Support for a tobacco endgame and increased regulation of the tobacco industry among New Zealand smokers: results from a National Survey
- 1Department of Public Health, University of Otago, Wellington, New Zealand
- 2Whakauae Research Services, Whanganui, New Zealand
- Correspondence to Dr Professor Richard Edwards, Department of Public Health, University of Otago, PO Box 7343, Wellington South, New Zealand;
Contributors RE was the deputy PI of the ITC study, he lead the conceptualisation of the paper and the analysis and contributed to the first and subsequent drafts. NW was the PI of the ITC study and lead all aspects of the ITC study design and implementation. NW also contributed to the conceptualisation of the paper and commented on successive drafts. JP was a co-investigator in the ITC study. She wrote the first draft of the paper and commented on subsequent drafts. She also prepared the paper for submission. DW was a co-investigator in the ITC study. DW did all the statistical analyses for this paper and commented on drafts. GWT and HG were co-investigators on the ITC study and commented on drafts of the paper.
- Received 14 November 2011
- Accepted 17 March 2012
- Published Online First 25 April 2012
Aim To examine the prevalence of smoker support for a ban on cigarette sales in 10 years time and increased regulation of the tobacco industry and to investigate the independent associations of support for these measures.
Methods The authors surveyed opinions among adult smokers in two survey waves (N=1376 and N=923) from the New Zealand arm of the International Tobacco Control Policy Evaluation Survey during 2007–2009. The authors report prevalence of support stratified by age, gender and ethnicity. The authors carried out multivariate analyses to identify significant associations among potential determinants (demographics, socioeconomic status, mental health and smoking-related beliefs and behaviours) of support.
Results Most New Zealand smokers supported greater regulation of the tobacco industry (65%) and more government action on tobacco (59%). Around half (46%) supported banning sales of cigarettes in 10 years time, provided effective nicotine substitutes were available. In a fully adjusted model, significant associations with support for greater tobacco company regulation included Māori ethnicity, experience of financial stress and greater awareness about the harms of smoking. Significant associations with support for a ban on tobacco sales in 10 years time included increasing area-based deprivation level, increasing intention to quit and greater concern about the health effects of smoking.
Conclusions The findings suggest that most smokers will support stronger government action to control the tobacco industry and that many support radical ‘endgame’ approaches. Greater support among Māori, more deprived and possibly Pacific smokers, is an important finding, which could inform the design and implementation of new policies given the very high smoking prevalence among these groups and hence high priority for targeted tobacco control interventions. Perceived difficulties in gaining public support should not impede the introduction of rigorous tobacco control measures needed to achieve a tobacco-free New Zealand.
- Primary healthcare
- tobacco control in Africa
- environmental tobacco smoke
- smoking-caused disease
- taxation and price
- public policy
- harm reduction
- packaging and labelling
- tobacco control policy
Funding The NZ ITC Project was funded by The Health Research Council of New Zealand (grant number 06/453).
Competing interests Although we do not consider it a competing interest, for the sake of full transparency, we note that some of the authors have undertaken work for health sector agencies working in tobacco control.
Patient consent This study did not involve patients. It included smokers drawn from the general population who gave their consent to take part in the surveys.
Ethics approval Ethics approval was provide by the Multi-Region Ethics Committee in NZ (MEC/06/07/071) and by the Office of Research Ethics, University of Waterloo, Canada (ORE#13547).
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement Unpublished data have not been made available to anyone as yet.