Thornley Simon, Jackson Gary, McRobbie Hayden, Sinclair Siniva, Smith James
Department of Epidemiology and Biostatistics, School of Population Health, Tamaki Campus, University of Auckland, Private Bag 92019, Auckland, New Zealand.
N Z Med J. 2010 Jan 29;123(1308):16-27.
Nicotine replacement therapy (NRT) is a life-saving, cost-effective smoking cessation treatment that doubles the chances of long-term abstinence regardless of the amount of additional support provided. We investigate the proportion of working age people (age 15-64 years) in Counties Manukau District Health Board (CMDHB) who obtained at least one packet of subsidised NRT during 2007, and whether this varied by demographic characteristics.
We linked health data in residents of CMDHB aged 15 to 64, using a cross sectional method, to estimate the odds of Maori and Pacific ethnic groups with high smoking prevalence accessing subsidised NRT during 2007 using logistic regression. Demographic variables such as age, gender, other ethnic groups, and socioeconomic deprivation (NZdep) were also included.
Subsidised NRT was infrequently (proportion of 'ever users' 0.5%/year, or about 2.1% of smokers) claimed for in CMDHB in 2007. When adjusted for demographic variables, Pacific peoples were 60% less likely to claim NRT than European (odds ratio 0.34; 95%CI 0.29-0.41), despite a higher prevalence of smoking in the former group. An over four-fold increased use of NRT was observed in those aged 55 to 64 years compared to 15 to 25 year olds.
Dispensing of NRT is low overall in CMDHB. Lowest rates of treatment were observed in younger age groups, men and Pacific and Maori people. Programmes to increase uptake of such treatment in these groups are urgently needed.
尼古丁替代疗法（NRT）是一种挽救生命且具有成本效益的戒烟治疗方法，无论提供多少额外支持，它都能使长期戒烟的几率翻倍。我们调查了马努考县地区卫生局（CMDHB）工作年龄人群（15 - 64岁）中在2007年获得至少一包补贴NRT的比例，以及这一比例是否因人口统计学特征而异。
我们采用横断面方法，将CMDHB中15至64岁居民的健康数据相链接，以使用逻辑回归估计2007年吸烟率高的毛利族和太平洋族裔群体获得补贴NRT的几率。还纳入了年龄、性别、其他族裔群体和社会经济剥夺程度（NZdep）等人口统计学变量。
2007年，CMDHB中补贴NRT的申领情况并不常见（“曾经使用者”的比例为每年0.5%，约占吸烟者的2.1%）。在对人口统计学变量进行调整后，尽管太平洋族裔群体的吸烟率较高，但他们申领NRT的可能性比欧洲裔低60%（优势比0.34；95%置信区间0.29 - 0.41）。与15至25岁的人群相比，55至64岁人群使用NRT的增加了四倍多。
CMDHB中NRT的发放总体较低。在年轻年龄组、男性以及太平洋族裔和毛利族人群中观察到最低的治疗率。迫切需要开展项目以提高这些群体对这种治疗方法的接受度。
