Understanding ethnic inequities associated with tobacco use in Aotearoa New Zealand: a quantitative analysis.

Despite the inclusion of both individual interventions and population-based measures in the Aotearoa New Zealand (Aotearoa NZ) Tobacco Control Programme, the gap between Māori, Pacific peoples and European/Asian/Other (EAO) populations in tobacco use has not decreased significantly. Tobacco control...

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Publicado en:Health Promotion International Vol. 39; no. 3; pp. 1 - 13
Autores principales: Gurram, Niveditha, Carroll, Felix, Elers, Christine Ngā Hau, Fox, Ririwai, Minster, Sara Tepaeru, Wikaire, Erena, Brown, Lynsey
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Understanding ethnic inequities associated with tobacco use in Aotearoa New Zealand: a quantitative analysis.
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          Gurram, Niveditha
          Carroll, Felix
          Elers, Christine Ngā Hau
          Fox, Ririwai
          Minster, Sara Tepaeru
          Wikaire, Erena
          Brown, Lynsey
        affil: Insights and Evaluation, Health Promotion Directorate, National Public Health Service, Te Whatu Ora—Health New Zealand , Level 16, 101 The Terrace , Wellington 6011, New Zealand
      sug:
        subj:
          Health Inequities Evaluation
          Tobacco Products
          Smoking
          Ethnic Groups
          Human
          New Zealand
          Conceptual Framework
          Social Determinants of Health
          Descriptive Statistics
          Data Analysis Software
          Questionnaires
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          Cross Sectional Studies
          Multiple Regression
          Poisson Distribution
          Confidence Intervals
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Despite the inclusion of both individual interventions and population-based measures in the Aotearoa New Zealand (Aotearoa NZ) Tobacco Control Programme, the gap between Māori, Pacific peoples and European/Asian/Other (EAO) populations in tobacco use has not decreased significantly. Tobacco control interventions that focus on individual behaviour change have produced little impact towards reducing tobacco smoking inequities for Māori and Pacific peoples in Aotearoa NZ. Using data from the New Zealand Health Survey (NZHS), this research investigates the impact of the wider determinants of health and individual-level factors on inequities in tobacco use between Māori, Pacific peoples and EAO. A conceptual framework was developed to support the theoretical positioning of this research and to inform data categorization, framing, discourse, analyses and interpretation. We conducted hierarchical regression to examine the effect of factors from each domain on ethnic inequities in tobacco use. We found that socioeconomic factors accounted for a significant amount of the disparity in adults currently smoking between Māori and Pacific peoples and EAO. Our results suggest that socioeconomic factors may be a more effective target of intervention than individual behaviours for reducing tobacco-related inequities. Addressing the broader determinants of health through comprehensive cross-agency cooperation to reduce ethnic inequities in tobacco use in Aotearoa NZ is likely to be more effective than individual behaviour change approaches.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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