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

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Figure 3:<br />

Annual number <strong>of</strong> deaths attributed to smoking (all causes), among those aged<br />

35+ years, 6 by sex, 1950–2005<br />

4000<br />

3500<br />

Number <strong>of</strong> deaths<br />

Males<br />

Females<br />

3000<br />

2500<br />

2000<br />

1500<br />

1000<br />

500<br />

0<br />

1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005<br />

Data sources: Estimates for 1950–1995 were drawn <strong>from</strong> Peto et al 2006. Estimates for 2000 and 2005 have been<br />

derived by <strong>the</strong> <strong>Health</strong> and Disability Intelligence Unit <strong>from</strong> <strong>Ministry</strong> <strong>of</strong> <strong>Health</strong> mortality counts.<br />

Notes:<br />

1 The 2010 data point for this graph is not currently available.<br />

2 Estimates have been calculated using <strong>the</strong> Peto method (World <strong>Health</strong> Organization 1998), which is used<br />

internationally. Analysis <strong>of</strong> linked <strong>New</strong> <strong>Zealand</strong> census and mortality data suggests that <strong>the</strong> Peto method may<br />

overestimate TAM when applied to ethnic groups such as Māori (Blakely et al 2006). Ethnic-specific estimates<br />

have <strong>the</strong>refore not been presented here.<br />

Year<br />

Smoking is <strong>the</strong> main cause <strong>of</strong> lung cancer in <strong>New</strong> <strong>Zealand</strong> and is a prominent risk factor<br />

for chronic obstructive pulmonary disease (COPD), cardiovascular disease (CVD),<br />

upper aerodigestive cancers (includes cancers <strong>of</strong> <strong>the</strong> mouth, oesophagus, pharynx and<br />

larynx), and many o<strong>the</strong>r cancers and chronic diseases.<br />

Table 1 presents <strong>the</strong> total number <strong>of</strong> deaths attributable to smoking, by disease<br />

grouping. The highest proportions <strong>of</strong> deaths <strong>from</strong> smoking are due to lung cancer,<br />

COPD and CVD, which toge<strong>the</strong>r account for more than three-quarters <strong>of</strong> deaths<br />

attributable to smoking.<br />

6<br />

In considering TAM, <strong>the</strong> lower age group for inclusion is 35 years, reflecting <strong>the</strong> time that elapses<br />

between exposure (tobacco) and <strong>the</strong> development <strong>of</strong> diseases for which tobacco is a risk factor, and<br />

that lead to deaths that can be attributed to tobacco exposure (TAM).<br />

Tobacco Use in <strong>New</strong> <strong>Zealand</strong> 13

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