Journal of Community Health

, Volume 43, Issue 4, pp 746–755 | Cite as

Prevalence and Indicators of Household Smoking Bans Among American Indians

  • Ashley Comiford
  • Eva Garroutte
  • Celestina Barbosa-Leiker
  • Sixia Chen
  • Michael McDonell
Original Paper


More than 58 million nonsmokers in the U.S. encounter secondhand smoke that leads to tobacco-related diseases and deaths every year, making voluntary household smoking bans an important public health goal. American Indians/Alaska Natives are rarely included in research related to household smoking bans. Further, most studies dichotomize household smoking bans into complete bans versus partial/no bans, rendering it impossible to determine if partial and no bans are associated with different or similar risk factors. Using the 2014 Cherokee Nation American Indian Adult Tobacco Survey, our study sought to identify prevalence of household smoking bans, their extent, and their correlates in an American Indian population. This cross-sectional analysis used multinomial logistic regression to determine correlates of complete, partial, and no household smoking bans. Results indicated that approximately 84% of Cherokee households have a complete ban. Younger age, female gender, higher education, higher household income, respondent’s nonsmoking status, good health, better awareness of harms related to secondhand smoke, visits with a healthcare provider within the past year, and children in the home were positively and significantly associated with complete household smoking bans. Additionally, there were notable differences between correlates related to partial bans and no bans. These results provide insight for the development of more appropriate interventions for American Indian households that do not have a complete household smoking ban.


American Indian Secondhand smoke exposure Household smoking ban 



This study was supported by the National Institute of Minority Health and Health Disparities (P20 MD006871). Additional support was provided by the Native Investigator Development program through funding from the National Institute on Aging (4P30AG015292-20). The fourth author wishes to acknowledge the partial funding provided by National Institutes of Health, National Institute of General Medical Sciences (1 U54GM104938), an IDeA-CTR to the University of Oklahoma Health Sciences Center.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Cherokee NationTahlequahUSA
  2. 2.Boston CollegeChestnut HillUSA
  3. 3.Washington State UniversitySpokaneUSA
  4. 4.University of Oklahoma Health Sciences CenterOklahoma CityUSA

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