Hostname: page-component-7c8c6479df-hgkh8 Total loading time: 0 Render date: 2024-03-28T12:21:55.628Z Has data issue: false hasContentIssue false

What Do Young New Zealanders Want in Terms of Smoking Cessation?

Published online by Cambridge University Press:  23 October 2013

Louise Marsh*
Affiliation:
Cancer Society Social & Behavioural Research Unit, Preventive & Social Medicine, University of Otago, New Zealand
Anna Dawson
Affiliation:
Cancer Society Social & Behavioural Research Unit, Preventive & Social Medicine, University of Otago, New Zealand
Rob McGee
Affiliation:
Cancer Society Social & Behavioural Research Unit, Preventive & Social Medicine, University of Otago, New Zealand
*
Address for correspondence: Dr Louise Marsh, Research Fellow, Cancer Society Social & Behavioural Research Unit, Preventive & Social Medicine, University of Otago, PO Box 913, Dunedin 9054, New Zealand. E-mail: Louise.marsh@otago.ac.nz

Abstract

This study examines young New Zealand smokers’ views of what would help them quit smoking. A qualitative investigation using 10 focus groups with 66 current young smokers, aged between 15 and 17 years, was conducted throughout New Zealand, in late 2011. Transcripts from the focus groups were analysed using NVivo, and common themes and categories within themes were identified. Around half the participants had made a quit attempt in the past, some had tried multiple times using a range of methods; all were unsuccessful. They described both mental and physical difficulties for young people quitting. The participants developed an array of ideas for how to help young people quit smoking, encompassing having supportive people around them, making personal changes and adopting alternative behaviours to smoking, legislative changes, and ideas that were unique to young people. Cessation strategies which reach high risk smokers such as young people, Māori and Pacific peoples, are going to be vital for achieving a smokefree Aotearoa by 2025.

Type
Articles
Copyright
Copyright © The Author(s) 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Amos, A., Wiltshire, S., Haw, S., & McNeill, A. (2006). Ambivalence and uncertainty: experiences of and attitudes towards addiction and smoking cessation in the mid-to-late teens. Health Education Research, 21 (2), 181191. doi: 10.1093/Her/Cyh054. Retrieved from: http://her.oxfordjournals.org/content/21/2/181.full.pdf+htmlCrossRefGoogle ScholarPubMed
Australian Institute of Health and Welfare (2008). 2007 National Drug Strategy Household Survey: First Results. Canberra: Australian Institute of Health and Welfare.Google Scholar
Balch, G. I., Tworek, C., Barker, D. C., Sasso, B., Mermelstein, R., & Giovino, G. (2004). Opportunities for youth smoking cessation: Findings from a national focus group study. Nicotine & Tobacco Research, 6 (1), 917. doi: 10.1080/1462200310001650812 Retrieved from: http://ntr.oxfordjournals.org/content/6/1/9.full.pdf+htmlCrossRefGoogle ScholarPubMed
Borland, R., Yong, H. H., Balmford, J., Cooper, J., Cummings, K. M., O'Connor, R. J., . . . Fong, G. T. (2010). Motivational factors predict quit attempts but not maintenance of smoking cessation: Findings from the International Tobacco Control Four country project. Nicotine & Tobacco Research, 12(Supp 1), S411. doi: 10.1093/ntr/ntq050 Retrieved from: http://ntr.oxfordjournals.org/content/12/suppl_1/S4.full.pdf+htmlCrossRefGoogle ScholarPubMed
Bricker, J., Rajan, K., Anderson, M., & Peterson, A. V. (2005). Does parental smoking cessation encourage their young adult children to quit smoking? A prospective study. Addiction, 100 (3), 279386. doi: 10.1111/j.1360-0443.2005.00997.x.CrossRefGoogle ScholarPubMed
