Document Detail


Few smokers in South Auckland access subsidised nicotine replacement therapy.
MedLine Citation:
PMID:  20173802     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: 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. METHOD: 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. RESULTS: 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. CONCLUSION: 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.
Authors:
Simon Thornley; Gary Jackson; Hayden McRobbie; Siniva Sinclair; James Smith
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-01-29
Journal Detail:
Title:  The New Zealand medical journal     Volume:  123     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-03-12     Revised Date:  2010-10-22    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  16-27     Citation Subset:  IM    
Affiliation:
Department of Epidemiology and Biostatistics, School of Population Health, Tamaki Campus, University of Auckland, Private Bag 92019, Auckland, New Zealand. sithor@woosh.co.nz
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
New Zealand / epidemiology
Nicotine / therapeutic use*
Oceanic Ancestry Group
Odds Ratio
Prevalence
Sex Distribution
Smoking / epidemiology
Smoking Cessation / ethnology,  methods*,  statistics & numerical data*
Young Adult
Chemical
Reg. No./Substance:
54-11-5/Nicotine
Comments/Corrections
Comment In:
N Z Med J. 2010 Jan 29;123(1308):6-8   [PMID:  20173799 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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