Transcript Slide 1

Better Help for Smokers to Quit
Dr Jim Primrose
Chief Advisor
Ministry of Health
September 2011
Ministry of Health
September 2011
New Zealanders and smoking
Current smokers: 21.0% of adults (15–64 years)
Ethnic group
Maori
Pacific
European/Other
Asian
Female
49.3%
28.5%
18.9%
4.4%
Male
40.2%
32.3%
20.6%
16.3%
NZ Tobacco Use Survey 2009
Current smoking status by age group
(2009)
Percent
September 2011
60
Males
Females
50
40
30
Ministry of Health
20
10
16.9
19.1
30.1
31.2
33.4
21.1
22.5
21.5
22.6
22.3
18.6
14.0
10.6
11.2
0
15–19
20–24
25–29
30–39
40–49
50–59
60–64
Age group (years)
NZ Tobacco Use Survey 2009
1
2
Some positive signs
Current smoking prevalence* among adults
(15+)
Percentage
29
27
25
23
21
19
17
8
19 3
8
19 4
8
19 5
8
19 6
8
19 7
8
19 8
8
19 9
9
19 0
9
19 1
9
19 2
9
19 3
9
19 4
9
19 5
9
19 6
9
19 7
9
19 8
9
20 9
0
20 0
0
20 1
0
20 2
0
20 3
0
20 4
0
20 5
0
20 6
0
20 7
0
20 8
09
15
Year
Daily smoking prevalence* among Year 10s
18
16
14
12
10
8
6
4
2
0
Boys
Girls
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
Daily smoking prevalence
has declined 54% for
girls and 59% for boys
(14-15 yrs) since 1999
31
19
NZ’s rate of daily smoking
was the 4th lowest in the
OECD in 2007, and we
have close to the
highest rate of decline
between 1995 and 2007
33
Percentage
Ministry of Health
September 2011
35
Year
* The definition of current smoker is the WHO one of a person who has
smoked more than 100 cigarettes in their life and smokes currently at
least once a month.
3
4
Ministry of Health
September 2011
Do smokers want to smoke?
• 4 in 5 smokers said that
they would not smoke if
they had their life over
again
• 3 in 5 had tried to quit in
the last 5 years
• 1 in 4 had quit for at
least a week in the last 12
months
NZ Tobacco Use Survey 2009
The Health Target
‘Better Help for Smokers to Quit’
Ministry of Health
September 2011
One of the Government’s 6 health targets
Target:
“95% of hospitalised smokers
will receive brief advice and
support to quit.”
Results:
June 10
57%
June 11
85%
Ministry of Health
September 2011
ABC is a reminder of what to do
A - ask whether a
person smokes
B - give brief
advice to quit to
all people who
smoke
C – make an offer
of cessation
treatment
Ministry of Health
September 2011
1 in 40 smokers will quit for good, just
because they’ve received brief advice
September 2011
Ministry of Health
From July 2011 the target extends to primary care,
“90% of enrolled patients who smoke and are seen in
general practice will be provided with brief advice and
support to quit.”
Ministry of Health
September 2011
Cumulative chances of quitting over time when making
one quit attempt per year with and without cessation
treatment
With medication
and support
With medication
Without
treatment
Aveyard and West. Managing Smoking Cessation.
BMJ 2007;335:37-41
Ministry of Health
September 2011
NRT doubles the chance of
quitting for good
Ministry of Health
September 2011
Making it happen
• PPP Advisory Group
Dr Jocelyn Tracey (chair), Dr David Maplesden, Dr Alistair
Humphrey, Dr Jim Primrose, Dr Malcolm Dyer, Dr Rod Jackson, Dr
Simon Wynn-Thomas, Rose Lightfoot, Rosalind Rowarth, Paul
Roseman, Margaret Gibbs, Linda Bryant, Erica Amon, David Taylor,
Andrew Coe and Yaw Moh
• Alignment of PHO Performance Programme
indicators and National Health Targets
• Development of data standards
Work with PMS suppliers
• Support for PHOs
Regular ebulletin
• Development and distribution of resources
Useful Resources
•
Quitline (0800 778 778)
September 2011
A number of helpful tools – phone, text and online
•
You Tube
How to use NRT correctly – Dr Hayden McRobbie (hayden nrt)
•
Smoking Cessation ABC e- Learning tool
www.smokingcessationabc.org.nz
•
The hiirc website
Ministry of Health
www.hiirc.org.nz
•
Goodfellow Quiz: Smoking Cessation
• Key people
Dr John McMenamin, Karen Evison – Target Champions
Dr Hayden McRobbie – Clinical Advisor
Serena Curtis-Lemuelu – Programme Manager PPP