Burt, R. D., & PetersonA. V., Jr. A. V., Jr. (1998). Smoking cessation among high school seniors. Preventive Medicine, 27 (3), 319327. Retrieved from: http://www.sciencedirect.com/science/journal/00917435/27/3CrossRefGoogle ScholarPubMed
Clark, P. I., Schooley, M. W., Pierce, B., Schulman, J., Hartman, A. M., & Schmitt, C. L. (2006). Impact of home smoking rules on smoking patterns among adolescents and young adults. Preventing Chronic Disease, 3 (2).Google ScholarPubMed
Currie, C., Gabhainn, S. N., Godeau, E., Roberts, C., Smith, R., Currie, D., . . . Pickett, W. (Eds). (2008). Inequalities in young people's health. In Organization, W. H. (Ed.), Health Policy for Children and Adolescents (Vol. 5, pp. i208). Copenhagen: WHO Regional Office for Europe. Retrieved from: http://www.euro.who.int/__data/assets/pdf_file/0005/53852/E91416.pdfGoogle Scholar
Garrison, M. M., Christakis, D. A., Ebel, B. E., Wiehe, S. E., & Rivara, F. P. (2003). Smoking cessation interventions for adolescents – A systematic review. American Journal of Preventive Medicine, 25 (4), 363367. doi: 10.1016/S0749-3797(03)00213-7. Retrieved from: http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VHT-49T1N05-K-1&_cdi=6075&_user=100241&_pii=S0749379703002137&_origin=browse&_zone=rslt_list_item&_coverDate=11%2F30%2F2003&_sk=999749995&wchp=dGLzVtb-zSkWA&md5=77948c677bc03b716778d11c47c2e008&ie=/sdarticle.pdfCrossRefGoogle ScholarPubMed
Glover, M., Cowie, N., Paton, C., Kira, A., Moetara, W., Ruke, R., . . . Setu, F. (2012). WERO: a group stop smoking competition. Paper presented at the Tobacco-free Aotearoa Conference, Wellington. http://smokefree.org.nz/sites/default/files/115%20Marewa%20Glover.pdfGoogle Scholar
Glover, M., Fraser, T., & Nosa, V. (2012). Views of low socio-economic smokers: what will help them quit? Journal of Smoking Cessation, 7 (1), 4146. Retrieved from:CrossRefGoogle Scholar
Gravitas Research & Strategy Ltd. (2009). New Quitline service evaluation– Three-week follow-up survey: Prepared for The Quit Group.Google Scholar
Grimshaw, C., & Stanton, A. (2006). Tobacco cessation interventions for young people (Review). Cochrane Database of Systematic Reviews (4), 158. doi: 10.1002/14651858.CD003289.pub4.Google Scholar
Grimshaw, G., Stanton, A., Blackburn, C., Andrews, K., Grimshaw, C., Vinogradova, Y., & Robertson, W. (2003). Patterns of smoking, quit attempts and services for a cohort of 15- to 19-year-olds. Child Care, Health & Development, 29 (6), 457464. doi: 10.1046/j.1365-2214.2003.00365.x.CrossRefGoogle ScholarPubMed
Guo, H., McGee, R., Reeder, A. I., & Gray, A. (2010). Smoking behaviours and contextual influences on adolescent nicotine dependence. Australian & New Zealand Journal of Public Health, 34 (5), 502507. doi: 10.1111/j.1753-6405.2010.00597.x. Retrieved from: http://onlinelibrary.wiley.com/doi/10.1111/j.1753-6405.2010.00597.x/pdfCrossRefGoogle ScholarPubMed
Haerens, L., De Bourdeaudhuij, I., Eiben, G., Lauria, F., Bel, S., Keimer, K., . . . Maes, L. (2010). Formative research to develop the IDEFICS physical activity intervention component: findings from focus groups with children and parents. Journal of Physical Activity and Health, 7 (7), 246256.CrossRefGoogle ScholarPubMed
Health Sponsorship Council. (2010). 2010 HSC Year 10 in-depth survey report (pp. i–88): Health Sponsoship Council.Google Scholar
Heary, C. M., & Hennessy, E. (2002). The use of focus group interviews in pediatric health care research. Journal of Pediatric Psychology, 27 (1), 4757.CrossRefGoogle ScholarPubMed
Kime, N., McKenna, J., & Webster, L. (2013). Young people's participation in the development of a self-care intervention—a multi-site formative research study. Health Education Research, 28 (3), 552562. doi: 10.1093/her/cys107.CrossRefGoogle ScholarPubMed
