UICC GLOBALink Presents...
The Tobacco Reference Guide
by David Moyer, MD.


Chapter 17 Smokeless Tobacco

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Smokeless Tobacco: Native Americans

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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

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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

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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

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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

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