Menzies School of Health Research & Lowitja Institute, Charles Darwin University, Casuarina, Northern Territory.
Aust N Z J Public Health. 2012 Feb;36(1):24-9. doi: 10.1111/j.1753-6405.2011.00817.x. Epub 2012 Jan 2.
To describe the trends in the prevalence of smoking, quitting and initiation among Aboriginal and Torres Strait Islander men and women aged 18 years and over.
Analysis of responses to smoking questions in national Indigenous surveys in 1994, 2002, 2004 and 2008.
Male Indigenous smoking prevalence fell significantly from 58.5% in 1994 to 52.6% in 2008, an absolute decrease of 0.4 (CI 0.1-0.7)% per year, with the same decline in remote and non-remote areas. Female smoking fell from 51.0% to 47.4%, with markedly different changes in remote and non-remote areas. In non-remote areas, there was an absolute decrease in female smoking of 0.5 (CI 0.2-0.9)% per year, but in remote areas, female smoking increased by 0.4 (CI 0.0-0.8)% per year. From 2002 to 2008, the percentage of ever-smokers who had quit (quit ratio) increased absolutely by 1% per year in both men and women, remote and non-remote areas. Results about trends in initiation were inconclusive.
Health Minister Roxon has committed to halving the Indigenous smoking prevalence by 2018, and has dramatically increased Indigenous-specific funding and activity in tobacco control. The reported historical trends in this paper are encouraging as they occurred at a time when there was little such tobacco control activity focused on Aboriginal and Torres Strait Islander people. However, to meet the Minister's goal, Indigenous smoking prevalence will need to fall more than six times as quickly as occurred from 1994 to 2008.
描述 18 岁及以上的土著和托雷斯海峡岛民男女吸烟、戒烟和开始吸烟的流行趋势。
分析 1994 年、2002 年、2004 年和 2008 年全国土著调查中对吸烟问题的答复。
男性土著吸烟率从 1994 年的 58.5%显著下降到 2008 年的 52.6%，每年绝对下降 0.4（CI 0.1-0.7）%，在偏远和非偏远地区均有相同的下降。女性吸烟率从 51.0%降至 47.4%，在偏远和非偏远地区有明显不同的变化。在非偏远地区，女性吸烟率每年绝对下降 0.5（CI 0.2-0.9）%，但在偏远地区，女性吸烟率每年增加 0.4（CI 0.0-0.8）%。从 2002 年到 2008 年，每年男性和女性、偏远和非偏远地区的戒烟者比例（戒烟比例）绝对增加 1%。关于开始吸烟趋势的结果不确定。
卫生部长罗克森承诺到 2018 年将土著吸烟率减半，并大幅增加针对土著居民的烟草控制专项资金和活动。本文报告的历史趋势令人鼓舞，因为这些趋势发生在几乎没有针对土著和托雷斯海峡岛民的烟草控制活动的时候。然而，要实现部长的目标，土著吸烟率需要以比 1994 年至 2008 年更快的速度下降六倍以上。
