DOCSLIB.ORG

Vaping in England: an Evidence Update Including Mental Health and Pregnancy, March 2020

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Vaping in England: an Evidence Update Including Mental Health and Pregnancy, March 2020 Vaping in England: an evidence update including mental health and pregnancy, March 2020 A report commissioned by Public Health England Authors: Ann McNeill1, Leonie Brose1, Robert Calder1, Linda Bauld2,3, Debbie Robson1 1 King’s College London 2 University of Edinburgh 3 Cancer Research UK Vaping in England: 2020 About Public Health England Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. We do this through world-leading science, research, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. We are an executive agency of the Department of Health and Social Care, and a distinct delivery organisation with operational autonomy. We provide government, local government, the NHS, Parliament, industry and the public with evidence-based professional, scientific and delivery expertise and support. Public Health England Wellington House 133-155 Waterloo Road London SE1 8UG Tel: 020 7654 8000 www.gov.uk/phe Twitter: @PHE_uk Facebook: www.facebook.com/PublicHealthEngland © Crown copyright 2020 You may re-use this information (excluding logos) free of charge in any format or medium, under the terms of the Open Government Licence v3.0. To view this licence, visit OGL. Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. Published March 2020 PHE publications PHE supports the UN gateway number: GW-1118 Sustainable Development Goals 2 Vaping in England 2020 Authors Ann McNeill1, Leonie Brose1, Robert Calder1, Linda Bauld2,3, Debbie Robson1 1 King’s College London 2 University of Edinburgh 3 Cancer Research UK Acknowledgements Chapter contributors: Gilda Spaducci1 (Chapter 5), Eleanor Gant1 (Chapter 6) Acknowledgements: Sofia Hemrage1 and Caterina Radu1 for their help with reviewing literature for the pregnancy systematic review and Taranjit Sehmbi1 for help with literature screening and data analyses used in the adult and youth chapters. 1 King’s College London Suggested citation McNeill, A., Brose, L.S., Calder, R., Bauld, L., and Robson, D. (2020). Vaping in England: an evidence update including mental health and pregnancy, March 2020: a report commissioned by Public Health England. London: Public Health England. 3 Vaping in England 2020 Contents About Public Health England 2 Contents 4 Conflict of interest statement 5 Acronyms and abbreviations 6 Executive summary 8 Chapter 1: Introduction 16 Chapter 2: Methods 31 Chapter 3: Vaping among young people 37 Chapter 4: Vaping among adults 64 Chapter 5: Systematic review of vaping among people with mental health conditions 113 Chapter 6: Systematic review of vaping in pregnancy and postpartum 151 References 186 Appendices 203 4 Vaping in England 2020 Conflict of interest statement Professor Ann McNeill is Professor of Tobacco Addiction and Vice Dean (Culture, Diversity and Inclusion) at the Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King’s College London. Professor McNeill leads the Nicotine Research Group in the Addictions Department, IoPPN and receives funding for projects from a variety of funders such as Cancer Research UK (CRUK) and the National Institute for Health Research (NIHR) and has no links with any tobacco or vaping product manufacturers. Professor McNeill is a NIHR Senior Investigator. The views expressed in this report are those of the authors and not necessarily those of the NIHR, or the Department of Health and Social Care. Dr Leonie Brose is a Senior Lecturer in the Nicotine Research Group, in the Addictions Department at the IoPPN, King’s College London. She has received funding from CRUK and Heart Research UK. She has no links with any tobacco or vaping product manufacturers. Dr Robert Calder is a Research Associate in the Nicotine Research Group in the Addictions Department, IoPPN, King’s College London, and has no links with any tobacco or vaping product manufacturers. Professor Linda Bauld is the Bruce and John Usher Chair of Public Health in the College of Medicine and Veterinary Medicine at the University of Edinburgh. She is a Director of the SPECTRUM consortium and holds the CRUK/BUPA Chair in Behavioural Research for Cancer Prevention at CRUK. She has no links with any tobacco or vaping product manufacturers. Dr Debbie Robson is a Senior Research Fellow in the Nicotine Research Group in the Addictions Department at the IoPPN, King’s College London. She is funded by the NIHR Applied Health Research (ARC) South London, Maudsley Charity and CRUK. She has no links with any tobacco or vaping product manufacturers. All authors are members of the SPECTRUM consortium. 