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. 2015 Apr 29;106(4):e184-8.
doi: 10.17269/cjph.106.4940.

Between a rock and a hard place: Smoking trends in a Manitoba First Nation

Natalie D Riediger  1 , Virginia Lukianchuk, Lisa M Lix, Lawrence Elliott, Sharon G Bruce
Affiliations

Between a rock and a hard place: Smoking trends in a Manitoba First Nation

Natalie D Riediger et al. Can J Public Health. .

Abstract
in English, French

Objectives: The purpose of this study is to estimate and compare smoking prevalence over two time periods in a Manitoba First Nation community.

Methods: Data fromtwo independent Diabetes Screening Studies in Sandy Bay First Nation, collected in 2002/2003 (n = 482) and 2011/2012 (n = 596),were used. Crude prevalence of current and ever smoking as well as current smoke exposure was estimated. Change over time was tested using a χ² statistic.

Results: The crude prevalence of current smoking was 74.0% (95% confidence interval [CI]: 70.1, 78.0) in 2002/2003 and 80.0% (95% CI: 76.8, 83.2) in 2011/2012. The crude prevalence of ever smoking was 83.0% in 2002/2003 and 91.4% in 2011/2012. The prevalence of both current smoking status and ever smoking were significantly higher in 2011/2012 compared to 2002/2003 (p = 0.020 and p < 0.001 respectively). Among participants who were not current smokers, 58.5% (95% CI: 49.6, 67.4) and 76.5% (95% CI: 68.9, 84.1) reported at least one person who smoked in the home in 2002/2003 and 2011/2012 respectively (p = 0.003). In 2011/2012, 96.5% (95% CI: 94.8, 98.2) of those who reported having any children under the age of 18 living in the home were either a current smoker and/or reported that someone else smoked in the home.

Conclusion: Public health and policy initiatives are needed to address the increase in smoking prevalence in the study community.

Objectifs: L’objectif de l’étude est d’estimer et de comparer la prévalence de la cigarette pendant deux périodes dans une collectivité des Premières Nations au Manitoba.

Méthodes: Ce sont les données de deux Enquêtes sur le dépistage du diabète dans la Première Nation de Sandy Bay recueillies en 2002–2003 (n=482) et en 2011–2012 (n=596) qui ont servi. On a estimé la prévalence brute de la cigarette actuelle et jusqu’aujourd’hui de même que l’exposition actuelle à la fumée. Le changement au fil du temps a été testé au moyen de la statistique χ2.

Résultats: La prévalence brute actuelle de la cigarette était de 74,0 % (intervalle de confiance [IC] de 95 %: 70,1, 78,0) en 2002–2003 et de 80,0 % (IC de 95 %: 76,8, 83,2) en 2011–2012. La prévalence brute de la cigarette jusqu’aujourd’hui était de 83,0 % en 2002–2003 et de 91,4 % en 2011–2012. La prévalence de la cigarette actuelle et jusqu’aujourd’hui était sensiblement supérieure en 2011–2012 par rapport à 2002–2003 (p = 0,020 et p < 0,001 respectivement). Parmi les participants qui ne fumaient pas à ce moment, 58,5 % (IC de 95 %: 49,6, 67,4) et 76,5 % (IC de 95 %: 68,9, 84,1) ont déclaré qu’au moins une personne fumait au foyer en 2002–2003 et en 2011–2012 respectivement (p = 0,003). En 2011–2012, 96,5 % (IC de 95 %: 94,8, 98,2) de ceux qui déclaraient avoir un enfant de moins de 18 ans qui vivait au foyer fumaient ou déclaraient que quelqu’un fumait au foyer, ou les deux.

Conclusion: Des initiatives de santé publique ou politiques sont essentielles pour traiter la prévalence accrue de la cigarette dans la collectivité de l’étude.

Keywords: Aboriginal; First Nation; Smoking; community-based participatory research; sovereignty.

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