This annual report - Taranaki District Health Board

Other Relevant PublicationsMāori Affairs Committee. 2010. Inquiry into the tobacco industry in Aotearoa and the consequences of tobaccouse for Māori. Report of the Māori Affairs Committee. 49th Parliament: November.New Zealand Parliament. 2011. Government Response to the Report of the Māori Affairs Committee on itsInquiry into the tobacco industry in Aotearoa and the consequences of tobacco use for Māori (Final Response).http://www.parliament.nz/NR/rdonlyres/3AAA09C2-AD68-4253-85AE-BCE90128C1A0/188520/DBHOH_PAP_21175_GovernmentFinalResponsetoReportoft.pdf.The report details the findings of the 2009-2010 Māori Select Committee inquiry into the tobacco industry in Aotearoaand the consequences of tobacco use for Māori. The committee received 260 written submissions, 1,715 form lettersand heard 96 oral submissions. The aim of the inquiry was to develop an effective approach to reducing smoking ratesamongst Māori, and all other New Zealanders. The goal is for tobacco consumption and smoking prevalence to behalved by 2015 across all demographics, and for New Zealand to be a smoke-free nation by 2025. Stopping childrenfrom getting addicted to smoking is identified as an area requiring particular attention. The report includes acomprehensive list of recommendations.In its response, the government has agreed to examine further options for measures to limit tobacco supply including:restricting the number and location of tobacco retailers, to reduce the exposure of children and young people totobacco; continuing to prioritise advertising campaigns directed at preventing children from taking up smoking; andconsidering options to extend smoke-free restrictions to protect children.Note: The publications listed above were identified using the search methodology outlined in Appendix 1Table 43. Local Policy Documents and Evidence-Based Reviews Relevant to Smoking Cessationin Young PeopleMinistry of Health Policy DocumentsMinistry of Health. 2011. Targeting Smokers: Better Help for Smokers to Quit. Wellington: Ministry of Health.http://www.health.govt.nz/publication/targeting-smokers-better-help-smokers-quitThe health target "Better Help for Smokers to Quit" was introduced in 2009, requiring DHBs to ensure that 95% ofhospitalised smokers will be provided with advice and help to quit by July 2012. From July 2011 the target wasextended to the primary care sector, where 90% of enrolled patients who smoke and are seen in general practiceshould be provided with advice and help to quit by July 2012.Ministry of Health. 2007. New Zealand Smoking Cessation Guidelines. Wellington: Ministry of Health.http://www.health.govt.nz/publication/new-zealand-smoking-cessation-guidelinesMinistry of Health. 2007. Smoking Cessation Competencies for New Zealand. Wellington: Ministry of Health.http://www.health.govt.nz/publication/smoking-cessation-competencies-new-zealandThe New Zealand smoking cessation guidelines, and their associated competencies for delivery, identify young peopleas a priority population for cessation and suggest that it is likely that interventions need to be different, given differencesin lifestyle and attitudes to smoking and quitting. The guidelines are structured around the ‘ABC’ approach (askingabout smoking status and documenting the response; providing brief advice to stop smoking to all those who smoke,regardless of their desire or motivation to quit; and providing evidence-based cessation treatment). The guidelines statethat nicotine replacement therapy (NRT) can be considered but there is insufficient evidence to support theeffectiveness of NRT in young people.Ministry of Health. 2009. Implementing the ABC Approach for Smoking Cessation: Framework and WorkProgramme. Wellington: Ministry of Health. http://www.health.govt.nz/publication/implementing-abc-approachsmoking-cessation-framework-and-work-programmeThis document contains the framework for implementing the ABC approach for smoking cessation. The ABC approachis based on the premise that initiating multiple quit attempts with supported treatment is associated with higher numbersof smokers who cease smoking in the long term. The aim is to integrate the ABC approach into routine care, so that thehealth sector can approach smoking cessation in a systematic and continuous way.Cochrane Systematic ReviewsWhittaker R, et al. 2012. Mobile phone-based interventions for smoking cessation. Cochrane Database ofSystematic Reviews doi:10.1002/14651858.CD006611.pub3http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006611.pub3/abstractThis reviewed assessed whether mobile phone-based interventions are effective at helping smokers of any age whowanted to quit, to stop smoking. Five randomised trials (over 9000 participants) with at least six month cessationoutcomes were included in the review. Three studies involved a purely text messaging intervention that has beenadapted over the course of these three studies for different populations and contexts (first developed in New Zealand,including Māori participants). One multi-arm study assessed a text messaging intervention and an internet QuitCoachseparately and in combination. The final study involved a video messaging intervention delivered via the mobile phone.Pooled results revealed that mobile phone interventions increased the long term quit rates compared with controlprogrammes (RR 1.71, 95% CI 1.47 to 1.99). The authors conclude that the current evidence supports the use of textmessaginginterventions to help smokers to quit.Tobacco Use in Young People - 222