better help for smokers to quit dr jim primrose chief advisor
TRANSCRIPT
Better Help for Smokers to Quit
Dr Jim PrimroseChief Advisor
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New Zealanders and smoking
Current smokers: 21.0% of adults (15–64 years)
Ethnic group Female MaleMaori 49.3% 40.2%Pacific 28.5% 32.3%European/Other 18.9% 20.6%Asian 4.4% 16.3%
NZ Tobacco Use Survey 2009
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Current smoking status by age group (2009)
16.9 30.1 33.4 22.5 22.6 18.6 10.619.1 31.2 21.1 21.5 22.3 14.0 11.20
10
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30
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60
15–19 20–24 25–29 30–39 40–49 50–59 60–64
Age group (years)
Males
Females
Percent
NZ Tobacco Use Survey 2009
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Some positive signs
NZ’s rate of daily smoking was the 4th lowest in the OECD
in 2007, and we have close to the highest rate of decline
between 1995 and 2007
Daily smoking prevalence has declined 54% for girls and
59% for boys
(14-15 yrs) since 1999
4321
Daily smoking prevalence* among Year 10s
15
17
19
21
23
25
27
29
31
33
35
Year
Pe
rce
nta
ge
Current smoking prevalence* among adults (15+)
02468
1012141618
Year
Pe
rce
nta
ge
Boys
Girls
* The definition of current smoker is the WHO one of a person who has smoked more than 100 cigarettes in their life and smokes currently at least once a month.
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Do smokers want to smoke?
• 4 in 5 smokers said that they would not smoke if they had their life over again
• 3 in 5 had tried to quit in the last 5 years
• 1 in 4 had quit for at least a week in the last 12 months
NZ Tobacco Use Survey 2009
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The Health Target ‘Better Help for Smokers to Quit’
One of the Government’s 6 health targets
Target:“95% of hospitalised smokers will receive brief advice and support to quit.”
Results: June 10 June 11 57% 85%
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ABC is a reminder of what to do
A - ask whether a person smokes
B - give brief advice to quit to all people who smoke
C – make an offer of cessation treatment
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1 in 40 smokers will quit for good, just because they’ve received brief advice
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From July 2011 the target extends to primary care,
“90% of enrolled patients who smoke and are seen in general practice will be provided with brief advice and
support to quit.”
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Aveyard and West. Managing Smoking Cessation. BMJ 2007;335:37-41
Cumulative chances of quitting over time when making one quit attempt per year with and without cessation treatment
Without treatment
With medication
With medication and support
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NRT doubles the chance of quitting for good
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Making it happen
• PPP Advisory GroupDr Jocelyn Tracey (chair), Dr David Maplesden, Dr Alistair Humphrey, Dr Jim Primrose, Dr Malcolm Dyer, Dr Rod Jackson, Dr Simon Wynn-Thomas, Rose Lightfoot, Rosalind Rowarth, Paul Roseman, Margaret Gibbs, Linda Bryant, Erica Amon, David Taylor, Andrew Coe and Yaw Moh
• Alignment of PHO Performance Programme indicators and National Health Targets
• Development of data standardsWork with PMS suppliers
• Support for PHOsRegular ebulletin
• Development and distribution of resources
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Useful Resources• Quitline (0800 778 778)
A number of helpful tools – phone, text and online
• You TubeHow to use NRT correctly – Dr Hayden McRobbie (hayden nrt)
• Smoking Cessation ABC e- Learning tool
www.smokingcessationabc.org.nz
• The hiirc website www.hiirc.org.nz
• Goodfellow Quiz: Smoking Cessation
• Key people Dr John McMenamin, Karen Evison – Target ChampionsDr Hayden McRobbie – Clinical AdvisorSerena Curtis-Lemuelu – Programme Manager PPP