Evidence supporting ABC Smoking

Dr John McMenamin

GP Primary Care Advisor MOH Tobacco Team

March 2015

The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in

the UKLancet. 2013 January 12; 381(9861): 133–141.

At age 80: 78% of nonsmokers still alive

47% of smokers still alive

The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in

the UKLancet. 2013 January 12; 381(9861): 133–141.

Who is smoking?

Regular smokers in NZ by age

Smoking prevalence by ethnicity(New Zealand Census 2013, Statistics New Zealand)

Smokers by region

Currently around 450,000 smokers

NZ Census Data (age 15+) 2006 - 2013

Current smoking Year 10 students

Four-weekly equivalent cigarettes sale volume (ScanTrack data, AC Nielson)

Reduction in tobacco sales since 2009364,382 Kg less tobacco sold

= 300 million fewer cigarettes per year

NZ: Tobacco Trends 2008 & census; England: Office for National Statistics; Australia: National Drug Strategy Household Survey.

Monthly registrations with the Quitline (Sources: Quitline registration data, The Quit Group

General Practice referrals to Quitline

Agreement with the statement “Society disapproves of smoking”

(Health and Lifestyles Survey 2008 and 2010, Health Promotion Agency)

Tobacco plays a significant role in health inequalities within New

Zealand.

*To achieve the 2025 goal the net annual cessation rates must increase to:

*10% in non-Maori (2-3 x current rate)

*20% in Maori

Business-as-usual forecast of smoking prevalence

Ikeda T, et al. Tob Control 2013;0:1–7.

EEK

‘The first law of smoking cessation’Professor Robert West, UCL

E = N x S

number of ex-smokers created in a given time

period

number of smokers

who try to stop

probability of success in those who try

Average number of quit attempts/year =

1.5

1. Li, J., & Newcombe, R. (2013). Past 12-month quit attempts and the use of cessation aids. [In Fact]. Wellington: Health Promotion Agency Research and Evaluation Unit.

2. 2009 Tobacco Use Survey

0102030405060708090

100

Days since quitting

% a

bst

inen

t

With support (behavioural + pharmacological)

Li, J., & Newcombe, R. (2013). Past 12-month quit attempts and the use of cessation aids. [In Fact]. Wellington: Health Promotion Agency Research and Evaluation Unit.

Clients who used multiple Quitline service types were more likely to succeed.

At 6 months the quit rate for clients who had used:

– phone support was 20.9%

– online support was 26.6%

– phone and online support was 33.46%

– phone and online and text support was 37%

The New Zealand Guidelines for Helping People to Stop Smoking (pdf, 1 MB)

Background and Recommendations of The New Zealand Guidelines for Helping People to Stop Smoking (pdf, 1.7 MB)

Guide to Prescribing Nicotine Replacement Therapy (docx, 388 KB)

The ABC Pathway: Key messages for frontline health care workers (pdf, 820 KB)

http://learnonline.health.nz/course

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