Key findings from the 2009 New Zealand ... - Ministry of Health
Key findings from the 2009 New Zealand ... - Ministry of Health Key findings from the 2009 New Zealand ... - Ministry of Health
Exposure to second-hand smoke at the workplace in the past month, by neighbourhood deprivation Non-smokers living in more deprived areas were more likely to be exposed to secondhand smoke indoors at the workplace in the past month than non-smokers living in less deprived areas (confirmed by logistic regression) (Figure 73). Figure 73: Exposure to second-hand smoke indoors at the workplace, in the past month, among non-smokers aged 15–64 years, by NZDep2006 quintile, 2009 (agestandardised prevalence) 30 Percent 25 20 15 10 5 0 3.0 5.1 3.7 5.6 6.3 1 Least deprived 2 3 4 5 Most deprived NZDep2006 quintile Source: 2009 New Zealand Tobacco Use Survey Note: Age standardised to the WHO world population. 104 Tobacco Use in New Zealand
Chapter 11: Discussion The 2009 NZTUS is the final survey in a series of three New Zealand Tobacco Use Surveys conducted over a four-year period from 2006 to 2009. These surveys have been successful in providing up-to-date information for those involved in tobacco control research or policy and the provision of quitting products or services. In 2009, 21.0% of adults aged 15–64 years were current smokers, with 19.2% of adults smoking daily. The prevalence of current smoking differed by ethnic group and by neighbourhood deprivation. After adjusting for age, Māori females were found to be twice as likely to be current smokers as females in the total population, and Māori and Pacific males were one and a half times as likely to be current smokers as males in the total population. People living in the most deprived areas were more likely to be current smokers than those in less deprived areas, after adjusting for age. The long-term pattern is one of smoking prevalence declining over the decades, from 35.6% in 1976 for those aged 15 years and over. 13 A key finding from the NZTUS series is that there was a significant decline between 2006 (24.4%) and 2009 (21.8%) in the age-standardised prevalence of current smoking for the New Zealand population aged 15–64 years. It is of concern that despite there being a reduction in the prevalence of current smoking in the total population between 2006 and 2009, there was no change for Māori. Looking at current smoking by sex, the prevalence of current smoking for females aged 15–64 years fell significantly between 2006 and 2009, but there was no significant change in current smoking rates over the same time period for males. Encouragingly, there has also been a significant decline in youth smoking between 2006 and 2009 for the total population. The reasons for declining adult and youth smoking prevalence are complex, but it is likely that a wide range of health sector interventions are playing an important role, including the Smoke-free Environments Act 1990 and subsequent amendments, high tobacco prices (due to tobacco tax), mass media campaigns and smoking cessation interventions. Smoking cessation interventions include the Quitline, provision of subsidised nicotine replacement therapy (NRT), the implementation of the ABC approach by health care workers, and culturally appropriate services such as Aukati KaiPaipa. Although quitting smoking is difficult for the majority of smokers, data from this report illustrate that most smokers show regret at becoming a smoker, and many of them have tried to quit. 13 Daily smoking rate obtained from the Census. Tobacco Use in New Zealand 105
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Exposure to second-hand smoke at <strong>the</strong> workplace in <strong>the</strong> past month, by<br />
neighbourhood deprivation<br />
Non-smokers living in more deprived areas were more likely to be exposed to secondhand<br />
smoke indoors at <strong>the</strong> workplace in <strong>the</strong> past month than non-smokers living in less<br />
deprived areas (confirmed by logistic regression) (Figure 73).<br />
Figure 73: Exposure to second-hand smoke indoors at <strong>the</strong> workplace, in <strong>the</strong> past month,<br />
among non-smokers aged 15–64 years, by NZDep2006 quintile, <strong>2009</strong> (agestandardised<br />
prevalence)<br />
30<br />
Percent<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
3.0 5.1 3.7 5.6 6.3<br />
1<br />
Least deprived<br />
2 3 4 5<br />
Most deprived<br />
NZDep2006 quintile<br />
Source: <strong>2009</strong> <strong>New</strong> <strong>Zealand</strong> Tobacco Use Survey<br />
Note: Age standardised to <strong>the</strong> WHO world population.<br />
104 Tobacco Use in <strong>New</strong> <strong>Zealand</strong>