Key findings from the 2009 New Zealand ... - Ministry of Health

More documents

Recommendations

Info

Figure 2: Daily smoking among those aged 15–64 years, 1997–2009 (age-standardised prevalence) 30 Percent 25 20 15 10 5 0 26.6 25.2 20.0 21.3 19.2 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Year Data sources: 1997 = 1996/97 New Zealand Health Survey (NZHS); 2003 = 2002/03 NZHS; 2007 = 2006/07 NZHS; 2008 = 2008 New Zealand Tobacco Use Survey (NZTUS); 2009 = 2009 NZTUS Note: Age standardised to the WHO world population. Tobacco-attributable mortality It is estimated that smoking kills around 4500–5000 people in New Zealand every year (including deaths due to second-hand-smoke exposure). Around 1500 of these deaths occur in middle age. In New Zealand there was a large overall increase in mortality attributable to smoking (all causes) up until the 1980s. The total number then remained fairly steady until the mid-90s, and since then the number of deaths has been decreasing. This decrease appears to be driven by a reduction in the number of deaths attributed to smoking for males, while the number of tobacco-attributable deaths among females increased steadily to the mid 1990s and has since stabilised (Figure 3). These sex differences in tobacco-attributable mortality (TAM) reflect differences in the timing and magnitude of the tobacco epidemic experienced by males and females (Ministry of Health 2002). 12 Tobacco Use in New Zealand
Figure 3: Annual number of deaths attributed to smoking (all causes), among those aged 35+ years, 6 by sex, 1950–2005 4000 3500 Number of deaths Males Females 3000 2500 2000 1500 1000 500 0 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 Data sources: Estimates for 1950–1995 were drawn from Peto et al 2006. Estimates for 2000 and 2005 have been derived by the Health and Disability Intelligence Unit from Ministry of Health mortality counts. Notes: 1 The 2010 data point for this graph is not currently available. 2 Estimates have been calculated using the Peto method (World Health Organization 1998), which is used internationally. Analysis of linked New Zealand census and mortality data suggests that the Peto method may overestimate TAM when applied to ethnic groups such as Māori (Blakely et al 2006). Ethnic-specific estimates have therefore not been presented here. Year Smoking is the main cause of lung cancer in New Zealand and is a prominent risk factor for chronic obstructive pulmonary disease (COPD), cardiovascular disease (CVD), upper aerodigestive cancers (includes cancers of the mouth, oesophagus, pharynx and larynx), and many other cancers and chronic diseases. Table 1 presents the total number of deaths attributable to smoking, by disease grouping. The highest proportions of deaths from smoking are due to lung cancer, COPD and CVD, which together account for more than three-quarters of deaths attributable to smoking. 6 In considering TAM, the lower age group for inclusion is 35 years, reflecting the time that elapses between exposure (tobacco) and the development of diseases for which tobacco is a risk factor, and that lead to deaths that can be attributed to tobacco exposure (TAM). Tobacco Use in New Zealand 13
Page 1 and 2: Tobacco Use in New Zealand Key find
Page 3: Authors This report was prepared on
Page 6 and 7: Chapter 7: Smoker Regret and Quitti
Page 8 and 9: List of Figures Figure 1: Annual nu
Page 10 and 11: Figure 51: Received the ABC approac
Page 12 and 13: Key Points Current smoking in New Z
Page 14 and 15: Of Pacific smokers who made a recen
Page 17 and 18: Chapter 1: Introduction This report
Page 19 and 20: Total response ethnicity Ethnicity
Page 21 and 22: For example, the survey only covere
Page 23 and 24: questions asked of these groups. Gi
Page 25 and 26: Rate ratio graphs The rate ratio gr
Page 27: Figure 1: Annual number of tobacco
Page 31 and 32: Chapter 4: Current Smoking A curren
Page 33 and 34: Current smoking, by ethnic group Ta
Page 35 and 36: Current smoking, by neighbourhood d
Page 37 and 38: For Māori, there was no change in
Page 39 and 40: Māori youth were more than twice a
Page 41 and 42: Time trends in current smoking in y
Page 43 and 44: Chapter 5: Type of Cigarette Consum
Page 45 and 46: Figure 14: Roll-your-own cigarette
Page 47 and 48: Time trends in roll-your-own cigare
Page 49 and 50: Manufactured cigarette consumption
Page 51 and 52: Figure 19: Manufactured cigarette c
Page 53 and 54: Time trends in manufactured cigaret
Page 55 and 56: Type of cigarette consumption in yo
Page 57 and 58: Source of cigarettes/tobacco produc
Page 59 and 60: Chapter 7: Smoker Regret and Quitti
Page 61 and 62: Quit smoking for at least 24 hours
Page 63 and 64: Quit smoking for at least a week in
Page 65 and 66: For Māori, there was no change bet
Page 67 and 68: Chapter 8: Use of Quitting Advice o
Page 69 and 70: After adjusting for age, 15-64-year
Page 71 and 72: Time trends in the use of any quitt
Page 73 and 74: Time trends in services and product
Page 75 and 76: Use of the Quitline The National Qu
Page 77 and 78: Use of nicotine replacement therapy
Page 79 and 80:
3. Age standardised to the WHO worl
Page 81 and 82:
Preferred choice of services and pr
Page 83 and 84:
Use of the ABC approach by health c
Page 85 and 86:
Figure 45: Asked smoking status by
Page 87 and 88:
Provided with quitting advice and r
Page 89 and 90:
Received the ABC approach from a he
Page 91 and 92:
Received the ABC approach from a he
Page 93 and 94:
Asked smoking status by a general p
Page 95 and 96:
Asked smoking status by a general p
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
For Māori, the age-standardised pr
Page 103 and 104:
Figure 60: Received the ABC approac
Page 105 and 106:
Time trends in receiving the ABC ap
Page 107 and 108:
Chapter 10: Exposure to Second-hand
Page 109 and 110:
Figure 65: Exposure to second-hand
Page 111 and 112:
Exposure to second-hand smoke at ho
Page 113 and 114:
Exposure to second-hand smoke at ho
Page 115 and 116:
Exposure to second-hand smoke in th
Page 117 and 118:
Exposure to second-hand smoke in th
Page 119 and 120:
Figure 72: Exposure to second-hand
Page 121 and 122:
Chapter 11: Discussion The 2009 NZT
Page 123 and 124:
A further limitation is that differ
Page 125 and 126:
P-value Prevalence Quintile Recent
Page 127 and 128:
References Ahmad O, Boschi-Pinto C,
show all

Key findings from the 2009 New Zealand ... - Ministry of Health

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?