Tobacco endgame intervention impacts on health gains and Maori:non-Maori health inequity: a simulation study of the Aotearoa/New Zealand Tobacco Action Plan.

ABSTRACT:

Background

The Aotearoa/New Zealand Government is aiming to end the tobacco epidemic and markedly reduce Māori:non-Māori health inequalities by legislating: (1) denicotinisation of retail tobacco, (2) 95% reduction in retail outlets and (c) a tobacco free-generation whereby people born after 2005 are unable to legally purchase tobacco. This paper estimates future smoking prevalence, mortality inequality and health-adjusted life year (HALY) impacts of these strategies.

Methods

We used a Markov model to estimate future yearly smoking and vaping prevalence, linked to a proportional multistate life table model to estimate future mortality and HALYs.

Results

The combined package of strategies (plus media promotion) reduced adult smoking prevalence from 31.8% in 2022 to 7.3

SUBMITTER: Ait Ouakrim D 

PROVIDER: S-EPMC11672025 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature