Abstract:
BACKGROUND:Tobacco use rates are exceptionally high among indigenous people in North America. Alaska Native, low socio-economic status (SES) and rural communities are high-priority populations for Alaska's Tobacco Control program. DESIGN:For the purpose of better informing tobacco control interventions, we conducted a descriptive study to describe high-priority groups using prevalence-based and proportion-based approaches. METHODS:With data from 22,311 adults interviewed for Alaska's 2006-2010 Behavioral Risk Factor Surveillance System (BRFSS), we used stratified analysis and logistic regression models to describe the current use of cigarettes and smokeless tobacco (SLT) (including iq'mik, a unique Alaska Native SLT product) among the 3 populations of interest. RESULTS:"Population segments" were created with combinations of responses for Alaska Native race, SES and community type. We identified the highest prevalence and highest proportion of tobacco users for each type of tobacco by "segment". For cigarette smoking, while the largest proportion (nearly one-third) of the state's smokers are non-Native, high SES and live in urban settings, this group also has lower smoking prevalence than most other groups. Alaska Native, low SES, rural residents had both high smoking prevalence (48%) and represented a large proportion of the state's smokers (nearly 10%). Patterns were similar for SLT, with non-Native high-SES urban residents making up the largest proportion of users despite lower prevalence, and Alaska Native, low SES, rural residents having high prevalence and making up a large proportion of users. For iq'mik use, Alaska Native people in rural settings were both the highest prevalence and proportion of users. CONCLUSION:While Alaska Native race, low SES status and community of residence can be considered alone when developing tobacco control interventions, creating "population segments" based on combinations of factors may be helpful for tailoring effective tobacco control strategies and messaging. Other countries or states may use a similar approach for describing and prioritizing populations.
journal_name
Int J Circumpolar Healthjournal_title
International journal of circumpolar healthauthors
Dilley JA,Peterson E,Bobo M,Pickle KE,Rohde Kdoi
10.3402/ijch.v72i0.21582subject
Has Abstractpub_date
2013-08-05 00:00:00eissn
1239-9736issn
2242-3982pii
21582journal_volume
72pub_type
杂志文章abstract:BACKGROUND:Alaska Native people are disproportionately impacted by tobacco-related diseases in comparison to non-Native Alaskans. DESIGN:We used Alaska's Behavioral Risk Factor Surveillance System (BRFSS) to describe tobacco use among more than 4,100 Alaska Native adults, stratified by geographic region and demographi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21208
更新日期:2013-08-05 00:00:00
abstract:BACKGROUND:In preparation for the initial offering of the University of Alaska Fairbanks (UAF), Interior-Aleutians Campus Rural Nutrition Services (RNS) program, a literature review was conducted to establish the need for the proposed program and to substantiate the methodology for delivering integrated, culturally tai...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:10.3402/ijch.v72i0.21144
更新日期:2013-08-05 00:00:00
abstract:OBJECTIVES:To understand the knowledge levels, attitudes and perceptions of Alaska Native adolescent girls about cervical cancer, HPV, genital warts and the HPV vaccine. STUDY DESIGN:A qualitative study. METHODS:Seventy-nine in-depth interviews were conducted with adolescent females aged 11 through 18 years in 4 comm...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v70i3.17829
更新日期:2011-06-01 00:00:00
abstract::Morbidity and mortality rates of noncommunicable diseases (NCD) are very high in Siberia. The prevalence of NCD risk factors is also very high, smoking being one of the most widespread risk factors. Prevention and cessation of smoking may improve the health of the population. Within the framework of the WHO MONICA (Mo...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:To assess the distribution of blood lipids, lipoprotein and apoB/apoA-1 ratio in a multi-ethnic population of Sami, Kvens and Norwegians in Norway. Study design. A population-based cross-sectional study was carried out in 2003-2004 in an area with a mixed Sami, Kvens/Finns and Norwegian population, the SAMIN...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2008-02-01 00:00:00
abstract::The purpose of this study is to review the current literatures on breast cancer (BC) in the Arctic, especially the trends in incidence during the last decades and the possible explanations. The design of this study is a literature review. The scientific literature concerning BC were reviewed, especially focusing on th...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:10.3402/ijch.v71i0.19155
更新日期:2012-08-16 00:00:00
abstract:BACKGROUND:There is a dearth of literature to guide the development of community-based HIV and sexually transmitted infection (STI) prevention and sexual health promotion programs within Inuit communities. OBJECTIVE:The aim of this study was to create a dialogue with Inuit women to address the lack of information avai...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.32135
更新日期:2016-12-09 00:00:00
abstract::Considerable interest exists in characterizing the extent of changes in methylmercury exposures from preindustrial to modern-day times. Hair is often preserved over centuries and has been useful in determining the extent of dietary trace metal exposures, particularly methylmercury. We examined 16 human hair samples ta...
