Tobacco use during pregnancy among Alaska Natives in western Alaska.

Caroline C. Renner, Christi A. Patten, Gretchen E. Day, Carrie C. Enoch, Darrel R. Schroeder, Kenneth P. Offord, Richard D. Hurt, Ann Gasheen, Leigh Gill

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


OBJECTIVE: To determine tobacco use rates during pregnancy among Alaska Natives residing on the Yukon-Kuskokwim (Y-K) Delta of western Alaska. Alaska Natives residing in this region use Iqmik, a unique form of smokeless tobacco (ST). STUDY DESIGN: Retrospective cohort study. The medical records of the most recent consecutive 100 Alaska Native women delivering within the Y-K Health Corporation system in 2001 were abstracted for information on tobacco use during this pregnancy and basic demographics. RESULTS: Of the 100 women, 24 did not use tobacco, 55 used ST only, 18 smoked cigarettes only, and 3 used both ST and smoked cigarettes during this pregnancy. Of the 58 who used ST, 22 used Iqmik only, 32 used commercial ST only, and 4 used both. The frequency of ST use increased significantly with age (p=0.007; OR=1.65 per 5-year increase in age, 95% CI 1.15 to 2.36), while the frequency of cigarette smoking tended to decrease with age (p=0.254; OR=0.79 per 5-year increase in age, 95% CI 0.53 to 1.18). CONCLUSION: A high proportion of Alaska Native women use tobacco during pregnancy. The rate of ST use (58%) among pregnant Alaska Native women is markedly higher than the prevalence of ST use (0.5%) among women in the general U.S. population.

Original languageEnglish (US)
Pages (from-to)12-16
Number of pages5
JournalAlaska medicine
Issue number1
StatePublished - Jan 1 2005

ASJC Scopus subject areas

  • Medicine(all)


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