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Disparities in Smoking-Related Mortality Among American Indians/Alaska Natives

Mowery, Paul D., Dube, Shanta R., Thorne, Stacy L., Garrett, Bridgette E., Homa, David M., Nez Henderson, Patricia·2015·American Journal of Preventive Medicine
DOI 10.1016/j.amepre.2015.05.002
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Abstract

Introduction Smoking-related disparities continue to be a public health problem among American Indian/Alaska Native (AI/AN) population groups and data documenting the health burden of smoking in this population are sparse. The purpose of this study was to assess mortality attributable to cigarette smoking among AI/AN adults relative to non-Hispanic white adults (whites) by calculating and comparing smoking-attributable fractions and mortality. Methods Smoking-attributable fractions and mortality among AI/ANs (n=1.63 million AI/ANs) and whites were calculated for people living in 637 Indian Health Service Contract Health Service Delivery Area counties in the U.S., from mortality data collected during 2001-2009. Differences in smoking-attributable mortality between AI/ANs and whites for five major causes of smoking-related deaths were examined. All data analyses were carried out in 2013-2014. Results Overall, from 2001 to 2009, age-adjusted death rates, smoking-attributable fractions, and smoking-attributable mortality for all-cause mortality were higher among AI/ANs than among whites for adult men and women aged ≥35 years. Smoking caused 21% of ischemic heart disease, 15% of other heart disease, and 17% of stroke deaths in AI/AN men, compared with 15%, 10%, and 9%, respectively, for white men. Among AI/AN women, smoking caused 18% of ischemic heart disease deaths, 13% of other heart diseases deaths, and 20% of stroke deaths, compared with 9%, 7%, and 10%, respectively, among w…

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Metadata

Authors
Mowery, P. D., Dube, S. R., Thorne, S. L., Garrett, B. E., Homa, D. M., & Nez Henderson, P.
Venue
American Journal of Preventive Medicine
Publisher
Elsevier BV
Published
2015-11
Volume
49
Issue
5
Pages
738-744
ISSN
0749-3797
DOI
10.1016/j.amepre.2015.05.002
Cited by
56
References
0
Language
en
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)

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