5 Vaping in England 2020 Acronyms and abbreviations APS = Annual Population Survey ASH = Action on Smoking and Health ASH-A = ASH Smokefree Great Britain Adult survey ASH-Y = ASH Smokefree Great Britain Youth survey CES-D = Center for Epidemiological Studies − Depression CI = Confidence Interval CO = Carbon Monoxide expired air COREQ = Consolidated Criteria for Reporting on Qualitative Research CPD / CPW = Cigarettes Per Day / Cigarettes Per Week DSM = Diagnostic and Statistical Manual of Mental Disorders EVALI = E-cigarette, or vaping, product use associated lung injury FDA = Food and Drug Administration (US) FTND = Fagerstrom Test for Nicotine Dependence ITC = The International Tobacco Control Policy Evaluation Project IQR = Inter-Quartile Range K6 = Kessler Screening Scale for Psychological Distress MHC = Mental Health Condition MHRA = Medicines and Healthcare products Regulatory Agency NHIS = National Health Interview Survey NICE = National Institute for Health and Care Excellence NIDA = National Institute on Drug Abuse (US) NNAL = 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol NNK = 4-(methylnitrosamino)-1(3-pyridyl)-1-butanone NOS = Newcastle Ottawa Scale NRT = Nicotine Replacement Therapy OPN = Opinions and Lifestyles Survey OR = Odds Ratio PATH = The Population Assessment of Tobacco and Health Study PRAMS = Pregnancy Risk-Assessment Monitoring System PRISMA = Preferred Reporting Items for Systematic Reviews and Meta-Analyses PROSPERO = The International Prospective Register of Systematic Reviews 6 Vaping in England 2020 PTSD = Post-Traumatic Stress Disorder RCT = Randomised Controlled Trial RR = Relative Risk SDD = Smoking Drinking and Drug use among young people in England (Survey) SD = Standard Deviation SMI = Serious Mental Illness SPD = Serious Psychological Distress STS = Smoking Toolkit Study THC = Tetrahydrocannabinol TPD = European Union Tobacco Products Directive TRPR = Tobacco and Related Products Regulations 2016 7 Vaping in England 2020 Executive summary 1. Introduction 1.1 Aim of the report This is the sixth report in a series of independent reports commissioned by Public Health England to summarise evidence on e-cigarettes to inform policies and regulations. Despite reductions in smoking prevalence, smoking remains the biggest single cause of preventable death and disease and a leading cause of health inequalities. So, alternative nicotine delivery devices which are less harmful could play a crucial role in reducing this health burden. This report presents updates on the prevalence of vaping among young people and adults and reviews literature on vaping among people with mental health conditions and pregnant women. A comprehensive e-cigarette safety review will be the focus of a future report. 1.2 Terminology We use the term ‘vaping products’ to describe e-cigarettes and refill containers (e-liquids). We use the term ‘vapers’ to refer to people who regularly use vaping products and ‘vaping’ as the act of using a vaping product. Our terms do not include cannabis vaping or the vaping of other illicit substances, which are not the subject of this report. 1.3 Current regulations Non-nicotine containing vaping products fall under the General Product Safety Regulations 2005, enforced by local trading standards. Nicotine-containing vaping products are regulated more stringently through the revised European Union Tobacco Products Directive (2014/40/EU) (TPD), translated into United Kingdom (UK) law through the Tobacco and Related Products Regulations 2016 (TRPR), which the government has committed to review by May 2021. 8 Vaping in England 2020 There are no medicinally licensed nicotine vaping products in the UK. Selling vaping products to anyone under 18 is prohibited and so is buying vaping products for anyone under 18. 1.4 Recent developments Nicotine vaping products have continued to evolve. The use of nicotine salt technology is becoming more popular. Between 20 May 2016 (implementation of TRPR) and 9 January 2020, the Medicines and Healthcare products Regulatory Agency (MHRA) had received 84 reports of 245 adverse reactions believed to be associated with vaping products that contain nicotine through its Yellow Card Scheme. A report is not proof that the reaction was caused by a vaping product, just that the reporter suspected it might have been. In the US, where there is a very different regulatory system for vaping products (including products used to vape cannabis), there was a spate of serious lung diseases and deaths that appeared to peak in late 2019. This outbreak seems to have been caused by people vaping the cannabis derivative tetrahydrocannabinol (THC) oil and vitamin E acetate. There has been no similar lung disease outbreak in England, although the MHRA has received reports of 4 deaths through its Yellow Card Scheme where vaping was suspected to be implicated
Load more

Recommended publications
  • The Effects of Tobacco Use During and After Pregnancy on Exposed Children
