We present the results of nitrogen and oxygen abundance measurements f
or 185 H II regions spanning a range of radii in 13 spiral galaxies. A
s expected, the nitrogen-to-oxygen ratio increases linearly with the o
xygen abundance for high-metallicity H II regions, indicating that nit
rogen is predominantly a secondary element. However, the nitrogen-to-o
xygen ratio plateaus for oxygen abundances less than 1/3 solar [12 + l
og(O/H) < 8.45], as is also seen in low-metallicity dwarf galaxies. Th
is result suggests that the observed trend in dwarf galaxies is not du
e to the outflow of enriched material in a shallow gravitational poten
tial. While the effects of the infall of pristine material and delayed
nitrogen delivery are still unconstrained, nitrogen does appear to ha
ve both a primary and a secondary component at low metallicities in al
l types of galaxies.