Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh...

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Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow [email protected] Cancer Society Social & Behavioural Research Unit (SBRU) Te Hunga Rangahau Ārai Mate Pukupuku

Transcript of Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh...

Page 1: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008

Dr Louise MarshCancer Society Research Fellow

[email protected]

Cancer Society Social & Behavioural Research Unit (SBRU)

Te Hunga Rangahau Ārai Mate Pukupuku

Page 2: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Trends in regular smoking for girls1999-2010

ASH New Zealand (2011)

Page 3: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Trends in regular smoking for boys1999-2010

ASH New Zealand (2011)

Page 4: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Hooked on nicotine scores among young NZ smokers

Guo, H., R. McGee, A.I. Reeder, and A. Gray (2010)

Page 5: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Success of smoking cessation among young people

• Most people who smoke regret their decision to start smoking and want to quit

• Despite wanting to quit, many young people are unable to successfully do so

Page 6: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Aim of the Study

To examine trends among young NZ smokers in

desire to quit smoking,perceptions of their ability to quit,

and actual quit attempts

from 2002-2008

Page 7: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Survey

• Health Sponsorship Council health lifestyle surveys

• Biennial national surveys• Monitor risk and protective factors for smoking • Over 3000 14-15 year olds• Analysed trends in data from 2002 to 2008• Current smokers

Page 8: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

MeasuresDesire to quit

“Do you want to stop smoking now?”Self efficacy beliefs about quitting

“Do you think you would be able to stop smoking if you wanted to? “

Quit attempts“During the past year (12 months) have you

ever tried to stop smoking cigarettes?”

Page 9: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Current SmokingTotal Sample Current Smokers

Sample size 12,422 % 2,092 %

Not a smoker 9,321 75.0 0 0.0

Less than monthly 919 7.4 0 0.0

At least once a day 1,339 10.8 1,339 64.0

At least once a week 411 3.3 411 19.7

At least once a month 342 2.8 342 16.4

Page 10: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

DemographicsTotal Sample Current Smokers

Sample size 12,422 % 2,092 %

Sex Male 6,207 50.0 825 39.4

Female 6,194 50.0 1,266 60.5 Age 14 7,963 64.1 1,275 61.0

15 4,035 32.5 722 34.5

Ethnicity NZ European 6625 53.3 887 42.4

Māori 2,847 22.9 845 40.4

Pacific 1,321 10.6 213 10.2

Asian 876 7.1 54 2.6

Page 11: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

What did we find?

Page 12: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Wanting to stop smoking

Māori: 1.6 (1.3 to 1.9)

Pacific: 2.3 (1.7 to 3.3)

Page 13: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Belief in being able to stop smoking

Page 14: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Made a quit attempt

Māori: 2.1 (1.7 to 2.6)

Pacific: 2.6 (1.8 to 3.9)

Page 15: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

What predicts a quit attempt?

5.9 (CI: 4.8 to 7.4)

0.4 (CI: 0.3 to 0.5)

Want to Quit

Believe they can Quit

Quit Attempt

Page 16: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Conclusions• Little change in the number of young people

making a quit attempt since 2002• Desire and motivation to quit remain

important• Young people may believe they can quit

whenever they want, but this may stop them making a quit attempt

Page 17: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Where to from here?• Smoking cessation support for young people

– What works for young people?– What is available?

• Future research– What does smoking cessation support look like

for young people?

Page 18: Perceptions and Quitting Behaviours among Adolescent Smokers in NZ: 2002 to 2008 Dr Louise Marsh Cancer Society Research Fellow louise.marsh@otago.ac.nz.

Cancer Society Social & Behavioural Research Unit (SBRU)Te Hunga Rangahau Ārai Mate Pukupuku

Acknowledgements

Professor Rob McGee and Andrew GrayCancer Society Social and Behavioural Research Unit,

University of Otago

Dr Rhiannon Newcombe and Judy LiHealth Sponsorship Council