Research to Achieve the 2025 Goal

Research to Achieve the 2025 Goal

Overview

• Introducing the ASPIRE2025 team

• A unique combination of tobacco control researchers

• A University of Otago Research Theme

• What are we doing?

• Outline of our key research areas, projects and activities

• Where might our work lead?

• Translating research into practice and policy

Meet ASPIRE2025

What Are We Doing?

Six key research themes:

• Smokefree communications

• Smoking cessation systems

• Smoking among young people

• Tobacco control policy and regulation

• Maori public health and tobacco misuse

• Smokefree Pasifika

Two key goals:

• Promoting effective tobacco control interventions

• Enhancing research capacity development

Smokefree communications

How do we promote smokefree behaviours?

• Which messages have the greatest effect on different populations?

• How can we improve smokefree communications? (MoH)

• How does residual tobacco marketing continue?

• Plain packaging studies (HRC and HF)

• POS and retail research (ASH and Cancer Society)

• To what extent is smoking an ‘informed choice’

• Testing industry arguments (Marsden)

Smoking cessation systems

How can we improve cessation treatments?

• Can we develop new technologies?

• Fast acting oral nicotine replacement and inhalation from metered dose inhalers (HRC)

• Could long-term NRT play a role?

• Clinic-based project with a DHB explores long term NRT for those unable to quit smoking

• Can we increase uptake of NRT?

• Exploring whether tobacco retailers could provide subsidised NRT and access to cessation services

Policy and Regulatory Research

Where should policy priorities lie?

• What effect would increasing smokefree areas have?

• Examining smokefree outdoor spaces and vehicles (Cancer Society)

• What support exists for ‘Endgame solutions’ to the tobacco epidemic?

• Explores supply restriction models (Marsden)

• What effects do tobacco tax increases have?

• Exploring impacts of price on different population groups

Smoking among Young People

How can we reduce smoking initiation among young people?

• How accessible is tobacco?

• Examining tobacco retailer density around schools and tertiary institutions

• How visible is tobacco?

• Examining tobacco product placement within movies (in dark markets)

• What influences late uptake of smoking?

• Qualitative research with late onset smokers (MPH dissertation)

Māori Public Health and Tobacco Misuse

How can we drive rapid reductions in smoking prevalence among Māori?

• Exploring Māori primary health care and whānau resilience

• Examining resources within whānau that promote well-being among Māori (HRC)

• Examining Māori responses to tobacco control messages

• Developing and testing messages that resonate with Māori and stimulate and support smokefree behaviour (MoH)

Smokefree Pasifika

What are the most effective methods of reducing smoking prevalence among Pacific peoples?

• How do Pacific people respond to smoking cessation messages?

• Which themes elicit best responses? (MoH)

• How do Pacific people understand the risks of smoking and come to regret these? (Marsden)

• How do Pacific people respond to tobacco branding and plain packaging? (HRC)

Key themes from Oceania

1. Endgame strategies• Debate about role of increasing quit attempts and quit support, and reducing relapse and uptake to achieve endgame

• Concern about widening inequalities in smoking and possibility of endgame not being achieved for all (place for harm reduction?)

• Debate about tackling underlying determinants vs focusing tobacco control efforts on disadvantaged smokers and populations.

• Hardening hypothesis – lack of evidence

• Tupeka Kore – where’s the plan?

• Nicola Roxon as champion in Australia


2. Tobacco control among indigenous peoples (including Pacific in NZ)

• Indigenous preconference

• Investment in indigenous tobacco control in Australia, but still well behind NZ

• AusAid investment in tobacco control in the Pacific region

• Clustering of smoking determinants in Maori and need to address these in tobacco control

• Maori priorities session identified a comprehensive tobacco control programme


3. Specific tobacco control interventions

(i) Tax

• Auckland University study on behaviours among Pacific and Māori smokers in year after last tax increase :

• very high quit attempt rate - 67% in last year, 3.2 mean but only 3% had quit

• high use of NRT (50%), health care worker support (40%), Quitline (23%) for last quit attempt

• suggests need better cessation support &/or more interventions to reduce relapse.

(ii) Smokefree environments

• Progress on outdoor smokefree areas in Oz – parks and outdoor dining

• Exploration of relative effects of price change and indoor smokefree policy change on youth smoking uptake, latter had the greater impact http://www.ncbi.nlm.nih.gov/pubmed/21401766


4. Specific tobacco control interventions (cont)

(iii) Retail

• Research and policy development on retailers and retail interventions from Victoria, Sth Australia and NSW.

• Discussion of selective measures vs convenience stores, bars/pubs and garages as major source of tobacco for vulnerable populations

• Licensing as key intervention

• Need to tackle alcohol/tobacco nexus e.g. no tobacco sales where alcohol sold.

(iv) Mass media and plain packs

• Mass media interventions may decrease relapse

• Plain packs – mainly how achieved, advocacy tactics etc


5. Oceania 2013 (Auckland)

Need to be thinking about aims, format, content etc

• E.g. increase variety of learning styles accommodated

Need a credible plan for achieving the endgame in NZ in place!

Please contact us!

www.aspire2025.org.nz

Richard Edwards: [email protected]

Janet Hoek: [email protected]

Heather Gifford: [email protected]

Chris Cunningham: [email protected]

Stephanie Erick: [email protected]

George Thomson: [email protected]

Julian Crane: [email protected]

Rob McGee: [email protected]

Documents

Research to Achieve the 2025 Goal