1207–1212, 2011.
5.
GloverC. S. and HodgeSchanche F., National Cancer Institute Office of Special Populations Research, Native Outreach: A Report to American Indian, Alaska Native, and Native Hawaiian Communities: Monograph, National Institutes of Health, National Cancer Institute, Office for Special Populations Research, Bethesda, Maryland, 1999.
6.
HodgeF. S. and StruthersR., Persistent Smoking among Northern Plains Indians: Lenient Attitudes, Low Harm Value, and Partiality toward Cigarette Smoking, Journal of Cultural Diversity, 13: 4, pp. 181–185, Winter 2006.
7.
OsypukT. L. and Acevedo-GarciaD., Support for Smoke-Free Policies: A Nationwide Analysis of Immigrants, US-Born, and Other Demographic Groups, 1992–2002, American Journal of Public Health, 100: 1, pp. 171–181, 2010.
8.
AmosA.GreavesL.NichterM., Women and Tobacco: A Call for Including Gender in Tobacco Control Research, Policy and Practice, Tobacco Control, 21, pp. 236–243, 2012.
9.
USDHH, The Health Consequences of Smoking: A Report of the Surgeon General, U.S. Department of Health and Human Services, Washington, D.C., 2004.
10.
OstermanM. J.MartinJ. A.MathewsT. J., Expanded Data from the New Birth Certificate, 2008, National Vital Statistical Report, 59: 7, pp. 1–28, 2011.
PaperJ., Offering Smoke: The Sacred Pipe and Native American Religion, The University of Idaho Press, Moscow, Idaho, 1988.
13.
HallR. L. and DexterD., Smokeless Tobacco Use and Attitudes toward Smokeless Tobacco among Native Americans and Other Adolescents in the Northwest, American Journal of Public Health, 78: 12, pp. 1586–1588, December 1988.
14.
SametJ. M. (ed.), Health Effects of Tobacco Use by Native Americans: Past and Present, University of Oklahoma Press, Norman, Oklahoma, 2000.
15.
USDHH, Tobacco Use among U.S. Racial/Ethnic Minority Groups—African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Hispanics: A Report of the Surgeon General, U.S. Department of Health and Human Services, Washington, D.C., 1998.
16.
OKDOH, Oklahoma State Plan for Tobacco Use Prevention & Cessation, Oklahoma State Department of Health, 2009.
17.
OKTSET, Oklahoma American Indian Cessation Resource Guide: Oklahoma Tobacco Settlement Endowment Trust, Oklahoma Dept. of Health, Oklahoma City, OK, 2010.
McClaveA. K.WhitneyN.ThorneS. L., Adult Tobacco Survey—19 States, 2003–2007, Morbidity and Mortality Weekly Report Surveillance Summary, 59: 3, pp. 1–75, 2010.
21.
Centers for Disease Control (CDC), Cigarette-Smoking among Adults—United-States, 1992, and Changes in Definition of Smoking (reprinted from Morbidity and Mortality Weekly Report, 43, pp. 342–346, 1994). Journal of the American Medical Association, 272: 1, pp. 14–16, 1994.
22.
MomperS. L.DennisM. K., and ReedB. G., “This Tobacco Has Always Been Here For Us,” American Indian Views of Smoking: Risk and Protective Factors, Journal of Indigenous Voices in Social Work, 1: 2, pp. 1–18, 2010.
23.
HodgeF. S. and CaskenJ., Characteristics of American Indian Women Cigarette Smokers: Prevalence and Cessation Status, Health Care Women International, 20: 5, pp. 455–469, 1999.
24.
KeglerM. C. and MalcoeL. H., Smoking Restrictions in the Home and Car among Rural Native American and White Families with Young Children, Preventive Medicine, 35: 4, pp. 334–342, 2002.
25.
BlueEyeL.RohwederC., and McDougallJ., Native American Action Plan—Addressing Tobacco Abuse among Pregnant and Postpartum Women, The National Partnership to Help Women Smokers Quit, Chapel Hill, North Carolina, 2008.
BursacZ. and CampbellJ. E., Committee ORS, Prevalence of Current Cigarette Smoking among American Indians in Oklahoma: A Comparison, Journal of the Oklahoma State Medical Association, 95: 3, pp. 155–158, 2002.
29.
EichnerJ. E.CravattK.BeebeL. A., Tobacco Use among American Indians in Oklahoma: An Epidemiologic View, Public Health Report, 120: 2, pp. 192–199, 2005.
30.
DaleyC. M.GreinerA. K.NazirN., All Nations Breath of Life: Using Community-Based Participatory Research to Address Health Disparities in Cigarette Smoking among American Indians, Ethnic Diseases, 20: 4, pp. 334–338, 2010.
31.
DaleyC. M.JamesA. S.BarnoskieR. S., “Tobacco Has a Purpose, Not Just a Past”: Feasibility of Developing a Culturally Appropriate Smoking Cessation Program for a Pan-Tribal Native Population, Medical Anthropology Quarterly, 20: 4, pp. 421–440, 2006.
32.
ThompsonL. E.BarnettJ. R., and PearceJ. R., Scared Straight? Fear-Appeal Anti-Smoking Campaigns, Risk, Self-Efficacy and Addiction, Health, Risk & Society, 11: 2, pp. 181–196, 2009.
33.
SlyD. F.HealdG. R., and RayS., The Florida “Truth” Anti-Tobacco Media Evaluation: Design, First Year Results, and Implications for Planning Future State Media Evaluations, Tobacco Control, 10: 1, pp. 9–15, 2001.
34.
BalbachE. D. and GlantzS. A., Tobacco Control Advocates Must Demand High-Quality Media Campaigns: The California Experience, Tobacco Control, 7: 4, pp. 397–408, 1998.
35.
Murphy-HoeferR.HylandA., and RivardC., The Influence of Tobacco Counter-marketing Ads on College Students' Knowledge, Attitudes, and Beliefs, Journal of American College Health, 58: 4, pp. 373–381, 2010.
36.
BienerL., Anti-Tobacco Advertisements by Massachusetts and Philip Morris: What Teenagers Think, Tobacco Control, 11(Suppl 2), pp. ii43–ii46, 2002.