    The Effects of Tobacco Use During and After Pregnancy on Exposed Children Relevance of Findings for Alcohol Research Marie D. Cornelius, Ph.D., and Nancy L. Day, Ph.D Alcohol and tobacco use during pregnancy have both been associated with a number of adverse effects on the growth, cognitive development, and behavior of the exposed child. Understanding the effects of prenatal tobacco exposure allows researchers to identify those characteristics that are uniquely related to tobacco and those that are affected by alcohol exposure. This research, along with studies on the effects of alcohol use during pregnancy, has implications for preventing various types of substance use during pregnancy and for treating children affected by prenatal substance use. KEY WORDS: tobacco in any form; smoking; pregnancy; adverse drug effect; postnatal AOD (alcohol or other drug) exposure; prenatal AOD exposure; infant; cognitive development; psychobehavioral AODE (effects of AOD use, abuse, and dependence); growth and development omen who smoke during the National Pregnancy and Health this issue examine the use of alcohol pregnancy are also likely to Survey (National Institute on Drug and tobacco together, this article focuses Wdrink alcohol. In one survey, Abuse [NIDA] 1996), 74 percent of on tobacco use during pregnancy and conducted as part of the Maternal Health women who used illicit drugs during the effects of prenatal tobacco expo- Practices and Child Development pregnancy also reported either smoking, sure. Understanding the effects of pre- (MHPCD) project in Pittsburgh, drinking, or both. The use of either natal tobacco exposure allows the iden- Pennsylvania, 76 percent of adult women one of these drugs is, in itself, a risk tification of those characteristics that who reported smoking during their first factor for poorer pregnancy outcome.
    [Show full text]
  • Smoking and Pregnancy
    Queensland Health “There’s nothing wrong with having a low birth “If I stop smoking I’ll put on too much weight” weight baby—it just means a quicker and easier During pregnancy you will need more energy and birth” nutrition to cope with the needs of your growing Having a low birthweight baby does not make things baby and to maintain your own health. Eating a easier for you or your baby during birth. A smaller balanced diet is one of the best ways to stay within baby is more likely to become distressed, leading a healthy weight range, especially while pregnant. to a more complicated delivery. Labour with a low Going for a walk, swimming or practicing yoga are birthweight baby is no easier or shorter than labour great ways to deal with cravings and can get you with an average birthweight baby. Low birthweight interested in a new hobby. may also mean that your baby is not fully developed (known as foetal growth retardation). Where can I get “Smoking relaxes me and being relaxed is better for my baby” support to quit? Smoking Smoking may calm you down, but it also speeds • Quitline (13 QUIT). Counsellors are available up your heart rate, increases your blood pressure seven days a week to help you through the and depresses your nervous system. The feeling of and process of quitting. Call Quitline (13 7848) and relaxation experienced by many smokers is due to ask about tailored support available to help the nicotine in tobacco alleviating withdrawals, and pregnant women quit smoking.
    [Show full text]
  • Children and Passive Smoking: a Review
    Clinical Review Children and Passive Smoking: A Review Anne C h a rlto n , M E d , P h D Manchester, England Background. For the past 40 years, evidence has been cals from the smoke transferred in the milk. It is diffi­ accumulating on the effects of passive smoking on the cult to separate prenatal and postnatal effects with re­ ferns and on children. Over this period, research meth­ gard to growth, development, and lung function ods have become more precise and accurate, with con­ retardation. There is, however, a definite increase in re­ founding factors controlled for and actual exposure to spiratory diseases, otitis media, and minor ailments, smoke measured and validated by cotinine tests on which are unequivocally related to parental, especially body fluids. This review follows the progress of these maternal, smoking. studies and assesses the weight o f evidence for various Conclusions. There is now sufficient evidence that health risks of passive smoking on children from before health problems in children are related to maternal, and birth to adolescence. to a lesser degree paternal, smoking during pregnancy, Methods. Nearly 200 research papers published world­ and, after birth, to exposure to environmental tobacco wide were reviewed. smoke (ETS) in the home and daycare centers. Expo­ sure to ETS should be noted on pediatric patients’ Results. Effects of maternal smoking on the fetus in­ problem lists and addressed at each visit. clude low birthweight, increased risk of spontaneous abortion, and perinatal death. The effect of maternal Key words. Smoking; tobacco smoke pollution; fetal smoking on breast feeding is still enigmatic.
