关键词: Indigenous health Population characteristics Population health Prevention and control Public policy Smoking

Mesh : Adult Male Female Humans Middle Aged Cross-Sectional Studies Australia / epidemiology Health Surveys Smoking / epidemiology Australasian People

来  源:   DOI:10.5694/mja2.52216

Abstract:
To assess the socio-demographic and health-related characteristics of people who smoke daily, people who formerly smoked, and people who have never smoked in Australia.
Cross-sectional analysis of Australian Bureau of Statistics (ABS) survey data.
Adult participants (16 370 people aged 18 years or older) in the ABS 2017-18 National Health Survey (NHS); adult participants in the ABS 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) (6423 people aged 18 years or older).
Socio-demographic and health-related characteristics of people who smoke daily, people who formerly smoked, and people who have never smoked, expressed as population-weighted proportions, overall and by Indigeneity.
Among adult NHS respondents, an estimated 58.8% of people who smoked daily (95% confidence interval [CI], 56.2-61.4%) were men, 61.3% (95% CI, 58.7-63.9%) were 25-54 years old, 72.5% (95% CI, 70.0-74.8%) were born in Australia, and 65.4% (95% CI, 62.8-67.8%) lived in major cities and 54.3% (95% CI, 51.6-57.0%) in areas in the two socio-economically most disadvantaged quintiles; 75.9% (95% CI, 73.5-78.1%) reported good to excellent health, 73.0% (95% CI, 70.5-75.4%) reported low to moderate psychological distress, 69.0% of those aged 25-64 years (ie, of working age) had completed year 12 (high school), and 68.5% were currently employed. An estimated 2.57 million people smoke daily in Australia: 2.37 million non-Indigenous people (92%) and 195 700 Aboriginal or Torres Strait Islander people (8%).
While smoking is more frequent among people living in socio-economically disadvantaged areas and in certain population sub-groups, this first quantitative national profile indicates that most people who smoke daily are in paid employment, are non-Indigenous, are in good physical and mental health, and have completed year 12. Improved comprehensive structural supply- and demand-based tobacco control, informed by the needs of priority groups and the overall profile of people who smoke, is needed to reduce daily smoking prevalence among adults to the 2030 targets of 5% or less for all Australians and 27% or less for Aboriginal and Torres Strait Islander people.
摘要:
目的:评估每日吸烟人群的社会人口统计学和健康相关特征,以前吸烟的人,以及在澳大利亚从不吸烟的人。
方法:澳大利亚统计局(ABS)调查数据的横截面分析。
方法:ABS2017-18国家健康调查(NHS)的成年参与者(16370名18岁或以上的人);ABS2018-19国家原住民和托雷斯海峡岛民健康调查(NATSIHS)的成年参与者(6423名18岁或以上的人)。
方法:每天吸烟的人的社会人口统计学和健康相关特征,以前吸烟的人,和从不吸烟的人,以人口加权比例表示,总体上和自然性。
结果:在成人NHS受访者中,估计有58.8%的人每天吸烟(95%置信区间[CI],56.2-61.4%)是男性,61.3%(95%CI,58.7-63.9%)为25-54岁,72.5%(95%CI,70.0-74.8%)出生在澳大利亚,65.4%(95%CI,62.8-67.8%)生活在主要城市,54.3%(95%CI,51.6-57.0%)生活在两个社会经济最不利的五分之一地区;75.9%(95%CI,73.5-78.1%)报告健康状况良好,73.0%(95%CI,70.5-75.4%)报告了低至中度的心理困扰,69.0%的25-64岁人群(即,工作年龄)已完成12年级(高中),目前有68.5%受雇。在澳大利亚,估计每天有257万人吸烟:237万非原住民(92%)和195,700原住民或托雷斯海峡岛民(8%)。
结论:虽然生活在社会经济弱势地区和某些人口亚群体中吸烟更为频繁,这个第一个定量的国家概况表明,大多数每天吸烟的人都是有偿工作,是非土著的,身体和心理健康都很好,并完成了12年。改善以供应和需求为基础的全面结构性烟草控制,根据优先群体的需求和吸烟人群的整体状况,需要将成年人的每日吸烟率降低到2030年目标,即所有澳大利亚人的5%或更低,原住民和托雷斯海峡岛民的27%或更低。
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