‘Dispelling the smoke to reflect the mirror’: the time is now to eliminate tobacco related harms

Maddox, Raglan; Kennedy, Michelle; Drummond, Ali; Waa, Andrew; Bradbrook, Shane; Tautolo, El‐Shadan; Calma, Tom; Whop, Lisa J.

doi:10.1111/1753-6405.13313

Cited by 9 publications

(12 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While the industry presents a public-facing harm-reduction narrative, legal obligations to shareholders and investor documents confirm that the industry's primary goal remains unchanged; to increase and protect profits, 32,39 an inherent conflict with public health objectives. 23,24,40 Some policy discourse has focused on the existence of differing views, framed as a heated debate, within the public health sector. 41,42 While there may be a perception of division 43 our study found that health organisations were generally unified in their policy positions, supportive of restrictions, and frequently recommended strengthening regulations.…”

Section: Discussionmentioning

confidence: 99%

“…Ultimately, the examples in this study shows the industry continues to draw on known tobacco industry strategies such as highlighting claimed unintended health and economic impacts, a lack of evidence of harm, and vague threats of increased illicit trade 38 to try increase its legitimacy and weaken restrictions. While the industry presents a public‐facing harm‐reduction narrative, legal obligations to shareholders and investor documents confirm that the industry's primary goal remains unchanged; to increase and protect profits, 32,39 an inherent conflict with public health objectives 23,24,40 …”

Section: Discussionmentioning

confidence: 99%

“…Similar to indigenous populations elsewhere, New Zealand Māori face a disproportionate burden of tobacco‐induced health impacts 23 . The role of harm‐reduction, as promoted by the industry, which profits from ongoing nicotine dependence, may be at odds with community goals for self‐determination and well‐being 24 …”

Section: Introductionmentioning

confidence: 99%

“…23 The role of harm-reduction, as promoted by the industry, which profits from ongoing nicotine dependence, may be at odds with community goals for self-determination and well-being. 24 In 2020, the NZ government sought to revise the existing tobacco control legislation to include a range of restrictions on e-cigarettes. As part of the legislative process, organisations and members of the public were invited to make submissions on the drafted Bill, the Smokefree Environments and Regulated Products Bill 25 [hereafter "the Bill"].…”

mentioning

confidence: 99%

See 3 more Smart Citations

An analysis of key stakeholder policy perspectives in the proposed e‐cigarette regulations in New Zealand

Hardie

McCool

Freeman

2023

Health Prom J of Aust

View full text Add to dashboard Cite

Issue addressedThe use of e‐cigarettes is increasing; New Zealand (NZ) has witnessed a rapid rise in consumption. Policymakers face a challenge to balance the impacts of regulation on those who use e‐cigarettes as a smoking cessation tool while protecting people who do not smoke from the harms of e‐cigarette use, particularly young people. Previous research has demonstrated varying perspectives on e‐cigarette regulation according to different stakeholders and interest groups. This study examined key stakeholders' positions on the drafted legislation to regulate e‐cigarettes in NZ.MethodsUsing written submissions made during public consultation in 2020, we conducted a content analysis to determine levels of support for e‐cigarette regulations. Submissions made by the e‐cigarette industry and the health sector were included for analysis.ResultsThe tobacco industry is heavily invested in ensuring that e‐cigarettes continue to be promoted and available in NZ with minimal restrictions. On the contrary, health organisations supported the introduction of regulations to reduce marketing to, and use of e‐cigarettes by youth and people who do not smoke.ConclusionsThe industry opposes restrictions using similar approaches employed against tobacco control measures. Despite perceptions of division, the health sector is generally unified in support of e‐cigarette restrictions.So what?Policymakers must protect public health policies from commercial interests and be cautious of opposition framed as public health concerns.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

An analysis of key stakeholder policy perspectives in the proposed e‐cigarette regulations in New Zealand

Hardie

McCool

Freeman

2023

Health Prom J of Aust

View full text Add to dashboard Cite

show abstract

“…Endgame policies have particular relevance in Aotearoa New Zealand, where Māori (indigenous peoples of Aotearoa) leaders first proposed a tupeka kore (tobacco-free) vision nearly 20 years ago 6. They identified tobacco as a tool of colonisation used initially as a gesture of goodwill and in trade by immigrants, and then by tobacco companies that exploited indigenous peoples as a new source of profit 7 8. Māori leaders’ call for action resulted in a Parliamentary Inquiry led by the Māori Affairs Select Committee, which recommended the government reduce smoking prevalence and tobacco availability to minimal levels,9 a goal the government adopted in 2011 10.…”

