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Drinking SmokeThe Tobacco Syndemic in Oceania$
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Mac Marshall

Print publication date: 2013

Print ISBN-13: 9780824836856

Published to Hawaii Scholarship Online: November 2016

DOI: 10.21313/hawaii/9780824836856.001.0001

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Aotearoa: “Land of the Long White Smoke Cloud”

Aotearoa: “Land of the Long White Smoke Cloud”

Pacific Smoke Inhalation Case Study Number 1

(p.145) Chapter 8 Aotearoa: “Land of the Long White Smoke Cloud”
Drinking Smoke

Mac Marshall

University of Hawai'i Press

This chapter chronicles and examines the effects of tobacco use—primarily cigarette smoking—on the health and socioeconomic well-being of Pacific Islanders. The “smoking diseases” were prominent in their contribution to these discrepancies, notably cancer mortality and cardiovascular disease mortality, which were the major contributor to ethnic differences in life expectancy. In particular, lung cancer featured increasingly among Pacific males—but not Pacific females. Between 1990 and 2005, smoking prevalence by Pacific Islander adults fluctuated around a mean of 32 to 33 percent, but of concern was an increase in smoking by Pacific Islander women from 22.6 percent in 1996 to 27.3 percent in 2006.

Keywords:   Tobacco, Pacific Islanders, cardiovascular disease, mortality, life expectancy, lung cancer, Pacific Islander adults, Pacific Islander women

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