journal_title:International journal of circumpolar health
pub_type: 历史文章,杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::Mortality was compared in two major towns in northern Finland (Kemi and Oulu), which according to previous studies have high and low mortalities, respectively. In 1991-1995 life expectancy at birth in Oulu exceeded the national average by 0.7 years in males and 0.4 years in females but in Kemi it fell short of the nat...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVES:To review suicide patterns among Inuit in Canada and highlight new developments in Inuit-driven and community-based suicide prevention. Study design. Narrative overview of suicide among Inuit in Canada, strides towards Inuit autonomy, and community and government action towards suicide prevention. METHODS:R...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v68i3.18330
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVES:The first aim was to study how oral health care delivery was organized in member countries and to determine whether there were differences across the Barents region. The second aim was to assess the performance of the care provision systems. The Barents region is one of the largest hinterlands in northern Eu...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v69i5.17693
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:The aim of this preliminary study was to investigate how commonly child-psychiatric inpatients have experienced and seen violence, and whether children with developmental disorders are at an increased risk for such traumatic events. METHODS:The sample consisted of 41 patients, 29 boys and 12 girls, with a m...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v61i0.17502
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:With invasive Haemophilus influenzae serotype b (Hib) disease controlled by vaccination with conjugate Hib vaccines, there is concern that invasive disease due to non-serotype b strains may emerge. OBJECTIVE:This study characterized invasive H. influenzae (Hi) isolates from Nunavut, Canada, in the post-Hib ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.29798
更新日期:2016-01-12 00:00:00
abstract:OBJECTIVES:We studied the association and agreement between questionnaire data and biomarkers of marine food among Greenland Inuit. DESIGN:Cross sectional study. METHODS:The study population comprised 2,224 Inuit, age 18+ (43% men); data collected 2005-2008 in Greenland. Using a food frequency questionnaire (FFQ), we...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.18361
更新日期:2012-05-17 00:00:00
abstract::Music as a possible health-promoting agent has attained increasing academic and scientific interest over the last decades. Nonetheless, possible connections between indigenous singing traditions and health beyond traditional ceremonial healing practices are still under-researched worldwide. The Sami, the indigenous pe...
