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Journal article

Community- and individual-level factors associated with smoking and heavy drinking among Aboriginal people in Canada

Abstract

Objectives1) To examine the association between place of residence (i.e., on- versus off-communities and between provinces) and daily smoking and heavy drinking among Aboriginal people in Canada; and 2) to identify community- and individual-level factors that may account for these associations.MethodsData were from the Aboriginal Peoples Survey (2001). The sample included 52,110 Aboriginal people (≥15 years of age). Community-level variables included: place of residence, community socio-economic status (SES) and perceived community social problems. Individual-level variables included: age, sex, education, income, employment status, marital status, Aboriginal heritage and social support. Multilevel logistic regressions were conducted to analyze the data.ResultsLiving in First Nations communities (compared with living off-communities) was associated with daily smoking, and this association was accounted for by perceived community social problems. However, the association between Inuit communities and daily smoking remained after controlling for all covariates (odds ratio (OR) = 1.97, 95% confidence intervals (CI) = 1.44–2.70). Residence in First Nations communities was associated with heavy drinking (OR = 1.54, 95% CI = 1.17–2.04), however this risk became evident only after controlling for community SES, which was also positively associated with heavy drinking (OR = 1.46, 95% CI = 1.26–1.69). Compared with Saskatchewan, Aboriginal people in Atlantic Provinces (OR = 2.80, 95% CI = 2.08–3.78) or Territories (OR = 1.39, 95% CI = 1.01–1.92) were more likely to engage in heavy drinking.ConclusionStudies are needed to better understand the increased risk for smoking in Inuit communities and heavy drinking in First Nations communities, Atlantic Provinces and Territories, and to identify possible reasons for the positive association between community SES and heavy drinking among Aboriginal people.

Authors

Kyu HH; Georgiades K; MacMillan HL; Boyle MH

Journal

Canadian Journal of Public Health, Vol. 106, No. 2, pp. e22–e28

Publisher

Springer Nature

Publication Date

January 1, 2015

DOI

10.17269/cjph.106.4663

ISSN

0008-4263

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