Kitzinger, J. (1995). Qualitative research. Introducing focus groups. BMJ, 311 (7000), 299302.CrossRefGoogle ScholarPubMed
Lashlie, C. (2007). He be OK: Growing Gorgeous Boys into Good Men. Auckland: Harper Collins.Google Scholar
Lawrance, K. G. (2001). Adolescent smokers’ preferred smoking cessation methods. Canadiam Journal of Public health, 92 (6), 423426.CrossRefGoogle ScholarPubMed
Li, J. (2009). Effectiveness of the Smoking Not Our Future (SNOF) campaign in encouraging Quitline and Txt2Quit enquiries and registrations. Wellington: The Quit Group.Google Scholar
Li, J., & Grigg, M. (2007). Changes in characteristics of New Zealand Quitline callers between 2001 and 2005. New Zealand Medical Journal, 120 (1256), 17.Google ScholarPubMed
Lobstein, T., Baur, L., Uauy, R., & IASO International Obesity Tasforce. (2004). Obesity in children and young people: a crisis in public health. Obesity Reviews, Suppl. 1, 4–85.CrossRefGoogle Scholar
Marsh, L., Dawson, A., & McGee, R. (2013). ‘When you're desperate you'll ask anybody’: young people's social sources of tobacco. Accepted for publication by the Australian and New Zealand Journal of Public Health.CrossRefGoogle Scholar
Marsh, L., McGee, R., Gray, A., Newcombe, R., & Li, J. (2012, Mar 21). Smoking cessation perception and behaviours among smokers in New Zealand. Paper presented at the World Conference on Tobacco and Health 2012, Singapore.Google Scholar
McRobbie, H., Bullen, C., Glover, M., Whittaker, R., Wallace-bell, M., & Fraser, T. (2008). New Zealand Medical Journal, 121 (1276), 5770.Google Scholar
McRobbie, H., Bullen, C., Walker, N., Whittaker, R., Glover, M., & Fraser, T. (2008). New Zealand smoking cessation guidelines. 121:57–70. New Zealand Medical Journal, 121 (1276), 5770. Retrieved from: http://www.nzma.org.nz/journal/121-1276/3117/Google Scholar
Mermelstein, R. (2003). Teen smoking cessation. Tobacco Control, 12 (S1), i25i34. doi: 10.1136/tc.12.suppl_1.i25 Retrieved from: http://tobaccocontrol.bmj.com/content/12/suppl_1CrossRefGoogle ScholarPubMed
Milne, K., Bowler, S., Li, J., & Salmon, P. (2009). Evaluation of the first year of the Txt2Quit service, 17 June 2008 – 16 June 2009 (pp. 1–85). Wellington: The Quit Group. Retrieved from: http://www.quit.org.nz/file/research/FINAL%202008-09%20Txt2Quit%20evaluation%20report%2020090731.pdfGoogle Scholar
Ministry of Health. (2007). New Zealand smoking cessation guidelines. Wellington: Ministry of Health.Google Scholar
Ministry of Health. (2008). Literature review for the revision of the New Zealand Smoking Cessation Guidelines. Wellington: Ministry of Health.Google Scholar
Ministry of Health. (2009). New Zealand Tobacco Use Survey 2008: Quitting results. (pp. i54). Wellington: Ministry of Health. Retrieved from: http://www.moh.govt.nz/moh.nsf/pagesmh/9665/$File/2008-nztus-quitting-results-nov09-v2.pdfGoogle Scholar
Ministry of Health. (2010). Tobacco use in New Zealand: Key findings from the 2009 New Zealand Tobacco Use Survey (pp. i–112). Wellington: Ministry of Health. Retrieved from: http://www.moh.govt.nz/moh.nsf/indexmh/tobacco-use-nz-key-findings-2009-survey?OpenGoogle Scholar
Muscat, J. E., Ahn, K., RichieJ. P., Jr. J. P., Jr., & Stellman, S. D. (2011). Nicotine dependence phenotype, time to first cigarette, and risk of head and neck cancer. Cancer, 117, 53705376. doi: 10.1002/cncr.26235. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/21826643CrossRefGoogle ScholarPubMed
Neumark-Sztainer, D., Story, M., Perry, C., & Casey, M. (1999). Factors influencing food choices of adolescents: Findings from focus-group discussions with adolescents. Journal of the American Dietetic Association, 99 (8), 929937. doi: 10.1016/S0002-8223(99)00222-9.CrossRefGoogle ScholarPubMed
