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Daily smoking by 14-15 year old teenagers
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18
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
A veritable goldmine: the ASH year 10 survey
Smoking in 1992 compared to 2009
• First peer-reviewed report on ASH Snapshot in 1995 (Fourth form survey)
• 1992 Largest national survey of teenagers, Legal age for tobacco sales was 16, advertising just prohibited and sponsorship due to be prohibited in 1995
• 34.4% never smoked in 1992 64% in 2009• Māori girls 14.2% never smoked in 1992
now 31.8% in 2009
1992-1997
• Then between 1992-1997 despite declining advertising and sponsorship ASH Snapshot measured an increase in teenage smoking
• Survey also found in that time – increased availability of 10 packs and a preference by teenagers for lower priced 10 packs, no real increase in cost
• Surveys were crucial for encouraging engagement of public health staff with schools and the subsequent amendment of Smokefree Environments Act to all workplaces
Length and Breadth of research
• Sale of cigarettes to school children (Ford et al 1997, Laugesen & Scragg 1999)
• Association between parental smoking, peer smoking and different stages of smoking plus factors parenting style (Scragg & Laugesen 2007, Scragg et al 2008, Scragg & Glover 2007, Scragg et al in press)
• Investigation of how quickly youth become dependent (Scragg et al 2008)
• Association between tobacco displays and smoking (Paynter et al 2009)
• Association between pocket money & smoking (Scragg et al )
Media
Other examples of outcomes
• KKS Intervention• POS Displays
Use of data
• Letters to MP’s
• Brand preference and POS display composition
• Advocacy for tax increase
• Undermine tobacco industry claims – e.g. smoking is an adult choice
• Illicit trade report
Small populations
• Trends amongst different Pacific Island ethnicities
0%
10%
20%
30%
40%
50%
60%
2004 2005 2006 2007 2008 2009Year
Perc
ent
Experimented
Daily
Weekly or less often
Never
Samoan girls
0%
10%
20%
30%
40%
50%
60%
2004 2005 2006 2007 2008 2009
Year
Per
cent
Experimented
Daily
Weekly or less often
Never
Cook Is boys
Daily smoking
0%
5%
10%
15%
20%
25%
Samoan Cook Island Tongan Niuean OtherPacific
Girls
Boys
School liaison
• ‘A professionally run survey such as the ASH survey is an important tool for our school to give us feedback about our school community. Our own resources are always limited, and we would NOT be able to organise such a survey for ourselves.’
Use of the information from the ASH survey
7%
14%
14%
24%
19%
61%
7%
0% 10% 20% 30% 40% 50% 60% 70%
not answered
not used
other
requested further info
worked with local PHU
developed programme
assisted in school sponsorship
n = 207
PHU/DHB Use
• Smokefree schools in Northland• DHB targets• Justification and motivation for work
Participation by DHB
0% 20% 40% 60% 80% 100%
Lakes
Auckland
Counties Manukau
Hawke's Bay
Waitemata
West Coast
Waikato
Capital and Coast
Hutt Valley
Taranaki
Canterbury
Bay of Plenty
Wairarapa
Otago
Midcentral
Whanganui
Nelson Marlborough
Northland
South Canterbury
Tairawhiti
Southland
Dis
tric
t H
ea
lth
Bo
ard
Percent of schools participating in ASH Snapshot
