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不平等的风险,未满足的需求:新西兰太平洋岛民的烟草负担

Unequal risks, unmet needs: the tobacco burden for Pacific peoples in New Zealand.

作者信息

Lanumata Tolotea, Thomson George

机构信息

Department of Public Health, Te Tari Hauora Tumatanui, University of Otago, Box 7343 Wellington South, New Zealand.

出版信息

N Z Med J. 2009 Sep 25;122(1303):39-53.

PMID:19851419
Abstract

AIM

To review the available published literature and documentary material relevant to smoking by Pacific peoples in New Zealand.

METHODS

Electronic databases and websites were searched using a range of search words.

RESULTS

Over 30% of Pacific adults in New Zealand reporting being smokers in the 2006 Census, compared to 21% of the whole adult population. Smoking by Pacific women increased from 23% in 1996 to 27% in the 2006 census. Other survey data indicates some fall in the prevalence of daily smoking from 35% in 2002/3 to 26% in 2006/7. The prevalence of smoking by Pacific Year-10 students declined sharply during 1999-2007, from 29% to 16%. Smoking inside the homes of Pacific students has declined during 2001-7, from 35% to 26%. We found little government attention to smoking by Pacific peoples, and no specific central government plan for Pacific tobacco control.

CONCLUSIONS

The threat to health from smoking and secondhand smoke exposure is higher for Pacific peoples and contributes to health inequalities in New Zealand. There is a need for tobacco control interventions specific to Pacific peoples, with some policy shortcomings needing to be urgently addressed. A central government plan for Pacific tobacco control is required. Some progress has occurred, particularly in the decrease of smoking by Pacific youth, and the increase in smokefree Pacific homes.

摘要

目的

回顾与新西兰太平洋岛民吸烟相关的已发表文献和文献资料。

方法

使用一系列搜索词对电子数据库和网站进行搜索。

结果

在2006年人口普查中,新西兰超过30%的太平洋岛民成年人报告称自己是吸烟者,而整个成年人口的这一比例为21%。太平洋岛民女性吸烟率从1996年的23%上升至2006年人口普查时的27%。其他调查数据显示,每日吸烟率有所下降,从2002/3年的35%降至2006/7年的26%。1999 - 2007年间,太平洋岛民十年级学生的吸烟率大幅下降,从29%降至16%。2001 - 2007年间,太平洋岛民学生家中的吸烟率从35%降至26%。我们发现政府对太平洋岛民吸烟问题关注甚少,且中央政府没有针对太平洋岛民的烟草控制具体计划。

结论

吸烟和二手烟暴露对太平洋岛民的健康威胁更大,这加剧了新西兰的健康不平等状况。需要针对太平洋岛民开展烟草控制干预措施,一些政策缺陷亟待解决。需要中央政府制定太平洋岛民烟草控制计划。已经取得了一些进展,特别是太平洋岛民青少年吸烟率的下降以及无烟太平洋岛民家庭数量的增加。

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N Z Med J. 2009 Sep 25;122(1303):39-53.
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