For the last decade tobacco use in the U.S. has been on the decline.  Since 1998, sales of tobacco have declined by an average of 2% per year, and cigarette sales have fallen by 18% (Robin, 2008).  However, during the same period rates of Native American/Alaskan Native tobacco use has risen (Center for Disease Control and Prevention, 2008).  The first section of this paper outlines disparities in tobacco use between Native American/Alaskan Natives (NA/AN) and the U.S. population at large.  The second section analyzes two differing perspectives on the root causes of this disparity, concluding with social justice-inspired policy suggestions that address these perspectives.

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