    [Show full text]
  • Smoking and Pregnancy
    Issue 3 Winter, 2013 News from PRAMS on prenatal and newborn health issues IN THIS ISSUE: Smoking and Pregnancy Smoking, Pregnancy Many people know that smoking can and Your Health cause lung diseases, cancer, heart attacks, strokes, and other problems such as shortness of breath, stained teeth and skin. The Delaware Quitline is a But did you know what can happen free program that can help while smoking during pregnancy? you become a non-smoker. Their toll free number is: Smoking while pregnant can: Increase the risk of miscarriage; (866) 409-1858 Cause problems with oxygen and smoked during the three months food supply for the baby; before becoming pregnant. That is You can also find information Increase the risk of birth defects; about 1 in 4 women. When looked at on the Web at Increase the risk of Sudden Infant by age, smokers are primarily young www.quitsupport.com Death Syndrome (SIDS); and women. The greatest percentage of Cause preterm or low birth weight smokers are in the 20 - 24 year old age Additional information babies. group, with slightly over 39% having about the Division of Public smoked before pregnancy (see Figure Health tobacco program Benefits of not smoking 1). That is about 4 in 10 women for can be found at http:// When you quit smoking (and don’t that age group. By education level, www.dhss.delaware.gov/ have others smoking in your home) 42% of women with a high school dhss/dph/dpc/ there are benefits for you and your education indicated they smoked. For tobacco.html baby.
    [Show full text]
  • Smoking and Reproduction
    December 2016 Smoking and reproduction 7 Introduction This fact sheet explains how smoking affects fertility in both men and women. It reviews the harm caused by smoking during pregnancy as well as some of the longer-term risks to the health of children born to parents who smoke. A published review of the literature examining the relationship between smoking and fertility concluded that tobacco use affects every system involved in the reproductive process.1 This finding is supported by a systematic review of the scientific literature on the impact of cigarette smoking and smoke constituents on the different stages of reproductive function which found that “all stages of reproductive functions are targets of cigarette smoke toxicants.”2 A study published by the US Centers for Disease Control and Prevention notes that while smoking rates amongst pregnant women in the Western world have fallen in recent years, smoking remains a major cause of new-born deaths, early births and babies born with low birth weight. Researchers found that smoking was associated with: • 5-8% of premature births • 13-19% of cases of low birth weight in babies carried to full term • 5-7% of preterm-related deaths • 23-34% of deaths caused by sudden infant death syndrome (cot death).3 In the UK, smoking in pregnancy causes up to 5,000 miscarriages, 300 peri-natal deaths and around 2,200 premature births each year.4 Female fertility Research has established beyond doubt that smoking can have a negative impact on female fertility. Women who smoke take longer to conceive than women who do not smoke.5 One study found that tobacco consumption affects uterine receptivity, with heavy smokers more likely to be affected.6 However, even comparatively low levels of smoking can have a significant impact on female fertility.
    [Show full text]
  • Management of Smoking in Pregnant Women Colin Mendelsohn Gillian S Gould Cheryl Oncken
    CLINICAL Management of smoking in pregnant women Colin Mendelsohn Gillian S Gould Cheryl Oncken Background In this article we review the natural history of Smoking is the most important preventable cause of adverse outcomes in smoking during pregnancy and postpartum. The pregnancy. However, most smokers who become pregnant continue to smoke and growing list of health effects on the mother and most of those who quit relapse after delivery. child are outlined. Finally, we suggest updated evidence-based strategies for use by health Objective professionals during pregnancy and lactation. This article explores the relationship between smoking and pregnancy, and reviews the evidence for best practice intervention by general practitioners. Natural history of smoking, Discussion quitting and relapse in Continuing to smoke during pregnancy is strongly associated with socioeconomic pregnancy disadvantage, mental illness and Aboriginal and Torres Strait Islander populations. Pregnant smokers fall into three groups, which Quitting is more difficult for these groups and interventions assist only sixin every 100 pregnant smokers to quit. Behavioural counselling is the first-line treatment. require different approaches: Nicotine replacement therapy (NRT) can be offered if the smoker is unable to quit • Those who quit spontaneously when finding without it, although its efficacy is uncertain. Adequate doses of nicotine and good out they are pregnant. This group should be adherance may be required for the best results. The use of NRT in pregnancy is encouraged to maintain abstinence. likely to be less harmful than continuing to smoke. Women should be encouraged • Those who continue to smoke and require to quit smoking before becoming pregnant.
