title: Acculturation status has a modest effect on smoking prevalence among a cohort of Pacific fathers in New Zealand.
abstract: OBJECTIVE
  This article explores the relationship between smoking prevalence and acculturation among a cohort of Pacific Island fathers resident in New Zealand.
  
  
  METHODS
  Overall, 766 Pacific fathers were included in the analysis. Self-reported smoking status was assessed and compared with data from a robust epidemiological measure of acculturation status specifically designed for use amongst the Pacific population. Additional variables describing socio-demographic and other circumstances of the participating fathers were also incorporated in the analysis because of their known association with smoking behaviour.
  
  
  RESULTS
  Overall, 40.3% of Pacific fathers were current smokers. Multivariable logistic regression showed that acculturation status was associated with smoking crude (p<0.001) and multivariable logistic regression models, when adjusting to socio-demographic variables (p=0.008).
  
  
  CONCLUSIONS
  Smoking rates for Pacific fathers in New Zealand are high. There appears to be a modest effect of acculturation on smoking prevalence, where those fathers with higher Pacific cultural identity have the lowest smoking rates. It is opined that the strength of identification and a holistic view of health enhances the motivations of Pacific fathers to be smoke-free in New Zealand.
  
  
  CONCLUSIONS
  Strategies which maintain, enhance, and incorporate fathers' Pacific cultural identity may be a useful addition to comprehensive tobacco control strategies to reduce the prevalence of smoking in Pacific people living in New Zealand.
authors.affiliation: School of Public Health and Psychosocial Studies, AUT University, Auckland, New Zealand. elshadan.tautolo@aut.ac.nz
authors.forename: El-Shadan
authors.initials: el-S
authors.lastname: Tautolo
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Schluter
authors.forename: Janis
authors.initials: J
authors.lastname: Paterson
authors.forename: Hayden
authors.initials: H
authors.lastname: McRobbie
mesh_terms: D000069:Acculturation; D000328:Adult; D015331:Cohort Studies; D004522:Educational Status; D004651:Employment; D005220:Fathers / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009520:New Zealand / Q000453:epidemiology; D015995:Prevalence; D011634:Public Health; D012907:Smoking / Q000453:epidemiology*; D000074606:Smoking Prevention; D055815:Young Adult