2012 Bay Mills Indian Community American Indian Adult Tobacco Survey (AI-ATS)

Created by Favian Kennedy, MSW Health Education and Promotion Council

Specific Aims
To empower the BMIC to effectively engage in surveillance and monitoring of attitudes, behaviors, and beliefs related to tobacco use among tribal members.
To provide representative and tribally specific data that can be used in the development of tobacco prevention and cessation initiatives that best address the needs of tribal members. To provide data that will allow tribes to set health priorities and substantiate the need for continued tobacco control resources. To provide data to inform the development of tribal policies that aim to reduce the consumption of tobacco products, and the publics exposure to environmental tobacco smoke.

Methodology
Study participants were randomly sampled from enrollment list.

Participants were limited to adult enrolled tribal members residing

within BMIC service area at the time of the survey. Survey questionnaire administered face-to-face. Data cleaned and analyzed using SPSS software 70 total participants completed the survey 95% Confidence Interval 11.0%

Study Team
Data from this study was collected by Bay Mills tribal college students.

Sample Demographics
Gender distribution of sample

Male, 42.5

Female, 57.5

Sample Demographics
Age distribution of sample

Sample Demographics
Education distribution of sample

< HS Grad

10.0

HS Grad/GED

14.3

Tech/Some College

54.3

4 Year College Grad/Post Grad

21.4 10.0 20.0 30.0 40.0 50.0 60.0

0.0

Sample Demographics
Income distribution of sample

$0 - $15,000

10.2

$15,001 - $ 25,000

22.4

$25,001 - $35,000

20.4

> $35,001 0.0 10.0 20.0 30.0

46.9 40.0 50.0

Smoking among Adults in Bay Mills Indian Community

Smoking prevalence among adult members of the Bay Mills Indian Community, 2012
60
50 40 30 20 10 0 Non-Smoker Former Smoker 1.4 Someday Smoker Everyday Smoker 44.3 Nearly half Bay Mills Indian Community members (45.7%) reported that they are current smokers. Of these current smokers, 3.1% are someday smokers (Those respondents who indicated smoking less than everyday of the week are classified as someday smokers) and 96.9% are everyday smokers.

34.3

20.0

Smoking among Adults in Bay Mills Indian Community

Current smoking prevalence, by sex and education
Female

51.4 40.0

Male

< HS Grad

100.0 60.0 39.5 26.7

HS Grad/GED

Tech/Some College

More women (51.4%) in the Bay Mills Indian Community smoke than men (40.0%) . However, smoking prevalence decreases with education and income.

4 Year College Grad/Post Grad

Total

45.7

0.0

20.0

40.0

60.0

80.0

100.0 120.0

Smoking among Adults in Bay Mills Indian Community

Current smoking prevalence, by income quartiles
Qrt 1

80.0

Qrt 2

81.8

Qrt 3

40.0

Qrt 4

26.1

Total

45.7

0.0

20.0

40.0

60.0

80.0

100.0

Smoking among Adults in Bay Mills Indian Community

Cigarettes smoked per day, by gender - 2012
Only Asked of Current Smokers

n
Female Male All Smokers 18 13 31

Mean
13.3 13.5 13.4

Median
10 15 11

St. Dev.
6.7 4.1 5.6

The mean number of cigarettes smoked per day by males was (13.5) which was not statistically different than females (13.3). The mean number of cigarettes smoked by all smokers was (13.4) in 2012.

Cigarettes smoked per day, by smoking status - 2012

n Everyday Smoker Someday Smoker All Smokers 31 31 Mean 13.6 13.4 Median 11 11 St. Dev. 5.6 5.6

Everyday smokers reported smoking an average of 13.6 cigarettes per day. Someday smokers mean number of cigarettes could not be reported due to sample size.

Smoking among Adults in Bay Mills Indian Community

How soon after you wake do you have your first cigarette, by sex
60

40 31.3 31.3 20 18.8

38.9

35.7

27.8
15.6 11.1 16.7

28.6 21.4 14.3

0 All Respondents Within 5 mins Female 6-30 mins 31-60 mins Male > 60 mins

How Commercial Tobacco Products were Purchased

Percentage of adult tribal members that purchased commercial tobacco products in the following locations at least once in the past 12 months.

Tribal Smoke Shop

62.9

Tribal Land

60.0

Tribal Casino

25.7

Neighboring state

17.1

Computer/Internet

1.4

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

Percentage of Smokers Who Want to Quit Smoking

100.0
80.0 73.7 60.0 40.0 20.0 0.0 62.5
70.0% U.S.

81.8

All

Female

Male

Methods used to quit smoking, among smokers and former smokers

2012

Nicotine Patch

10.5%

Nicotine Gum

7.9%

Other Medication

15.8%

Cessation class or Counseling

13.2%

Cold Turkey

78.9%

Native or Traditional Methods

0.0%

Health Care Provider Counseling

Percentage of current smokers whose health care provider recommended or prescribed the following:

Medication

20.0

Nicotine Patch

16.7

Nicotine Gum

6.7

Nicotine Inhaler Nicotine Nasal Spray

3.3

Respondents reported the tobacco cessation assistance that their health care provider recommended to assist them with quitting smoking.

0.0

Health Care Provider Counseling

Percentage of current smokers whose health care provider made the following referral or provided the following assistance:

Cessation Material

30.0

Specific Quit Date

23.3

Cessation Class/Program

10.0

Respondents reported the tobacco cessation assistance that their health care provider recommended to assist them with quitting smoking.

Quitline

0.0

Ceremonial Prayer/ Traditional Methods

0.0

0.0

10.0

20.0

30.0

40.0

Opinions regarding secondhand smoke

Percent of adult tribal members who believe smoking should not occur anywhere in the following locations:
Community Centers
77.1

Tribal Buildings

74.3

Restaurants

71.4

Working Areas

60.0

Casinos and Bingo Halls

25.7

20

40

60

80

100