Smoking, vaping, HTP and snus in Cook Islands

Current smoking trends for the overall adult population in the Cook Islands show a decrease from 2000 (49%) to 2015 (27%), with a projection to decrease further to 18% by 2025. For women there has been a downwards year by year trend in smoking prevalence, from 44% in 2000 to 22% in 2015, and projected to be around 14% by 2025. For men the trend has also been downwards, with 54.5% being current smokers in 2000, 31% in 2015 and a projection to decrease further to around 22% by 2025. The WHO published prevalence trend estimates in tobacco smoking, as shown here, in their 2018 2nd edition report, which show slightly different smoking prevalence to the WHO country profiles. Data for the estimates are not age standardised, and were obtained from WHO databases. The trend lines are projections, not predictions, of future attainment. A projection indicates a likely endpoint if the country maintains its tobacco control efforts at the same level that it has implemented them to date. Therefore the impact of recent interventions could alter the expected endpoint shown in the projection. While the methods of estimation used in the first and second editions of the WHO report are the same, the volume of data available for the second edition is larger i.e. 200 more national surveys. The results presented are therefore more robust.