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Socio-demographic characteristics of New Zealand adult smokers, exsmokers and non-smokers: results from the 2013 Census

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Authors:
Summary:

Smoking data are reported from the 2013 New Zealand Census of Population and Dwellings. These results are compared with findings from the 2006 Census, for estimating recent changes in smoking prevalence. In 2013, 15.1% of New Zealand adults aged ≥15 years reported that they were regular smokers (smoked ≥1 cigarettes per day), which translates to a 22.5% drop in smokers since 2006. Large declines in age-standardised smoking prevalence occurred among both genders in almost all ethnicity groups. However, disparities persist in smoking prevalence between population subgroups: Māori continue to have the highest age-standardised smoking prevalence (32.4%), and smoking prevalence is high among Māori women, both young adults and middle-aged. There was encouraging evidence of an acceleration in the decline of smoking prevalence between 2006 and 2013. For instance, the decrease in smoking prevalence of young adults was much greater between 2006 and 2013 than between 1996 and 2006.

Comment:
It is encouraging to see a decline in smoking rates, though as the authors suggest, this is probably due in large to lower rates of initiation. They suggest that addressing ethnic inequalities in smoking for Māori women will require interventions that address both the “broader determinants in health (eg, improving income, housing, employment and access to healthcare) as well as tobacco control specific measures”.
Reference: N Z Med J. 2016;129(1447):43-56
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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