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Prevalence and Indicators of Household Smoking Bans Among American Indians

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Abstract

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.

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Funding

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.

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Authors and Affiliations

  1. Cherokee Nation, 1296 Skills Center Circle Tahlequah, Tahlequah, OK, 74464, USA

    Ashley Comiford

  2. Boston College, Chestnut Hill, MA, USA

    Eva Garroutte

  3. Washington State University, Spokane, WA, USA

    Celestina Barbosa-Leiker & Michael McDonell

  4. University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

    Sixia Chen

Authors
  1. Ashley Comiford
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  2. Eva Garroutte
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  3. Celestina Barbosa-Leiker
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  4. Sixia Chen
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  5. Michael McDonell
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Correspondence to Ashley Comiford.

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The authors declare that they have no conflict of interest.

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Comiford, A., Garroutte, E., Barbosa-Leiker, C. et al. Prevalence and Indicators of Household Smoking Bans Among American Indians. J Community Health 43, 746–755 (2018). https://doi.org/10.1007/s10900-018-0479-z

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  • DOI: https://doi.org/10.1007/s10900-018-0479-z

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