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Adult smoking prevalence in California declined by 51.1% between 1988 and 2014, from 23.7% to 11.6%. California has the second lowest adult smoking prevalence rate in the United States.

Tobacco use is a significant risk factor for Cardiovascular disease, which is the leading cause of death among American Indians and Alaska Natives (AI/AN).

Lung cancer is the leading cause of cancer death among American Indians and Alaska Natives nationally.

24.6% of American Indian or Alaska Native men 18 years and over currently smoke cigarettes, compared to 21.1% non-Hispanics white males.

23.8% of American Indian or Alaska Native women 18 years and over currently smoke cigarettes compared to 17.2% non-Hispanics whites females.

26% American Indians/Alaska Natives currently smoke during pregnancy compared to 14.3% non-Hispanics whites.

California Tobacco Facts and Figures 2016 (Link to non-IHS PDF)

Over 25 Years of Tobacco Control in California -- California Department of Public Health (CDPH)

Adult smoking prevalence in California declined by 51.1% between 1988 and 2014, from 23.7% to 11.6%. California has the second lowest adult smoking prevalence rate in the United States.

Lung cancer is the leading cause of cancer death among AI / AN nationally (Link to non-IHS.gov website)

Centers for Disease Control (CDC) - United States Cancer Statistics: Data Visualizations

Percentage of AI/AN men who smoke cigarettes (Link to non-IHS.gov PDF)

Centers for Disease Control (CDC) - Health - United States - 2013

24.6% of American Indian or Alaska Native men 18 years and over currently smoke cigarettes, compared to 21.1% non-Hispanics white males.

Percentage of AI/AN women who smoke cigarettes (Link to non-IHS.gov PDF)

Centers for Disease Control (CDC) - Health - United States - 2013

23.8% of American Indian or Alaska Native women 18 years and over currently smoke cigarettes compared to 17.2% non-Hispanics whites females.
 

Significant risk factor for Cardiovascular disease (Link to non-IHS.gov PDF)

Centers for Disease Control (CDC) - Health - United States - 2013

Tobacco use is a significant risk factor for Cardiovascular disease, which is the leading cause of death among American Indians and Alaska Natives (AI/AN).

Smoke during pregnancy (Link to non-IHS.gov website)

Centers for Disease Control (CDC) - Morbidity and Mortality Weekly Report (MMWR)

26% American Indians/Alaska Natives currently smoke during pregnancy compared to 14.3% non-Hispanics whites.