The tobacco endgame for the Asia Pacific

Marshall, Henry; Gartner, Coral; Fong, Kwun M.

doi:10.1111/resp.14465

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Smoking cessation is essential when managing suspected lung cancer 32,33 and yet the majority of institutions (60/88, 68%) have no formal services and are reliant on ad hoc support, with just two institutions (both Australian) reporting they had a smoking cessation lead as part of the MDT. Improvements in smoking cessation services will likely be seen in the future with the implementation of the Australian National Tobacco Strategy 2023–2030 34 and the passing of world‐first legislation in Aotearoa New Zealand to reduce smoking prevalence, 35 however, there is an urgent unmet need for this service provision.…”

Section: Discussionmentioning

confidence: 99%

The TSANZ and Lung Foundation Australia 2023 landscape survey of lung cancer care across Australia and Aotearoa New Zealand

Nash,

Leong,

Dawkins

et al. 2024

Respirology

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Background and ObjectiveUnwarranted variations in lung cancer care have been well described in both Australia and Aotearoa New Zealand, with shortfalls in hospital‐based workforce and infrastructure previously demonstrated. A survey of lung cancer clinicians was performed to gain an updated understanding of current workforce and infrastructure.MethodsAn online Qualtrics survey included questions on institutional demographics, estimated lung cancer case load, multidisciplinary team (MDT) characteristics including workforce and local infrastructure. We sought to obtain one response from every institution treating lung cancer in Australia and Aotearoa New Zealand.ResultsResponses were received from 89 institutions, estimated to include 85% centres treating lung cancer in Australia and 100% of public hospitals in Aotearoa New Zealand. Lung cancer nurse specialist and Nuclear Medicine are poorly represented in multidisciplinary teams (MDTs) with just 34/88 (38%) institutions fulfilling recommended core workforce for MDT meetings. Case presentation is low with 32/88 (36%) regularly discussing all lung cancer patients at MDT. Metropolitan institutions appear to have a more comprehensive range of services on site, compared to non‐metropolitan institutions. Few (4/88) institutions have embedded smoking cessation services. Compared to the previous 2021 Landscape Survey, thoracic surgery representation and core MDT workforce have improved, with modest change in specialist nurse numbers.ConclusionThis wide‐reaching survey has identified persistent deficiencies and variations in lung cancer workforce and gaps in infrastructure. Multidisciplinary collaboration and care coordination are needed to ensure all patients can access timely and equitable lung cancer care.image

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Section: Discussionmentioning

confidence: 99%

The TSANZ and Lung Foundation Australia 2023 landscape survey of lung cancer care across Australia and Aotearoa New Zealand

Nash,

Leong,

Dawkins

et al. 2024

Respirology

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“…The incidence of lung cancer-a 'Big 5' lung disease as highlighted by the Forum of International Respiratory Societies (FIRS) 1 -is increasing in never-smoking individuals, as worldwide smoking rates decline, and the Tobacco Endgame is commenced in New Zealand. [2][3][4] We must continue to focus on reducing tobacco consumption, the major risk factor for 80%-90% of lung cancers, however, while effective strategies are in place to reduce, detect, and treat smoking-related lung cancer, 5,6 our strategies in the neversmoking population are not well defined.…”

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confidence: 99%

Air pollution and lung cancer—A new era

et al. 2023

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“I think we can do without [tobacco]”: support for policies to end the tobacco epidemic among California adolescents

Chaffee,

Donaldson,

Couch

et al. 2023

Tob Control

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IntroductionThe tobacco endgame, policies aiming to end the commercial tobacco epidemic, requires sustained public support, including among youth. We assessed endgame support among California (USA) adolescents, including their reasons and associated participant and policy-specific factors.MethodsTeens, Nicotine and Tobacco Project online surveys (n=4827) and focus groups were conducted in 2021 and 2022 among California residents aged 12–17 years. Cross-sectional survey participants were asked their agreement level with eight policy statements related to tobacco and/or cannabis sales restrictions, use in public places and use in multiunit housing. Ordered logistic regression modelled level of agreement according to respondent characteristics, behaviours and statement content. Qualitative data were collected through focus groups (n=51 participants), which were analysed to provide insight into support for different policies.ResultsMost survey participants agreed or strongly agreed with tobacco product sales restrictions (72%–75%, depending on the policy), bans on use in public spaces (76%–82%) and smoke-free (79%) and vape-free (74%) apartment buildings. Support was stronger among younger, female, Asian and tobacco non-using participants and for policies directed at ‘tobacco’ (vs ‘vapes’ or cannabis), at flavoured tobacco (compared with all tobacco), and when statements featured ‘should end’ (vs ‘not allowed’). Focus group participants who were supportive viewed policies as protecting children from harmful products, while those less supportive cited concerns about limiting adults’ freedoms and unintended consequences.ConclusionsMost participants supported strong tobacco control policies. Public communication that promotes broader endgame benefits besides protecting youth and accelerates industry denormalisation may counter youth concerns and further bolster their support.

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The tobacco endgame for the Asia Pacific

Cited by 3 publications

References 12 publications

The TSANZ and Lung Foundation Australia 2023 landscape survey of lung cancer care across Australia and Aotearoa New Zealand

The TSANZ and Lung Foundation Australia 2023 landscape survey of lung cancer care across Australia and Aotearoa New Zealand

Air pollution and lung cancer—A new era

“I think we can do without [tobacco]”: support for policies to end the tobacco epidemic among California adolescents

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