Characteristics of American Indian/Alaskan Native Quitline Callers Across 14 States
| Autor: | Amy V. Lukowski, Susan E. Young, David Tinkelman, Chad D. Morris |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Gerontology Adolescent medicine.medical_treatment Population Ethnic group Smoking Prevention Young Adult 03 medical and health sciences 0302 clinical medicine Hotlines Health care medicine Humans 030212 general & internal medicine Healthcare Disparities education Aged Aged 80 and over education.field_of_study 030505 public health Poverty business.industry Smoking Public Health Environmental and Occupational Health Middle Aged Mental health United States Quitline Indians North American Smoking cessation Anxiety Female Smoking Cessation medicine.symptom 0305 other medical science business Alaska Demography |
| Zdroj: | Nicotine & Tobacco Research. 18:2124-2129 |
| ISSN: | 1469-994X 1462-2203 |
| DOI: | 10.1093/ntr/ntw154 |
| Popis: | Background American Indians and Alaska Natives (AI/AN) have the highest smoking prevalence (29.2%) of any other racial/ethnic group in the United States and lower quit rates. Comprehensive health care services, including commercial tobacco cessation treatments, are difficult to access for many AI/AN individuals due to poverty, the rural distribution of tribal territories, cultural barriers and the lack of funding for these programs. Due, in part, to these health care gaps, AI/AN communities are disproportionally affected by nicotine dependence and associated chronic medical and psychiatric conditions. Methods We report on data from National Jewish Health that provides telephonic tobacco cessation services for 14 states in the United States. We examine how AI/AN callers who were predominately AI callers differ from their counterparts (i.e., callers identifying as other ethnic groups) in terms of demographic characteristics, commercial tobacco use history, rates of emotional or mental health issues, and rates of chronic illness. Results Findings from the quitline analyses show a higher rate of preadolescent onset of commercial tobacco use in the AI/AN callers. AI/AN callers are also more likely to live with another commercial tobacco user. Results demonstrate that AI/AN callers are disproportionately impacted by mental health challenges, including high levels of stress, anxiety, and depression. Similarly, AI/AN callers report more chronic medical issues including diseases of the lungs and cardiovascular system. Conclusions These findings stress the critical need for tailored efforts to better reach AI/AN commercial tobacco users who are considering treatment, in order to make meaningful gains in commercial tobacco cessation for this vulnerable population. Implications These findings demonstrate the disproportionate impact of commercial tobacco use on the AI/AN population who utilizes quitline services. These data stress the critical need for tailored efforts to better reach AI/AN commercial tobacco users who are considering treatment, in order to make meaningful gains in commercial tobacco cessation for this vulnerable population. |
| Databáze: | OpenAIRE |
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