American Indians/Alaska Natives Have the Highest Prevalence of Cigarette Smoking in the United States: State and Community Resources for Effective Tobacco Control Programs
American Indians/Alaska Natives (AI/ANs) have the highest prevalence of cigarette smoking compared to all other racial/ethnic groups in the United States. AI/ANs have a higher risk of experiencing tobacco-related disease and death due to high prevalence of cigarette smoking and other commercial tobacco use. Among AI/ANs, cardiovascular disease is the leading cause of death, and lung cancer is the leading cause of cancer deaths. Learn more about national tobacco control programs, best practices, and other resources available in your state and community with this evidence-based guide.