Section: Introductionmentioning

confidence: 99%

How do people who smoke perceive a tobacco retail outlet reduction policy in Aotearoa New Zealand? A qualitative analysis

Graham-DeMello

Hoek

2023

Tob Control

View full text Add to dashboard Cite

BackgroundAotearoa New Zealand plans to greatly reduce tobacco retail outlets, which are concentrated in areas of higher deprivation and perpetuate health inequities caused by smoking and borne particularly by Māori. However, we lack in-depth analyses of how this measure could affect people who smoke.MethodsWe undertook in-depth interviews with 24 adults from two urban areas who smoke. We used a novel interactive mapping approach to examine participants’ current retail outlets and their views on a scenario where very few outlets would sell tobacco. To inform policy implementation, we probed participants’ anticipated responses and explored the measure’s wider implications, including unintended impacts. We used qualitative description to interpret the data.ResultsMost participants anticipated accommodating the changes easily, by using alternative outlets or bulk-purchasing tobacco; however, they felt others would face access problems and increased costs, and greater stress. They thought the policy would spur quit attempts, reduce relapse among people who had quit and protect young people from smoking uptake, and expected more people to switch to alternative nicotine products. However, most foresaw unintended social outcomes, such as increased crime and reduced viability of local businesses.ConclusionsMany participants hoped to become smoke-free and thought retail reduction measures would prompt quit attempts and reduce relapse. Adopting a holistic well-being perspective, such as those developed by Māori, could address concerns about unintended adverse outcomes and provide comprehensive support to people who smoke as they adjust to a fundamental change in tobacco availability.

show abstract

Delivery of tobacco control programs by Aboriginal Community Controlled Health Organisations in New South Wales, Australia: A cross‐sectional survey

Bryant

Noble

Eades

et al. 2023

Health Prom J of Aust

View full text Add to dashboard Cite

Issue AddressedTo describe the characteristics of tobacco control programs (TCPs) delivered by Aboriginal Community Controlled Health Services (ACCHSs) in New South Wales (NSW), Australia.MethodsA key informant from each ACCHS in NSW completed a 30‐item online survey. For each TCP, ACCHSs were asked to provide: the target population group, program aims and activities, funding source, and whether the program had been monitored or evaluated and reflected principles of community control and engagement.ResultsTwenty‐five of 38 eligible ACCHSs completed the survey (66% response rate). Overall, 64% of services reported currently delivering at least one TCP, almost all of which aimed to promote quitting (95%). Programs involved brief intervention for tobacco cessation (71%), referral to quit services (67%), or use of printed resources (67%). Funding sources included Local Health Districts (52% of programs), the Commonwealth Government (48%) and NSW Ministry of Health (43%). Most programs were aimed at all Aboriginal people who smoke (76%); 19% targeted women or families during pregnancy/birth. Many TCPs used culturally tailored resources (86%) and employed Aboriginal staff (86%), and 48% had been evaluated.ConclusionsA third of participating ACCHS did not have a specific TCP to address smoking among Aboriginal people, and delivery of programs was characterised by an uncoordinated approach across the state. Aboriginal staff and culturally tailored messages were a focus of existing TCP programs.So What?Findings highlight the need for more investment in TCPs for Aboriginal people to ensure all ACCHSs can deliver evidence‐based programs.

show abstract

‘Dispelling the smoke to reflect the mirror’: the time is now to eliminate tobacco related harms

Cited by 9 publications

References 20 publications

An analysis of key stakeholder policy perspectives in the proposed e‐cigarette regulations in New Zealand

An analysis of key stakeholder policy perspectives in the proposed e‐cigarette regulations in New Zealand

How do people who smoke perceive a tobacco retail outlet reduction policy in Aotearoa New Zealand? A qualitative analysis

Delivery of tobacco control programs by Aboriginal Community Controlled Health Organisations in New South Wales, Australia: A cross‐sectional survey

Contact Info

Product

Resources

About