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

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Chapter 9: Use of the ABC Approach by Health Care Workers The New Zealand Smoking Cessation Guidelines provide guidance for health care workers in their contact with smokers (Ministry of Health 2007). The guidelines are structured around the ABC approach for quitting smoking: health care workers should Ask about smoking status, give Brief advice to stop smoking to all smokers and provide evidence-based Cessation (quitting) support for those who wish to stop smoking (Ministry of Health 2009a). Using this approach, health care workers will work towards achieving one of the six 2010/11 Health Targets, ‘Better help for smokers to quit’ (Ministry of Health 2010). The information contained within this chapter will help to evaluate the achievement of this target. In 2008/09, District Health Boards (DHBs) were required, for the first time, to formulate a tobacco control plan, which outlined in detail how they were going to reorient current funding/services to provide broader access to cessation support across their services. Implementation of ABC had not begun at the time the 2009 NZTUS was in the field (January to May 2009). This report therefore provides baseline data on the proportion of people experiencing components of the ABC approach. In September 2009, nicotine replacement therapy (NRT) became available on prescription, resulting in significantly reduced prices for lozenges, patches and gum – down from $10 to $3 for two months’ supply. The availability of NRT on prescription may have an impact on the ability of general practitioners (GPs) and other health care workers with prescribing rights to provide evidence-based quitting support for those who wish to stop smoking. The baseline data contained within this report will facilitate the evaluation of this. This chapter presents data relating to the use of the ABC approach by health care workers in general, and GPs in particular. The term ‘health care worker’ covers GPs, emergency department staff, specialist doctors, nurses, midwives, physiotherapists, counsellors, community support workers, cultural workers and oral health care workers. Time-trend data relating to the use of the ABC approach by health care workers in general is not presented. This is because the questions asking respondents which health care workers they had seen about their own health differed between 2008 and 2009, making comparisons between the questionnaires unreliable. Consequently, data presented in this report should not be compared with that presented in the quitting report based on the 2008 Tobacco Use Survey data (Ministry of Health 2009c). 66 Tobacco Use in New Zealand
Use of the ABC approach by health care workers Asked smoking status by a health care worker Nearly half (47.5%, 45.8–49.3) of all 15–64-year-olds and nearly three in five current smokers (57.7%, 54.4–61.0) reported that, at some time in the past 12 months, a health care worker had asked if they had ever been or currently were a smoker. Among current smokers, females (65.0%, 60.4–69.6) were significantly more likely than males (49.8%, 45.1–54.4) to report that they had been asked if they ever had been or currently were a smoker by a health care worker in the past 12 months, after adjusting for age. Asked smoking status by a health care worker, by age group Significantly fewer 15–19-year-olds (35.6%, 31.6–39.6) were asked by a health care worker in the past 12 months if they had ever been or currently were a smoker than all of the older age groups (Figure 44). Figure 44: Asked smoking status by a health care worker in the past 12 months, 15–64-year-old total population, by age group, 2009 (unadjusted prevalence) 100 Percent 80 60 40 20 0 35.6 50.7 56.4 49.4 45.8 48.1 48.7 15–19 20–24 25–29 30–39 40–49 50–59 60–64 Age group (years) Source: 2009 New Zealand Tobacco Use Survey Tobacco Use in New Zealand 67
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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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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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