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Tobacco and Public Health - TCSC Indonesia

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Table 36.1 Comparison of alcohol <strong>and</strong> tobacco use<br />

ALBERT B. LOWENFELS AND PATRICK MAISONNEUVE<br />

Variable <strong>Tobacco</strong> Alcohol<br />

History of early use Brought back to Europe from Mentioned in Old<br />

the Americas by Columbus. Testament<br />

Widespread use by 1700s.<br />

Minimum legal age (USA) 18 or 19, depending on locality 21<br />

Estimated deaths per year in<br />

USA (Miller <strong>and</strong> Gold 1998) 400 000 100 000<br />

Taxable substance? Yes Yes<br />

Current use by persons<br />

≥18 yrs in 1999 (USA)<br />

Males 26% 70%<br />

Females 22% 56%<br />

Estimated % with addiction High proportion 5–10%<br />

Recommended ‘safe’ level No ‘safe’ level Recommended upper limit:<br />

for consumption Males ≤ 2 units per day<br />

Females ≤ 1 unit per day<br />

Known carcinogens present? Yes No<br />

Impact on fetus Lowers birth weight Causes fetal alcohol<br />

syndrome<br />

Cost/yr 60 Billion (1994) 148 Billion (1998)<br />

Number web sites (Google) 1 Smoking 5 630 000 Drinking 4 490 000<br />

<strong>Tobacco</strong> 3 540 000 Alcoholism 625 000<br />

Number medline retrivals1 Smoking 83 291 Drinking 58 163<br />

<strong>Tobacco</strong> 32 514 Alcoholism 48 226<br />

1 February 2002.<br />

Table 36.2 Association between use of tobacco <strong>and</strong> alcohol during past month in 24 505<br />

persons responding to National USA Household Survey on drug abuse, 1997<br />

Age group N % Smokers % Smokers in % Smokers in % Smokers <strong>and</strong><br />

non-drinkers drinkers drinkers<br />

12–17 7844 19% 9.5% 57% 11%<br />

18–25 6239 36% 19% 50% 28%<br />

26–34 4387 34% 25% 40% 24%<br />

35+ 6035 29% 24% 33% 17%<br />

Total 24 505 28% 20% 36% 19%<br />

Data from Table 8.7, Ref #1. Drinking refers to any consumption of alcohol in past month.<br />

645

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