    [Show full text]
  • Improving Pregnancy Outcomes Through Smoking Cessation
    Improving Pregnancy Outcomes through Smoking Cessation Central Jersey Family Health Consortium Improving Pregnancy Outcomes through Smoking Cessation Aut hors Cheryl A. S. McFarland, PhD Ruth Brogden, MPH Robyn D’Oria, MA, RNC, APN Velva Dawson, MPA Acknowledgements This report was supported by Funding Opportunity Number CMS-1G1-12-001 from the US Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS) under Cooperative Agreement No. 1G1CMS331386-01-07. The contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS, any of its agencies, or any agency of the State of New Jersey. We would like to recognize Margaret Koller and Michelle Pichardo for their review and recommendations throughout this process. Their insight was invaluable to this project. We would also like to acknowledge staff from the Southern New Jersey Perinatal Cooperative for their assistance with this project. Finally, we would like to thank CJFHC staff, specifically Fran LoRaso and Tom Eagan, who aided in the business processes needed to support this work and Melissa Garcia and Amira Elsayed who reviewed and provided research support for this project. Table of Contents Executive Summary i Introduction 1 Health Effects of Smoking in Pregnancy 1 Pregnancy and Second Hand Smoke 2 Smoking during the Postpartum Period 2 Smoking and the Life Course 3 The Financial Impacts of Prenatal Smoking 5 Reducing Healthcare Costs 6 Barriers to Quitting 7 Social/Partner Support 7 Environment
    [Show full text]
  • Stopping Smoking in Pregnancy – the Best Start for You and Your Baby
    Stopping Smoking in Pregnancy – The Best Start for you and your Baby. Information Leaflet This information is for you if you smoke and are either already pregnant or thinking about having a baby. It is also for you if you are exposed to tobacco smoke at home. You may also find it helpful if you are the partner or a relative of a woman who smokes. Many women find it difficult to stop smoking but it is one of the most important things you can do to improve your baby’s health, growth and development. It is also the single most important thing that you can do to improve your own long-term health. This leaflet tells you about the effect of smoking on you and your baby. It also tells you about the help and support that you will be offered to stop smoking. It’s never too late to stop smoking and your healthcare team will be supportive throughout your pregnancy. When you stop smoking, you and your baby will feel the benefits immediately. Why is smoking in pregnancy harmful to me and my baby? Just as smoking is bad for you, babies in the womb can be harmed by tobacco smoke because it reduces the amount of oxygen and nutrients that pass through the placenta from you to your baby. Smoking when you are pregnant increases your risk of: Miscarriage ectopic pregnancy (a pregnancy growing outside the womb) Your baby dying in the womb (stillbirth) or shortly after birth – one-third of all deaths in the womb or shortly after birth are thought to be caused by smoking Your baby being born with abnormalities – face defects, such as cleft lip and palate,
    [Show full text]
  • Smoking and Pregnancy
    TOBACCO CESSATION Smoking and pregnancy Smoking and pregnancy Smoking causes harm to babies even before they are born. Cigarette smoke contains more than 7,000 chemicals, (including about 70 that are known to cause cancer). You and your baby are exposed to these chemicals when you smoke or when someone smokes around you. Smoking and your unborn baby After your baby is born The umbilical cord is your baby’s lifeline. The blood • The risk of sudden infant death syndrome that flows through this cord gives your baby all the (SIDS, or ‘cot death’) is increased if you smoke oxygen and nutrients it needs to grow. during pregnancy or after birth. • Babies and children who are exposed to smoke When you smoke a cigarette you inhale the gas are more likely to suffer from asthma, other carbon monoxide. This reduces the amount of oxygen respiratory infections and middle ear infections. going to your baby through the umbilical cord. This makes the baby’s heart beat more rapidly and Breastfeeding increases stress on baby’s developing body. Smoking can also reduce the flow of blood to the baby. Breast milk protects your baby against infection and breastfeeding is one of the best things you can do Smoking harm during for the health of your baby. However, smoking pregnancy and birth reduces the amount and quality of breast milk you produce and some harmful substances from Women who smoke have a greater risk of: cigarettes go into breast milk and to the baby. • Ectopic pregnancy (a pregnancy outside If you are having difficulty quitting smoking, try the uterus) and miscarriage.
