Commercial Tobacco Use Within American Indian and Alaska Native (AI/AN) Populations

Cigarette smoking is more common among AI/AN than almost any other racial group.

(AI/AN) have a higher risk of tobacco-related disease and death due to higher rates of cigarette smoking and other commercial tobacco use. Read more about smoking and tobacco use from CDC’s Office on Smoking and Health.

  • Cardiovascular disease is the leading cause of death among AI/AN.
  • Lung cancer is the leading cause of cancer deaths among AI/AN.
  • Diabetes is the fourth leading cause of death among AI/AN. The risk of developing diabetes is 30%–40% higher for smokers than nonsmokers.
Man breaking cigarette in half, signifying he's quitting smoking.

Networking2Save: CDC’s National Network Approach to Preventing and Controlling Tobacco-related Cancers in Special Populations supports a consortium of national organizations to prevent commercial tobacco use and cancer in populations experiencing tobacco- and cancer-related health disparities.

Cigarette smoking is more common among AI/AN than almost any other racial/ethnic group in the United States.

  • More than 1 in 5 (22.6%) AI/AN adults smokes cigarettes
  • Smoking increases the chances of losing members from your tribal community to smoking-related illnesses
  • It increases the chances of losing elders to smoking-related diseases or exposure to secondhand smoke before they can pass down tribal customs and traditions