Beliefs among Adult Smokers and Quitters about Nicotine and De-nicotinized Cigarettes in the 2016-17 ITC New Zealand Survey

McKiernan, Aoife; Stanley, James; Waa, Anaru; Kaai, Susan; Quah, Anne C K; Fong, Geoffrey T.; Edwards, Richard M.

doi:10.18001/trs.5.5.1

Cited by 4 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, 80% of respondents in a recent New Zealand survey of people who smoke, or who have recently quit, supported mandated VLNCs, provided alternative nicotine products were available. 41 International studies have reported similar very strong support for this policy. 42 43 For these reasons, we performed high-level modelling work on the likely impact of denicotinisation to inform the New Zealand Government's upcoming decision-making.…”

Section: Introductionmentioning

confidence: 79%

Preliminary High-Level Modelling Estimates of Impacts of Denicotinisation on Smoking Prevalence in Aotearoa New Zealand

Wilson

Hoek

Nghiem

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Aim: To provide preliminary high-level modelling estimates of the impact of denicotinisation of tobacco on changes in smoking prevalence in Aotearoa New Zealand (NZ). Methods: An Excel spreadsheet was populated with smoking/vaping prevalence data from the NZ Health Survey and business-as-usual trends projected. Using various parameters from the literature (NZ trial data, NZ EASE-ITC Study results), we modelled the impact of denicotinisation of tobacco (with no other tobacco permitted for sale) out to 2025, the year of this country's Smokefree Goal. Scenario 1 used estimates from a published expert knowledge elicitation process, and Scenario 2 considered the addition of extra mass media campaign and quitline support to the base case. Results: With the denicotinisation intervention, adult daily smoking prevalences were all estimated to decline to under 5% in 2025 for non-Maori and in one scenario for Maori (Indigenous population) (2.5% in Scenario 1). However, prevalence did not fall below five percent in the base case for Maori (7.7%) or with Scenario 2 (5.2%). In the base case, vaping was estimated to increase to 7.9% in the adult population in 2025, and up to 10.7% in one scenario (Scenario 1). Conclusions: This preliminary, high-level modelling suggests a mandated denicotinisation policy for could provide a realistic chance of achieving the NZ Government's Smokefree 2025 Goal. The probability of success would further increase if supplemented with other interventions such as mass media campaigns with Quitline support (especially if targeted for a predominantly Maori audience). Nevertheless, there is much uncertainty with these preliminary high-level results and more sophisticated modelling is highly desirable.

show abstract

Section: Introductionmentioning

confidence: 79%

Preliminary High-Level Modelling Estimates of Impacts of Denicotinisation on Smoking Prevalence in Aotearoa New Zealand

Wilson

Hoek

Nghiem

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

How New Zealand adults who smoked understand novel tobacco ‘endgame’ policies. Qualitative analysis using the associative propositional evaluation model to determine comprehension.

Glover,

Hurrell

2024

SSM - Qualitative Research in Health

View full text Add to dashboard Cite

New Zealand Smokers’ Perceptions of Tobacco Endgame Measures: A Qualitative Analysis

Barbalich

Gartner

Edwards

et al. 2021

Nicotine &Amp; Tobacco Research

View full text Add to dashboard Cite

Introduction New Zealand’s equity-focused endgame goal (Smokefree 2025) aims to reduce smoking prevalence to minimal levels (ie, <5%) in all population groups by 2025. Inadequate progress has stimulated discussion of innovative measures to reduce prevalence; because few studies have explored how marginalized groups perceive these measures, we addressed this knowledge gap. Aims and Methods In November and December 2020, we conducted 20 in-depth interviews with people who smoked daily, were aged between 21 and 53, earned less than the median income (NZD33 900), and had marginal or inadequate income sufficiency. We explored participants’ smoking history and used an elicitation exercise to probe their views on smokefree policies, including potential endgame measures. We used qualitative descriptive analysis and reflexive thematic analysis to interpret the data. Results Participants favored increasing personal support to quit and reducing nicotine levels in cigarettes, but generally opposed tobacco excise tax increases and paying people to quit. While many privileged their right to “choose,” some recognized that stronger policies could restore the loss of agency addiction caused. Participants felt smoking’s powerful addictiveness remained poorly understood, and called for smoking to be recognized and treated as an addiction. Conclusions Several participants supported intensifying existing measures or introducing new measures. However, their use of tobacco industry rhetoric to frame smoking as a choice they had made could inadvertently reinforce the stigma they experienced. Reframing cigarettes as an addictive product engineered by a deceptive industry, may make it easier for participants to access the expanded support and compassion they sought. Implications Policy measures, such as reducing the nicotine level in cigarettes, could support endgame goals; however, greater public understanding of addiction is needed to reduce stigma, support self-efficacy, and foster smoking cessation. Industry denormalization campaigns could challenge views of smoking as a personal choice, decrease self-blame among people who smoke, and present endgame goals as likely to enhance agency.

show abstract

Beliefs among Adult Smokers and Quitters about Nicotine and De-nicotinized Cigarettes in the 2016-17 ITC New Zealand Survey

Cited by 4 publications

References 0 publications

Preliminary High-Level Modelling Estimates of Impacts of Denicotinisation on Smoking Prevalence in Aotearoa New Zealand

Preliminary High-Level Modelling Estimates of Impacts of Denicotinisation on Smoking Prevalence in Aotearoa New Zealand

How New Zealand adults who smoked understand novel tobacco ‘endgame’ policies. Qualitative analysis using the associative propositional evaluation model to determine comprehension.

New Zealand Smokers’ Perceptions of Tobacco Endgame Measures: A Qualitative Analysis

Contact Info

Product

Resources

About