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Socioeconomic Deprivation and Ethnicity are both Important for Anti-tobacco Health Promotion

Department of Public Health, Wellington School of Medicine; Health Services Research Centre, Wellingtoncramptonp{at}wnmeds.ac.nz

Clare Salmond, MSc

Department of Public Health, Wellington School of Medicine

Alistair Woodward, MD, PhD

Department of Public Health, Wellington School of Medicine

Papaarangi Reid, MBChB, Dip Obs, Dip Com H

Eru Pomare Mäori Health Research Centre, Department of Public Health, Wellington School of Medicine

The aim of the study was to explore the relative importance of socioeconomic deprivation and ethnicity for smoking in New Zealand in order to assist with the design and evaluation of health promotion programs. Smoking data were derived from the 1996 census. Socioeconomic deprivation was measured using the NZDep96 index of socioeconomic deprivation for small areas, which combines nine variables from the 1996 census. There was a strong and consistent relationship between area-level socioeconomic deprivation and the proportion of regular smokers. In all age-groups, at each level of deprivation, Mäori smoked more than the "European and Other" ethnic group. The findings of this study support the view that effective tobacco control activities should address ethnic differences in smoking behavior as well as socioeconomic deprivation, and must operate at the levels of populations, places and environments, as well as individuals.

Health Education & Behavior, Vol. 27, No. 3, 317-327 (2000)
DOI: 10.1177/109019810002700306


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