Smoking-cessation strategies for American Indians: Should smoking-cessation treatment include a prescription for a complete home smoking ban?

Steven S. Fu, Diana J. Burgess, Michelle Van Ryn, Kris Rhodes, Rachel Widome, Jennifer J. Ricards, Siamak Noorbaloochi, Barbara Clothier, Jennifer Su, Anne M. Joseph

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Background The prevalence of cigarette smoking is particularly high among American Indian communities in the Upper Midwest. Purpose To evaluate the predictors of smoking cessation among a population-based sample of American Indians in the Upper Midwest during a quit attempt aided with nicotine replacement therapy (NRT). Methods This study used the subsample of American Indian adults (n=291, response rate=55.4%) from a cohort study of smokers engaging in an aided NRT quit attempt. Eligible participants filled an NRT prescription between July 2005 and September 2006 through the Minnesota Health Care Programs (e.g., Medicaid). Administrative records and follow-up survey data were used to assess outcomes approximately 8 months after the NRT fill date. This analysis was conducted in 20092010. Results Approximately 33% of American Indian respondents trying to quit smoking reported complete home smoking bans. Adoption of a complete home smoking ban and greater perceived advantages of NRT were cross-sectionally associated with 7-day smoking abstinence in univariate and multivariate analyses. Consistent with previous research, older age was a significant predictor of 7-day abstinence. Having a history of clinician-diagnosed anxiety in the past year was associated with decreased likelihood of 7-day abstinence in the unadjusted analysis, but not significant in multivariate analyses. Conclusions Results of this study suggest potential modifiable targets of interventions for future research to help American Indians quit smoking: (1) improved delivery of behavioral interventions to increase the intensity of smoking cessation treatment; (2) promotion and adoption of complete home smoking bans; and (3) education to increase awareness of the benefits of NRT.

Original languageEnglish (US)
Pages (from-to)S56-S65
JournalAmerican journal of preventive medicine
Issue number6 SUPPL. 1
StatePublished - Dec 2010

Bibliographical note

Funding Information:
This research was funded by ClearWay Minnesota SM research program grant RC-2004-0017 to the University of Minnesota. The contents of this manuscript are solely the responsibility of the authors and do not necessarily reflect the official views of ClearWay Minnesota.

Funding Information:
Dr. Fu was supported by a Research Career Development Award from VA HSR&D when this work was conducted. Dr. Burgess was supported by a Merit Review Entry Program Award from VA HSR&D when this work was conducted.

Funding Information:
This paper was supported by ClearWay Minnesota SM as part of a supplement entitled ClearWay Minnesota SM : Advancing Tobacco Control Through Applied Research (Am J Prev Med 2010;39 [6S1]).

Funding Information:
This material is based on work supported in part by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development and Health Services Research and Development (HSR&D).


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