| The Tobacco Reference Guide
|
| by David Moyer, MD. |
| Chapter 17 Smokeless Tobacco |
| tobacco reference guideg (artefact pour |
| Smokeless Tobacco: Native Americans |
| globalink (artefact pour saut de ligne) |
| In 1988, there were an estimated 12 million smokeless tobacco users in the US, |
| including 3 million teenage boys. The prevalence of current users in adults was 5% for |
| men and less than 1% for women. The highest user group was young Native |
| Americans; surveys reported regular use in 18% of children ages 5-11 and 55.9% in |
| 9th and 10th graders in this ethnic group. In a Washington study, 40% of smokeless |
| tobacco users also smoked cigarettes. |
| Public Health Reports, March 1990, p. 196 |
| tobacco reference guideg (artefact pour saut |
| More than half of all Native Americans are smokeless tobacco users, including 45% of |
| Native American adolescent girls. Native Americans are unusual in that female use |
| rates sometimes equal males. |
| Spit Tobacco and Youth, p.4, and JAMA, January 13, 1995, p. 195 |
| tobacco reference guideg (artefact pour saut |
| A survey of Native Americans living on reservations in Washington state showed that |
| almost half of students ages 8 to 16 were smokeless tobacco users, including almost |
| a third of the females. |
| Nicotine Addiction, p. 263 |
| tobacco reference guideg (artefact pour saut |
| Native Americans begin using smokeless tobacco products at much earlier ages than |
| non-Native Americans. In a 1986 survey at the Rosebud Sioux Reservation in South |
| Dakota, 21 percent of kindergarten children used smokeless tobacco products. A |
| survey of Native Americans in the state of Washington indicated that 33 percent of |
| former users and 57 percent of current users started using smokeless tobacco |
| products before the age of 10. |
| Federal Register, August 11, 1995, p. 41318 |
| tobacco reference guideg (artefact pour saut |
| Page 24 of 30 |
| globalink (artefact pour saut de ligne) |
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