DISPARITIES IN PEDIATRIC INDIGENOUS SMOKING BEHAVIORS: A POPULATION-BASED STUDY

TOPIC: Tobacco Cessation and Prevention TYPE: Original Investigations PURPOSE: Smoking prevalence in Indigenous North Americans is the highest of any ethnicity United States for adults children. youth estimated to be as high 40%. Limited data suggests greater smoking youth; however, this has not been described longitudinally limited survey data. Understanding pediatric behaviors critical ultimately create interventions address prevention disparity. Our objective define prevalence, incidence, relapse, cessation a longitudinal cohort patients Olmsted County, Minnesota from 2006 2019 included Rochester Epidemiology Project. METHODS: In study 899 85 were identified with (age < 18 at time – 2019). Annual status was abstracted 95.0% accurate algorithm verified manual audit 13% cohort. A total 308 annual points identifying over available analysis. demographics reviewed compared an age gender matched representative general County population. match cohort, 341 under 1198 points. RESULTS: The proportion commercial tobacco products varied 11.1% 57.1%, average 35.1%. Incidence defined conversion never smoker current consecutive years, former relapse years. There 2 incident cases identified, 7 events (2.3% all events) events. smokers ranged 4.0% 17.5%, 8.1%. 11 5 quit (0.42% events), (0.58% events). Gender two cohorts similar. CONCLUSIONS: are more likely smoke non-Indigenous Although there disparity individuals than but had well. Limitations include lack availability vaping electronic cigarette data, most popular inhaled substance by school students currently. CLINICAL IMPLICATIONS: higher rates DISCLOSURES: No relevant relationships Barbara Abbott, source=Web Response Yvonne Bui, Alanna Chamberlain, Jamie Felzer, Rachel Giblon, Cassie Kennedy, Christi Patten, Ann Rusk,