More Than 1 in 5

More than 1/5 American Indian/Alaska
Native adults smoke cigarettes
Source: CDC

American Indians have the Highest Smoking Rate in the Country

The rate of smoking among American Indians is more than double1 that of the general U.S. population. Other groups in the U.S. have seen an overall decrease in smoking rates, due to cessation programs and policies.

Yet, usage among American Indians is unwavering.

And deceptive marketing schemes of commercial tobacco companies have played a role.

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Targeting Our People

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American Spirit
Reynolds American With Their Natural American Spirit Cigarettes

Commercial tobacco companies have targeted3 American Indians and Alaska Natives since the 1930s4 by using cultural imagery and stereotypical concepts in their marketing campaigns.

Case-in-point: Natural American Spirit5 cigarettes.
The brand packaging6 showcases an American Indian wearing a headdress and smoking a peace pipe, with messaging that emphasizes “natural tobacco” and “additive free” to suggest that these are healthy cigarettes. Further, these groups are subjected to tobacco marketing more frequently7 in stores than Non-Hispanic White people.

By associating commercial tobacco with the culturally valuable traditional tobacco, companies have misrepresented American Indian values to increase revenue across this target demographic.

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Commercial Tobacco Health Impacts

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12 types

Smoking causes 12 types of cancer
Source: CDC

Used recreationally, commercial tobacco is produced by companies and contains thousands of chemicals, many of which are carcinogenic. When burned, it produces more than 7,000 chemical compounds,8 contributing to health issues and premature death.

Commercial tobacco also causes nicotine addiction. Nicotine, the primary addictive substance in commercial tobacco, causes immediate stimulation followed by depression. It harms health by accelerating heart rate, constricting blood vessels, and raising blood pressure.

Exposure to commercial tobacco smoke does not just cause lung cancer. It is associated with 129 different cancers, including cervical, kidney, liver, and stomach, in addition to a variety of other health problems

American Indian and Alaska Native populations are at greater risk of tobacco-related disease and death due to higher rates of smoking and other tobacco use.

Among American Indians/Alaska Natives:

Cardiovascular disease10 is the leading cause of death

Lung cancer10 is the leading cause of cancer deaths

Diabetes10 is the fourth leading cause of death

30 40 higher

The risk of developing diabetes is 30–40%
higher for smokers than nonsmokers
Source: CDC10

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While traditional tobacco remains sacred and culturally significant, commercial tobacco poses serious health risks and contradicts the traditional, sacred use of tobacco.

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