views about e-cigarettes among smokers and recent … · views about e-cigarettes among smokers and...
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Viewsaboute-cigarettesamongsmokersandrecentquitters:resultsfromtheNewZealand
ITCprojectRichardEdwards,AndrewWaa,JamesStanley,SusanKaai,AnneChiew KinQuah,GeoffreyFong
Hobart,October192017
The International Tobacco Control (ITC) Project
• Internationalcollaborationcurrentlyin28countries• MonitorsprogresstowardsFCTC• Robustcross-countrycomparablecohortstudydesign• CoordinatedthroughUniversityofWaterloo,Canada
NewZealandITCProjectNZTeam• RichardEdwards1
• Anaru Waa1
• JamesStanley1
• BeckO’Shaughnessy1
UniversityofWaterlooteam• SusanKaai• AnneChiew KinQuah• GeoffFong
Acknowledgements• HealthResearchCouncilofNewZealand• MinistryofHealthNZHSteam• ResearchNZ• OtherITCProjectteamsandinvestigators• AdvisoryGroup
• El-Shadan Tautolo 3
• JanetHoek12
• PhilGendall 2
• HeatherGifford4
1.DepartmentofPublichealth,UniversityofOtago,Wellington2.DepartmentofMarketing,UniversityofOtago,Dunedin3.CentreforPacificHealth&DevelopmentResearch,AucklandUniversityofTechnology4.Whakauae ResearchforMāoriHealthandDevelopment,Whanganui
• MaryThompson,Mi YanandothermembersofWaterlooITCdatamanagementteam
Background
• Nicotinecontaininge-cigarettes(ECs)ande-liquidsnotlegallyavailableforsaleinNZ,butcanbeimportedforpersonaluse• Likelytobemadewidelyavailablein2018• Limiteddataonawareness,patternsofuse,andbeliefsandattitudestowardsECsamongNZsmokersandECusers
Objectives
•Exploreawareness,knowledge,beliefsandattitudestowardse-cigarettesamongNZsmokersandrecentquitters;•Discussimplicationsoffindingsforpractice,policyandresearch
NewZealandITCProject• Cohortrecruitedfromlargenationalhealthsurvey(NZHS)• CATIsurvey,Wave1Sept2016– April2017
Ø Follow-up2018• 881smokers&274recentquitters
Ø 35.2%ofinvitedparticipantscompletedatleastsomeofthesurveyafterexcludinginvalidphonenumbers)
ØMāori:320smokers,66recentquitters• Analysisaccountsforover-samplingofsomeparticipantgroupsintheNZHS/ITCsamplingstages• Analysispresentedforquestionsrelatingtoawareness,knowledgeandviewsaboute-cigarettes
Haveyoueverheardofelectroniccigarettes,alsocallede-cigarettes,
vapes,orvapingdevices?
0
10
20
30
40
50
60
70
80
90
100
All Smokers Quitters
Yes No
E-cigarettebeliefs:overview
0
10
20
30
40
50
60
70
80
90
100
ECmakeiteasiertoquit
ECmightharmhealth
EClessharmfulthansmoking
ECvapourlessharmfulthan
SHS
SwitchingtoECswould
improvehealth
ECslessaddictivethan
smoking
All Usedinlastyear Notusedinlastyear
E-cigarettesaccessibility:e-cigarettesaretooexpensive
0
10
20
30
40
50
60
70
80
90
100
All Dailyuser Weekly/monthlyuser
Lessthanmonthlyuser
Nevertried
Agree Disagree Notsure Don'tknow
E-cigarettesaccessibility:e-cigarettesaretoohardtoget
0
10
20
30
40
50
60
70
80
All Māori Non-Māori
Agree Disagree Notsure Don'tknow
0102030405060708090100
All UsednicotineECinlastyear
NotusednicotineECinlastyear
Inyouropinion, should advertisingofe-cigarettesandvapingdevicesbebannedeverywhereorallowedinsomeplaces?
Bannedeverywhere Allowedinsomeplaces Don'tknow
0
20
40
60
80
100
All Planningtoquit Notplanningtoquit
Inanyshops thatwanttoselltheseproducts?
Yes No
0
20
40
60
80
100
All Planningtoquit Notplanningtoquit
Byprescription inpharmacies
Yes No
• 47%‘Yes’for‘inanyshopsthatwantsoselltheseproducts’• 86%‘Ye’s forspecialistvapingande-cigaretteshops
Inwhich…[places]...doyouthinknicotine-containinge-cigarettesande-liquidsshould
beavailableinNewZealand?
LevelofSupportfor3proposede-cigarettepolicies:NZITCsurvey2016-17
0102030405060708090
BanECswheresmoking banned SameminageforECsandcigs BanfruitandcandyflavourEcs+E-liquids
Support Oppose Don'tknow
Keyfindings• Mostparticipants(especiallyrecentusers)hadpositiveviewsofECs– e.g.helpquit,lessharmfulthancigarettes
• Mostparticipants(especiallyregularusers)didnotthinkECsaretooexpensive
• MostparticipantsdidnotthinkECsaretoohardtoget• MixedviewsonEC-relatedpolicies:
o Strongsupportforminimumageforpurchaseandavailabilitybyprescriptioninpharmaciesandspecialistshops
o MixedviewsonbansonECuseinsmokefree areasandoncandy/fruitflavours oravailabilityinallshops
o Mostopposedbansonadvertising
Conclusions• Dataquitepreliminary,implicationsdebatable,andpublicopinionofsmokers/recentquittersisnottheonlyconsideration!• Somesupportformoreconstrainedrolloutofavailabilityofnicotine-containingECsande-liquidsi.e.• ECsmostlynotseenastoohardtoget,• mixedviewsonmakinggenerallyavailable,• verystrongsupportforavailabilitythroughprescriptioninpharmaciesandinspecialistvapeshops
• EducationaboutECstofurtherincreaseknowledgeofrelativehealtheffectsofECscomparedtosmokedtobaccoproductsmaybeimportanttoencourageswitching• Bansonflavours – needscarefulexplorationofpolicyoptions•Minimumageofpurchasestronglysupported
