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    The decline of smoking initiation among Aboriginal and Torres Strait Islander secondary students: implications for future policy

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    Author
    Heris, CL; Guerin, N; Thomas, DP; Eades, SJ; Chamberlain, C; White, VM
    Date
    2020-08-10
    Source Title
    Australian and New Zealand Journal of Public Health
    Publisher
    WILEY
    University of Melbourne Author/s
    Eades, Sandra
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Heris, C. L., Guerin, N., Thomas, D. P., Eades, S. J., Chamberlain, C. & White, V. M. (2020). The decline of smoking initiation among Aboriginal and Torres Strait Islander secondary students: implications for future policy. AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 44 (5), pp.397-403. https://doi.org/10.1111/1753-6405.13022.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/252522
    DOI
    10.1111/1753-6405.13022
    Abstract
    OBJECTIVE: Smoking is a major cause of preventable illness for Aboriginal and Torres Strait Islander people, with most commencing in adolescence. Understanding trends in youth tobacco use can inform prevention policies and programs. METHODS: Logistic regression models examined smoking trends among Aboriginal and Torres Strait Islander and all students aged 12-17 years, in five nationally representative triennial surveys, 2005-2017. Outcomes measured lifetime, past month, past week tobacco use and number of cigarettes smoked daily (smoking intensity). RESULTS: Aboriginal and Torres Strait Islander students' never smoking increased (2005: 49%, 2017: 70%) with corresponding declines in past month and week smoking. Smoking intensity reduced among current smokers (low intensity increased 2005: 67%, 2017: 77%). Trends over time were similar for Aboriginal and Torres Strait Islander students as for all students (8-10% annual increase in never smoking). CONCLUSIONS: Most Aboriginal and Torres Strait Islander students are now never smokers. Comparable declines indicate similar policy impact for Aboriginal and Torres Strait Islander and all students. Implications for Public Health: Comprehensive population-based tobacco control policies can impact all students. Continued investment, including in communities, is needed to maintain and accelerate reductions among Aboriginal and Torres Strait Islander students to achieve equivalent prevalence rates and reduce health inequities.

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