New Zealand Government. (2011). Government response to the report of the Māori Affairs Committee on its inquiry into the tobacco industry in Aotearoa and the consequences of tobacco use for Māori. Wellington: Retrieved from http://www.parliament.nz/en-NZ/PB/Presented/Papers/d/9/b/49DBHOH_PAP21175_1–Government-Final-Response-to-Report-of-the-M-ori.htm.Google Scholar
Patten, C. A., Enoch, C., Renner, C. C., Offord, K. P., Nevak, C., Kelley, S. F., . . . Kaur, J. S. (2009). Focus groups of Alaska native adolescent tobacco users: Preferences for tobacco cessation interventions and barriers to participation. Health Education & Behavior, 36 (4), 711723.CrossRefGoogle ScholarPubMed
Paynter, J. (2010). National Year 10 ASH Snapshot Survey, 1999–2009: Trends in tobacco use by students aged 14–15 years (pp. 1–46). Retrieved from: http://www.ash.org.nz/Google Scholar
Ponniah, S., & Bloomfield, A. (2008). Sociodemographic characteristics of New Zealand adult smokers, ex-smokers, and non-smokers: results from the 2006 Census. New Zealand Medical Journal, 121 (1284), 3442. Retrieved from: http://www.nzma.org.nz/journal/121-1284/3313/Google ScholarPubMed
Poynter, M., Bullen, C., Whittaker, R., & Grigg, M. (2008). Under-18 year old callers to New Zealand's Quitline. New Zealand Medical Journal, 121 (1271), 2432.Google ScholarPubMed
Robinson, N. (1999). Qualitative research. Introducing focus groups. Qualitative Research. Introducing Focus Groups, 29 (4), 905913.Google Scholar
Sanchez del Mazo, S. (2005). Youth Smoking Cessation – what can we do? Sweden: National Institute of Public Health.Google Scholar
Smithson, J. (2000). Using and analysing focus groups: limitations and possibilities. International Journal of Social Research Methodology, 3 (2), 103119.CrossRefGoogle Scholar
Stanton, W. R., Lowe, J. B., Fisher, K. J., Gillespie, A. M., & Rose, J. M. (1999). Beliefs about smoking cessation among out-of-school youth. Drug & Alcohol Dependence, 54 (3), 251258.CrossRefGoogle ScholarPubMed
Sussman, S., Lichtman, K., Ritt, A., & Pallonen, U. E. (1999). Effects of thirty-four adolescent tobacco use cessation and prevention trials on regular users of tobacco products. Substance Use & Misuse, 34 (11), 14691503. doi: 10.3109/10826089909039411. Retrieved from: http://informahealthcare.com/doi/pdf/10.3109/10826089909039411CrossRefGoogle ScholarPubMed
Thomas, D. R. (2006). A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation, 27 (2), 237246. doi: Doi 10.1177/1098214005283748. Retrieved from: http://aje.sagepub.com/content/27/2/237.full.pdf+html<Go to ISI>://000237660500007CrossRefGoogle Scholar
U. S. Centers for Disease Control and Prevention. (2001). Youth tobacco surveillance–United States, 2000. MMWR CDC Surveillance Summaries, 50 (SS4), 184. Retrieved from: http://www.cdc.gov/mmwr/PDF/ss/ss5004.pdfGoogle Scholar
Vuckovic, N., Polen, M. R., & Hollis, J. F. (2003). The problem getting us to stop. What teens say about smoking cessation. Preventive Medicine, 37 (3), 209218. doi: 10.1016/S0091-7435(03)00115-4. Retrieved from: http://ac.els-cdn.com/S0091743503001154/1-s2.0-S0091743503001154-main.pdf?_tid=578d4768-5f82-11e2-85e8-00000aacb35f&acdnat=1358302599_2eb79f8a299d19dde0f14f834db1c003CrossRefGoogle ScholarPubMed
Warren, C. W., Jones, N. R., Peruga, A., Chauvin, J., Baptiste, J.-P., Costa de Silva, V., . . . Asma, S. (2008). Global Youth Tobacco Surveillance, 2000–2007. [Surveillance Summary]. MMWR – Morbidity & Mortality Weekly Report, 57 (SS1), 121. Retrieved from: http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5701a1.htmGoogle ScholarPubMed