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Describing Quitting Behaviour Amongst NZ Youth. Sharon Ponniah BSc (Hons) PGDip Sci Ministry of Health Public Health Intelligence. [email protected]. Outline. New Zealand Tobacco Use Survey (NZTUS) 2006 Describe youth who smoke in NZ - PowerPoint PPT Presentation
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Describing Quitting Behaviour Amongst NZ Youth
Sharon Ponniah BSc (Hons) PGDip Sci
Ministry of Health
Public Health Intelligence
Outline
• New Zealand Tobacco Use Survey (NZTUS) 2006
• Describe youth who smoke in NZ
• Present evidence that youth smokers want to quit smoking
NZTUS 2006
• National face to face survey (CAPI)
• NZ population (15-64 years)
• Over sampling (Māori, Pacific, Asian, 15-19 years)
• Stratified, cluster sampling
• 5,782 completed interviews
• Response rate 75%
Describe Youth Who Smoke in New Zealand
Are there socio-demographic differences between youth who are ever smokers and
youth who are never smokers?
Youth Smoking Prevalence
• The rate of smoking among 15-19 year olds is 26.8
• The average age of initiation is 14.6• Rates of smoking among youth are
highest for Māori (46%) and Pacific (36%)• Smoking rate among European/Other
ethnic groups is 23.1%
Current Smokers vs Never Smokers
0
10
20
30
40
50
60
70
80
90
Male
Prevalence (%) current never
Female Female Male Female Male
European/Other Māori Pacific
Ever Smokers vs. Never Smokers
• Ever Smokers were compared to Never Smokers across the following socio-demographics:
• Gender• Ethnicity• NZDep01 Quintile• Household Income
Never Smokers(never and experimental
smokers)
Ever Smokers(current and ex-smokers)100 cigs < <
Risk Factors – Ever Smoker
Independent Variables
Odds Ratio Lower 95% Upper 95% P-value
Intercept 0.99 0.77 1.27 0.9281 GENDER Male 1.00 1.00 1.00 ref Female 0.85 0.75 0.97 0.0123 ETHNICITY Maori 2.08 1.70 2.54 0.0000 Non-Maori 1.00 1.00 1.00 ref NZDEP01 QUINTILE Quintile 1 0.98 0.78 1.23 0.8586 Quintile 2 1.00 0.77 1.29 0.9857 Quintile 3 1.00 1.00 1.00 ref Quintile 4 1.38 1.13 1.67 0.0016 Quintile 5 1.24 1.02 1.50 0.0336 HOUSEHOLD INCOME < $20,000 1.00 1.00 1.00 ref $20-$40,000 0.99 0.77 1.28 0.9473 $40-$60,000 0.89 0.68 1.15 0.3674 >$60,000 0.77 0.60 0.97 0.0284 NR 0.99 0.67 1.46 0.9530
Female 0.85 0.75 0.97 0.0123
Gender
EthnicityIndependent Variables
Odds Ratio Lower 95% Upper 95% P-value
Intercept 0.99 0.77 1.27 0.9281 GENDER Male 1.00 1.00 1.00 ref Female 0.85 0.75 0.97 0.0123 ETHNICITY Maori 2.08 1.70 2.54 0.0000 Non-Maori 1.00 1.00 1.00 ref NZDEP01 QUINTILE Quintile 1 0.98 0.78 1.23 0.8586 Quintile 2 1.00 0.77 1.29 0.9857 Quintile 3 1.00 1.00 1.00 ref Quintile 4 1.38 1.13 1.67 0.0016 Quintile 5 1.24 1.02 1.50 0.0336 HOUSEHOLD INCOME < $20,000 1.00 1.00 1.00 ref $20-$40,000 0.99 0.77 1.28 0.9473 $40-$60,000 0.89 0.68 1.15 0.3674 >$60,000 0.77 0.60 0.97 0.0284 NR 0.99 0.67 1.46 0.9530
