Key findings from the 2009 New Zealand ... - Ministry of Health

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Nearly a quarter (23.8%) of current and casual smokers had quit for at least a week in the past year. The age-standardised prevalence of males aged 15–64 years who quit smoking in the past 12 months for at least a week increased significantly between 2008 and 2009. There was no difference in the proportion of females aged 15–64 years who quit smoking in past 12 months for at least a week between 2008 and 2009. More than one-third (37.9%) of smokers who made a recent quit attempt used quitting products or advice in their most recent quit attempt, with 20.3% using NRT and 15.7% using the Quitline. After adjusting for age, there was a significant decrease between 2006 and 2009 in the prevalence of those who sought support from family and friends and a significant increase in the proportion of people who used the Quitline in their most recent quit attempt. Despite the increase in use of the Quitline for the total population, utilisation for Māori remained relatively stable. Māori carry a greater burden of poor health outcomes related to tobacco exposure compared to the total population. Māori have a high prevalence of current smoking among adults and youth and a high prevalence of exposure to second-hand smoke. Given the higher prevalence of smoking in Māori, it was encouraging to find that Māori smokers were more likely to have received ABC from a health care worker in the past 12 months than the total population. Māori smokers made similar use of other quitting services and products (eg, use of the Quitline and NRT) to the total population. Pacific males had a significantly higher prevalence of current smoking than males in the total population, but there was no difference for females. Pacific people who had seen a GP in the past 12 months were significantly more likely than the total population to have been asked their smoking status by a GP in the past 12 months than the total population. Pacific recent quit attempters were significantly less likely to have used the Quitline and NRT in their most recent quit attempt than recent quit attempters in the total population. Future research should investigate how the Quitline and NRT can be better targeted to meet the needs of Pacific people. Note that the small number of Pacific people in the sample meant that large differences between Pacific people and the total population were required to detect significant differences. The information contained within this report will help in the evaluation of one of the six 2010/11 Health Targets, ‘Better help for smokers to quit’. Of particular interest are the baseline data on the proportion of smokers experiencing components of the ABC approach. The population groups with the highest proportions of smokers appear more likely to be receiving guidance and referral to cessation services from health care workers, which is encouraging, as this is where the need is. Although the Tobacco Use Surveys are methodologically sound, they are not without limitations. For instance, the target population did not include people living in institutions (such as prisons, hospitals, rest homes and boarding schools) and the homeless. Analysis presented in Chapter 4: Current Smoking (Table 2) showed that the prevalences and estimated populations presented in this and previous Tobacco Use Surveys are likely to underestimate the true total population figures by approximately 5%. 106 Tobacco Use in New Zealand
A further limitation is that differences across surveys in how data have been collected mean that time-trend analysis has not always been possible. Where time-trend analysis has been conducted, caution should be applied in interpreting the data. From 2011 the Tobacco Use Survey (along with a number of other Ministry surveys, such as the Adult Nutrition Survey and the Alcohol and Drug Use Surveys) will be integrated into a single survey, the New Zealand Health Survey (NZHS). The NZHS will be in continuous operation and will comprise a set of core questions combined with a flexible programme of rotating thematic/topic modules. The core survey will include a number of key indicators of tobacco use and quitting behaviour. The first in-depth tobacco module is likely to be included in the NZHS for a period of time between 2012 and 2013. The inclusion of tobacco questions in the core component of the NZHS will mean that it will be possible to monitor smoking rates annually, pool data across years, and obtain more accurate estimates for specific populations, including ethnic groups and DHB regions, than has been possible to date. Tobacco Use in New Zealand 107
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Tobacco Use in New Zealand Key find
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Authors This report was prepared on
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Chapter 7: Smoker Regret and Quitti
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List of Figures Figure 1: Annual nu
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Figure 51: Received the ABC approac
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Key Points Current smoking in New Z
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Of Pacific smokers who made a recen
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Chapter 1: Introduction This report
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Total response ethnicity Ethnicity
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For example, the survey only covere
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questions asked of these groups. Gi
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Rate ratio graphs The rate ratio gr
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Figure 1: Annual number of tobacco
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Figure 3: Annual number of deaths a
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Chapter 4: Current Smoking A curren
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Current smoking, by ethnic group Ta
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Current smoking, by neighbourhood d
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For Māori, there was no change in
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Māori youth were more than twice a
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Time trends in current smoking in y
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Chapter 5: Type of Cigarette Consum
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Figure 14: Roll-your-own cigarette
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Time trends in roll-your-own cigare
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Manufactured cigarette consumption
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Figure 19: Manufactured cigarette c
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Time trends in manufactured cigaret
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Type of cigarette consumption in yo
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Source of cigarettes/tobacco produc
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Chapter 7: Smoker Regret and Quitti
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Quit smoking for at least 24 hours
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Quit smoking for at least a week in
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For Māori, there was no change bet
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Chapter 8: Use of Quitting Advice o
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After adjusting for age, 15-64-year
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Page 121: Chapter 11: Discussion The 2009 NZT
Page 125 and 126: P-value Prevalence Quintile Recent
Page 127 and 128: References Ahmad O, Boschi-Pinto C,
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Key findings from the 2009 New Zealand ... - Ministry of Health

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