evidence supporting abc smoking dr john mcmenamin gp primary care advisor moh tobacco team march...
Post on 27-Dec-2015
214 Views
Preview:
TRANSCRIPT
Evidence supporting ABC Smoking
Dr John McMenamin
GP Primary Care Advisor MOH Tobacco Team
March 2015
The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in
the UKLancet. 2013 January 12; 381(9861): 133–141.
At age 80: 78% of nonsmokers still alive
47% of smokers still alive
The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in
the UKLancet. 2013 January 12; 381(9861): 133–141.
Reduction in tobacco sales since 2009364,382 Kg less tobacco sold
= 300 million fewer cigarettes per year
NZ: Tobacco Trends 2008 & census; England: Office for National Statistics; Australia: National Drug Strategy Household Survey.
Agreement with the statement “Society disapproves of smoking”
(Health and Lifestyles Survey 2008 and 2010, Health Promotion Agency)
*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
Ikeda T, et al. Tob Control 2013;0:1–7.
EEK
‘The first law of smoking cessation’Professor Robert West, UCL
E = N x S
number of ex-smokers 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
0102030405060708090
100
Days since quitting
% a
bst
inen
t
With support (behavioural + pharmacological)
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
top related