Māori 2.08 1.70 2.54 0.0000
Socio-economic Status
Independent Variables
Odds Ratio Lower 95% Upper 95% P-value
Intercept 0.99 0.77 1.27 0.9281 GENDER Male 1.00 1.00 1.00 ref Female 0.85 0.75 0.97 0.0123 ETHNICITY Maori 2.08 1.70 2.54 0.0000 Non-Maori 1.00 1.00 1.00 ref NZDEP01 QUINTILE Quintile 1 0.98 0.78 1.23 0.8586 Quintile 2 1.00 0.77 1.29 0.9857 Quintile 3 1.00 1.00 1.00 ref Quintile 4 1.38 1.13 1.67 0.0016 Quintile 5 1.24 1.02 1.50 0.0336 HOUSEHOLD INCOME < $20,000 1.00 1.00 1.00 ref $20-$40,000 0.99 0.77 1.28 0.9473 $40-$60,000 0.89 0.68 1.15 0.3674 >$60,000 0.77 0.60 0.97 0.0284 NR 0.99 0.67 1.46 0.9530
Quintile 4 1.38 1.13 1.67 0.0016Quintile 5 1.24 1.02 1.50 0.0336
Household IncomeIndependent Variables
Odds Ratio Lower 95% Upper 95% P-value
Intercept 0.99 0.77 1.27 0.9281 GENDER Male 1.00 1.00 1.00 ref Female 0.85 0.75 0.97 0.0123 ETHNICITY Maori 2.08 1.70 2.54 0.0000 Non-Maori 1.00 1.00 1.00 ref NZDEP01 QUINTILE Quintile 1 0.98 0.78 1.23 0.8586 Quintile 2 1.00 0.77 1.29 0.9857 Quintile 3 1.00 1.00 1.00 ref Quintile 4 1.38 1.13 1.67 0.0016 Quintile 5 1.24 1.02 1.50 0.0336 HOUSEHOLD INCOME < $20,000 1.00 1.00 1.00 ref $20-$40,000 0.99 0.77 1.28 0.9473 $40-$60,000 0.89 0.68 1.15 0.3674 >$60,000 0.77 0.60 0.97 0.0284 NR 0.99 0.67 1.46 0.9530
>$60,000 0.77 0.60 0.97 0.0284
Describing Youth Quitting Behaviour
Is there evidence that youth smokers in New Zealand want to quit smoking?
Short Answer – YES!
• 75% of youth smokers would not smoke again if they had their lives over
• Almost half (50%) of youth smokers are thinking about quitting
• 35% of youth made at least one quit attempt in the last 12 months
Youth who have “Ever Quit”
• Current smokers (n=178) were asked
“Have you ever quit for more than a week?”
• Yes responses (n=113) defined as ever quit and compared against no responses (n=65)
0
510
15
20
2530
35
Quintile 1 Quintile 2 Quintile 3 Quintile 4 Quintile 5
NZDep01 Quintile
Percentage (%) yes no
Socio-economic Deprivation
Household Income
05
1015202530354045
<$20,000 $20-$40,000 $40-$60,000 >$60,000
Household Income
Percentage (%) yes no
010
203040
5060
7080
yes noEver Quit
Percentage (%) Māori non-Māori
Ethnicity
0
10
20
30
40
50
60
70
yes noEver Quit
Percentage (%) male female
Gender
Likelihood – Ever quit
Summary
• There are clear factors that influence the likelihood of youth being ever smokers
• There is minimal variation across indicators and their effect on the likelihood of having ever quit
• Indicates that the risk factors observed for youth being smokers are not barriers for making a quit attempt
Where To…
• Further analysis to come
• Look more in depth at attitudes to quitting and self-efficacy on having ever made a quit attempt
Youth smokers want to quit!
What can we do to help?
Describing Quitting Behaviour Amongst NZ Youth
Sharon Ponniah BSc (Hons) PGDip Sci
Ministry of Health
Public Health Intelligence