Transcript Primary Care ABC Smoking evidence summary March 2015

Evidence supporting ABC Smoking
Dr John McMenamin
GP
Primary Care Advisor
MOH Tobacco Team
March 2015
Figure 5
The 21st century hazards of smoking and benefits of stopping: a
prospective study of one million women in the UK
Lancet. 2013 January 12; 381(9861): 133–141.
At age 80:
78% of nonsmokers still alive
47% of smokers still alive
*
All-cause mortality: Illustration of the effects of a 3-fold difference in annual death rates on mortality
The 21st century hazards of smoking and benefits of stopping: a
prospective study of one million women in the UK
Lancet. 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
70%
62%
60%
57%
50%
40%
30%
*
21%
20%
23%
22%
15%
10%
0%
Regular Smoker
2006
2013
Ex-Smoker
Never Smoked Regularly
Current smoking Year 10 students
Four-weekly equivalent cigarettes sale volume
(ScanTrack data, AC Nielson)
Reduction in tobacco sales since 2009
364,382 Kg less tobacco sold
= 300 million fewer cigarettes per year
*
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
EEK
Ikeda T, et al. Tob Control 2013;0:1–7.
*
‘The first law of smoking cessation’
Professor Robert West, UCL
E=NxS
number of exsmokers
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
100
90
80
70
60
50
40
30
20
10
0
Days since quitting
91
84
77
70
63
56
49
42
35
28
21
14
With support (behavioural + pharmacological)
7
0
% abstinent
*
*
*
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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