journal_title:International journal of circumpolar health
pub_type: 历史文章,杂志文章,评审
doi:10.1080/22423982.2018.1454784
更新日期:2018-12-01 00:00:00
abstract::Antimicrobial resistance in Neisseria gonorrhoeae (GC) has made gonorrhoea control and treatment more complex globally. In Greenland, the incidence of gonorrhoea is high and there is a need for continued surveillance of antimicrobial susceptibility.This study investigated gonococcal isolates obtained in Greenland's ca...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2018.1557975
更新日期:2019-12-01 00:00:00
abstract::The Eeyouch are a First Nations (Cree) population that live above 49.6°N latitude in Eeyou Istchee in northern Quebec. Eeyouch rely on traditional foods (TF) hunted, fished or gathered from the land. The overarching aim of this study was to achieve an understanding of the factors associated with TF intake among Eeyouc...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2018.1536251
更新日期:2018-12-01 00:00:00
abstract::Diagnostic ultrasound in remote sites is limited by attendant delay in interpretation and reporting. Technology advances were incorporated in an ultrasound program based in Churchill, Manitoba, and designed to meet the needs of the Central Canadian Arctic. Still-frame ultrasound images are digitized via a sonographer'...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Kivalina is a northwest Alaska barrier island village of 400 people vulnerable to storm surges exacerbated recently by delayed winter sea and shore ice formation. The village has no in-home piped water or sewage; the "washeteria" is the only structure providing public showers, laundry facilities and flush to...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21233
更新日期:2013-08-05 00:00:00
abstract:OBJECTIVES AND METHODS:Three community health promotion projects have been implemented in Greenland in the municipalities of Upernavik, Ittoqqortoormiit and Qasigiannguit. Based on project reports and other written material, this paper describes experiences from the three projects and discusses the implications of the ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v64i3.17993
更新日期:2005-06-01 00:00:00
abstract::With a low breast cancer incidence and low population density, Greenland is geographically and organisationally challenged in implementing a cost effective breast cancer screening programme where a large proportion of the Greenlandic women will have to travel far to attend. The aim of this paper is to evaluate the cos...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1373580
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Serum thyroid hormones, plasma catecholamines and mood were examined in 10 male members of the 16th Chinese Antarctic Expedition who spent the 2000 austral winter at Great Wall Station. STUDY DESIGN:Samples were taken prior to deployment to Antarctica (December, 1999) and upon return to China 54 weeks later...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v62i3.17562
更新日期:2003-09-01 00:00:00
abstract::Recent reports have found a rise in Hepatitis C virus (HCV) infection in reproductive age women in the USA. Surveillance data suggests one group that is at increased risk of HCV infection is the American Indian and Alaska Native population (AI/AN). Using the National Center for Health Statistics (NCHS) birth certifica...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1608139
更新日期:2019-12-01 00:00:00
abstract::Traditional food systems research with Canadian Indigenous Peoples has revealed many aspects of benefits and risks of the use of this food. Traditions based in hunting, fishing and gathering contain a great variety of species of wildlife plants and animals that provide rich cultural and nutritional benefits. Dietary c...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVES:To test the hypothesis that the unexpectedly low prevalence of winter depression in Iceland is explained by Icelanders enjoying more daylight, during the winter months, than allocated to them by latitude. METHODS:A conventional photometer was applied to measure illuminance on a horizontal surface at 64 degr...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i3.17736
更新日期:2004-09-01 00:00:00
abstract::We examined whether dietary supplementation with seal oil influenced the risk factors of atherosclerosis in healthy volunteers. Two intervention studies were carried out as preliminary steps in a larger project which aim at elucidating the disease preventive potential of seal oil. In study I ten healthy volunteers add...
journal_title:International journal of circumpolar health
pub_type: 临床试验,杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract::The Innuulisivik Maternity is a northern-based service in Povungnituk, Quebec, which serves the Inuit women of the Hudson Coast. Although most women stay in the North for childbirth, others are transferred south. This paper will describe the experience of the Innuulisivik Maternity, which uses committee-based risk ass...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:The prevalence of obesity and obesity-related conditions varies by population groups. Indigenous women of the circumpolar north are believed to be at high risk of obesity. OBJECTIVE:We studied, first the obesity prevalence in indigenous Arctic women, Nenets, compared to urban Russian women. Second, the asso...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v73.23859
更新日期:2014-07-24 00:00:00
abstract::The relationship between cell-mediated immunity and alcohol intake was studied in an Antarctic wintering group. Cell-mediated immune responses have previously been shown to be significantly lowered on the Antarctic Continent. The cause for this is yet to be elucidated. The cutaneous CMI Multitest was used to assess ce...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v61i3.17454
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:The Aboriginal nations of Canada have higher incidences of chronic diseases, coinciding with profound changes in their environment, lifestyle and diet. Traditional foods can protect against the risks of chronic disease. However, their consumption is in decline, and little is known about the complex mechanism...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v73.24918
更新日期:2014-11-27 00:00:00