The prevalence of tobacco smoking among First Nations youth living on reserve and in Northern communities is significantly higher than off-reserve Indigenous youth in Southern communities and non-Indigenous youth, although the majority do not smoke. Using a mixed-methods approach, we examine factors that support on-reserve First Nations youth’s resilience to smoking. Logistic regression analyses using data from the nationally representative First Nations Regional Early Childhood, Education, and Employment Survey suggest that not using other substances, having friends who do not smoke or use other substances, and having good mental health is associated with not smoking. A review of select community initiatives and in-depth interviews with First Nations anti-tobacco initiative managers and frontline workers about the initiatives also revealed the need for gender- and community-specific programming, recognition of Indigenous social determinants of health, and addressing the normalization of smoking in some community contexts.

中文翻译：

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居住在保留地和北部社区的第一民族青年吸烟：一项混合方法研究

生活在保留区和北部社区的第一民族青年的吸烟率明显高于南部社区和非土著社区的保留区外土著青年，尽管大多数人不吸烟。使用混合方法，我们研究了支持保留原住民青年抵抗吸烟的因素。使用具有全国代表性的原住民地区幼儿、教育和就业调查数据的逻辑回归分析表明，不使用其他物质、有不吸烟或使用其他物质的朋友以及拥有良好的心理健康与不吸烟有关。