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Cigarette smoking is more common among American Indian and Alaska Native (AI/AN) people than among almost any other racial or ethnic group in the United States. In 2020, more than 1 in 4 AI/AN adults — 27.1% — smoked cigarettes. Several factors link commercial tobacco to higher rates of disease, disability and death in different groups; CDC explains the health disparities affecting AI/AN people.
What smoking takes from a community
- Tribal members lost to smoking-related illness.
- Elders lost to smoking-related disease or secondhand smoke before they can pass on tribal customs and traditions.
- Most people in an AI/AN community probably know someone hurt by smoking — a relative with a cough who struggles to breathe, a friend with lung cancer.
Babies and children
Smoking during pregnancy is more common in AI/AN communities than in other ethnic groups, and it raises the risk of complications:
| If you smoke while pregnant | If children breathe cigarette smoke |
|---|---|
| a premature baby | bronchitis |
| a baby weighing under 5½ pounds | pneumonia |
| sudden infant death syndrome (SIDS, or crib death) | ear infections |
Keeping children away from cigarette smoke protects the next generation.
Real stories
Three AI/AN participants in CDC's Tips From Former Smokers campaign:
| Their story | |
|---|---|
| Michael P. | lived in Alaska and started smoking at 9. At 44 he was diagnosed with COPD, which makes breathing harder and harder and can kill. He died at 64 |
| Nathan M. | a member of the Oglala Sioux tribe and a military veteran, living in Idaho, who never smoked. Years of secondhand smoke working in a casino that allowed smoking brought on asthma attacks so severe he had to leave his job, and damaged his lungs; he died in 2013 at 54. He wanted people to know how much harm secondhand smoke can do |
| Tammy W. | a member of the Little Traverse Bay Bands of Odawa Indians, from Michigan. She started smoking menthol cigarettes at 21, telling herself they were less harmful. She ate well, exercised and ran marathons — yet at 44 she learned she had severe heart disease and needed open-heart surgery. She remembers her mother's face as she went into surgery: her mother thought she would die |
More participants: CDC's Real Stories.
Free help to quit
| Help | How to reach it |
|---|---|
| Quitline, English | 1-800-QUIT-NOW (1-800-784-8669) |
| Quitline, Spanish | 1-855-DÉJELO-YA (1-855-335-3569) |
| Quitline, Chinese | 1-800-838-8917 |
| Quitline, Korean | 1-800-556-5564 |
| Quitline, Vietnamese | 1-800-778-8440 |
| Text support | Text QUITNOW to 333888 (message and data rates may apply) |
| For Native Americans | SmokefreeNATIVE, a culturally tailored text program for adults 18 and older; Keep It Sacred – National Native Network |
| App | quitSTART |
| Web | smokefree.gov, CDC's Quit Smoking pages, and the Asian Smokers' Quitline |
| Medicines | the FDA has approved 7 quit-smoking medicines; you may be able to get them free or at reduced cost through your insurance, health plan or other sources |
Sources
Based on "American Indian and Alaska Native People," Tips From Former Smokers, Centers for Disease Control and Prevention, citing "Tobacco Product Use Among Adults — United States, 2020," MMWR 2022; a work of the United States government in the public domain. Participants' words are paraphrased; rewritten in hubnx's own words.
Licence : CC0 1.0 (domaine public) · Adapté de www.cdc.gov
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