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Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008
Dr Louise MarshCancer Society Research Fellow
Cancer Society Social & Behavioural Research Unit (SBRU)
Te Hunga Rangahau Ārai Mate Pukupuku
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Trends in regular smoking for girls1999-2010
ASH New Zealand (2011)
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Trends in regular smoking for boys1999-2010
ASH New Zealand (2011)
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Hooked on nicotine scores among young NZ smokers
Guo, H., R. McGee, A.I. Reeder, and A. Gray (2010)
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Success of smoking cessation among young people
• Most people who smoke regret their decision to start smoking and want to quit
• Despite wanting to quit, many young people are unable to successfully do so
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Aim of the Study
To examine trends among young NZ smokers in
desire to quit smoking,perceptions of their ability to quit,
and actual quit attempts
from 2002-2008
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Survey
• Health Sponsorship Council health lifestyle surveys
• Biennial national surveys• Monitor risk and protective factors for smoking • Over 3000 14-15 year olds• Analysed trends in data from 2002 to 2008• Current smokers
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
MeasuresDesire to quit
“Do you want to stop smoking now?”Self efficacy beliefs about quitting
“Do you think you would be able to stop smoking if you wanted to? “
Quit attempts“During the past year (12 months) have you
ever tried to stop smoking cigarettes?”
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Current SmokingTotal Sample Current Smokers
Sample size 12,422 % 2,092 %
Not a smoker 9,321 75.0 0 0.0
Less than monthly 919 7.4 0 0.0
At least once a day 1,339 10.8 1,339 64.0
At least once a week 411 3.3 411 19.7
At least once a month 342 2.8 342 16.4
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
DemographicsTotal Sample Current Smokers
Sample size 12,422 % 2,092 %
Sex Male 6,207 50.0 825 39.4
Female 6,194 50.0 1,266 60.5 Age 14 7,963 64.1 1,275 61.0
15 4,035 32.5 722 34.5
Ethnicity NZ European 6625 53.3 887 42.4
Māori 2,847 22.9 845 40.4
Pacific 1,321 10.6 213 10.2
Asian 876 7.1 54 2.6
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
What did we find?
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Wanting to stop smoking
Māori: 1.6 (1.3 to 1.9)
Pacific: 2.3 (1.7 to 3.3)
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Belief in being able to stop smoking
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Made a quit attempt
Māori: 2.1 (1.7 to 2.6)
Pacific: 2.6 (1.8 to 3.9)
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
What predicts a quit attempt?
5.9 (CI: 4.8 to 7.4)
0.4 (CI: 0.3 to 0.5)
Want to Quit
Believe they can Quit
Quit Attempt
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Conclusions• Little change in the number of young people
making a quit attempt since 2002• Desire and motivation to quit remain
important• Young people may believe they can quit
whenever they want, but this may stop them making a quit attempt
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Where to from here?• Smoking cessation support for young people
– What works for young people?– What is available?
• Future research– What does smoking cessation support look like
for young people?
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Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku
Acknowledgements
Professor Rob McGee and Andrew GrayCancer Society Social and Behavioural Research Unit,
University of Otago
Dr Rhiannon Newcombe and Judy LiHealth Sponsorship Council