    [Show full text]
  • Smoking Cessation Guidelines for AUSTRALIAN GENERAL PRACTICE
    Smoking Cessation Guidelines FOR AUSTRALIAN GENERAL PRACTICE PRACTICE HANDBOOK 2004 EDITION Guideline Development Group School of Public Health and Community Medicine, University of New South Wales Professor Nicholas Zwar Professor Robyn Richmond The Cancer Council Victoria Dr Ron Borland Ms Suzanne Stillman General Practice Education Australia Ms Margaret Cunningham Department of General Practice, Flinders University Dr John Litt Guideline Reference Group Royal Australian College of General Practitioners, The Cancer Council Australia, National Heart Foundation, Australian Divisions of General Practice, New Zealand Guidelines for Smoking Cessation Advisory Group, University of Sydney Family Medicine Research Centre Guideline Development funded by Website Location: www.quitnow.info.au Practice Handbook 1 Table of Contents 1. BACKGROUND 1– 2 9. SPECIAL GROUPS 43 – 51 Aims of the guidelines 1 Pregnant and lactating women 43 Evidence and recommendation rating system 2 Adolescents 45 2. SUMMARY OF EVIDENCE Aboriginal and Torres Strait Islanders 46 AND RECOMMENDATIONS 3 –7 People from culturally and linguistically diverse backgrounds 47 3. SMOKING AND HEALTH 8 –10 People with smoking related disease 48 Smoking prevalence 8 People with mental illness 49 Health effects of smoking 8 People with substance-use disorders 51 Health benefits of cessation 10 10. ENVIRONMENTAL TOBACCO SMOKE 52 4. ROLE OF GENERAL PRACTICE IN SMOKING CESSATION 11–15 11. RESOURCES 53–57 Evidence of efficacy of advice from health professionals 11 12. REFERENCES 58–63 Making
    [Show full text]
  • Amphetamine-Type Stimulants in Viet Nam
    AMPHETAMINE-TYPE STIMULANTS IN VIET NAM REVIEW OF THE AVAILABILITY, USE AND IMPLICATIONS FOR HEALTH AND SECURITY “Support for developing effective ATS prevention strategies and measures for East Asia: A Pilot in Viet Nam” VNM/J93 2012 Viet Nam Country Office AMPHETAMINE TYPE STIMULANTS IN VIET NAM A REVIEW OF THE AVAILABILITY, USE AND IMPLICATIONS FOR HEALTH AND SECURITY IN VIET NAM “Support for developing effective ATS prevention strategies and measures for East Asia: A Pilot in Viet Nam” VNM/J93 United Nations Office on Drugs and Crime, Viet Nam Country Office - 2012 - TABLE OF CONTENTS ACKNOLEDGEMENT ……………………………………………………………………………… 1 PREFACE ................................................................................................................................ 2 ACRONYMS AND ABBREVIATIONS ..................................................................................... 3 EXECUTIVE SUMMARY ........................................................................................................ 4 INTRODUCTION ................................................................................................................... 5 METHODOLOGY .................................................................................................................. 6 BACKGROUND ...................................................................................................................... 8 RESULTS ................................................................................................................................ 10 A. Overview
    [Show full text]
  • Native Peoples of North America
    Native Peoples of North America Native Peoples of North America SUSAN STEBBINS OPEN SUNY TEXTBOOKS GENESEO, NY Native Peoples of North America by Susan Stebbins is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted. Contents About vii Introduction ix Chapter 1: In 1491... 1 Chapter 2: All Our Relations 25 Chapter 3: Resources and Their Distribution 49 Chapter 4: Status, Rank, and Power 83 Chapter 5: Religion and Spiritual Beliefs 105 Chapter 6: Is There a Word for Art? 131 Conclusions 159 References 165 About the Author 181 About Open SUNY Textbooks 183 Errata 185 About Native Peoples of North America is intended to be an introductory text about the Native peoples of North America (primarily the United States and Canada) presented from an anthropological perspective. As such, the text is organized around anthro- pological concepts such as language, kinship, marriage and family life, political and economic organization, food getting, spiritual and religious practices, and the arts. Prehistoric, historic and contemporary information is presented. Each chapter begins with an example from the oral tradition that reflects the theme of the chap- ter. The text includes suggested readings, videos and classroom activities. Native Peoples of North America | vii Introduction The attempt to write any book, especially a textbook, about the histories and cul- tures of the indigenous peoples of what is now called North America is a daunting task. Similar to the continent of Europe, the histories and cultures of the peoples are diverse. It is readily accepted by both scientists and the general public that humans were in Europe over 40,000 years ago.
    [Show full text]