NACCHO Aboriginal Health and #Smoking Research Report : ‘Deadly progress’: substantial drop in Indigenous smoking from 2004-2015

“The research is a positive news story in Indigenous health, and more should be done to understand what is working to reduce Indigenous smoking” 

Professor Tom Calma, lead advocate for Indigenous tobacco control and Chancellor of the University of Canberra

Read Paper HERE

Read over 118 NACCHO Aboriginal Health and Smoking published over the past 5 years

A paper led by ANU researcher Associate Professor Ray Lovett published in the journal Public Health Research & Practice today found a substantial drop in smoking among Aboriginal and Torres Strait Islander people over the last ten years.

The research highlights the positive downward trends in daily smoking prevalence for young Indigenous people and Indigenous people living in urban areas.

The majority of Aboriginal and Torres Strait Islander adults (around six in ten) do not smoke daily.

According to the study, the proportion of Indigenous people smoking daily dropped by 9%, from 50% in 2004 to 41% in 2014.

Lovett explains, ‘As a result, there are 35,000 fewer daily smokers today than there would have been if things had stayed the same since 2004. This will lead to thousands of lives saved’.

‘The way we communicate statistics matters. In our work we focus on the progress made within the Aboriginal and Torres Strait Islander population, and we find that substantial progress has been achieved.

In contrast, when reports focus on the gap in smoking prevalence compared to the total Australian population, this can have negative consequences and can actually contribute to widening the gap’, said Lovett.

The team used data from national surveys conducted by the Australian Bureau of Statistics to assess trends in Indigenous smoking over time.

Dr Lovett and his research team are now working with two Aboriginal organisations, Central Australian Aboriginal Congress and Institute for Urban Indigenous Health, to better understand how their work contributes to the decline in smoking rates.

The full article can be found here: http://www.phrp.com.au/?p=37127

Discussion

The prevalence of daily smoking among Aboriginal and Torres Strait Islander adults in Australia has decreased by 8.6 percentage points (95% CI 5.5, 11.8), from 50.0% in 2004–05 to 41.4% in 2014–15.

This corresponds to an estimated 35 000 fewer Aboriginal and Torres Strait Islander adult daily smokers in 2014–15, compared with if the smoking prevalence had remained stable since 2004–05. Our findings indicate that thousands of premature deaths in Aboriginal and Torres Strait Islander people have been prevented by the reduction in daily smoking prevalence over the past decade.

Accurately determining the number of deaths averted requires additional data, such as cause-specific mortality. Declines in daily smoking among Aboriginal and Torres Strait Islander people were observed among both males and females, and were most evident among those aged 18–44 years, and those living in urban/regional areas.

The absolute decrease in smoking prevalence observed in the Aboriginal and Torres Strait Islander population is comparable with the decrease of 6.8 percentage points (95% CI 5.6, 7.9) in the total Australian population over the same period, although the base smoking prevalence was substantially lower in the total Australian population (21.3% in 2004–05). These results demonstrate that considerable progress has been made in the Aboriginal and Torres Strait Islander population in the past decade, matching in absolute terms the extent of progress made in the total Australian population.

Given the similar absolute decrease in smoking prevalence in the Aboriginal and Torres Strait Islander and total Australian population, the gap in smoking prevalence has remained relatively stable. This may appear inconsistent with the Australian Institute for Health and Welfare’s midterm report for the National Tobacco Strategy 2012–20185, which reported that the gap in smoking between Aboriginal and Torres Strait Islander people and non-Indigenous Australians had increased between 2008 and 2015.

The discrepancy arises from different methods used to report trends in smoking inequalities.9-11 Our analysis emphasises change in the absolute prevalence of smoking within the population (50.0% – 41.4% = 8.6% absolute prevalence decrease), whereas the midpoint report emphasises smoking prevalence in the Aboriginal and Torres Strait Islander population relative to the non-Indigenous population.5

In relative terms, the ratio of Aboriginal and Torres Strait Islander to total Australian smoking prevalence increased from 2.4 (50.0%:21.3%) in 2004–05 to 2.9 (41.4%:14.5%) in 2014–15. This demonstrates that reporting change in absolute versus relative terms can lead to fundamentally different conclusions, which could affect support for programs and policies.9-12

Focusing on relative differences in isolation can obscure progress at the population level; that is, the absolute number of Aboriginal and Torres Strait Islander adults quitting or not taking up smoking.

Further, research from other populations demonstrates that communicating information about health inequity using a progress frame (as used in this paper) rather than a disparity frame (i.e. focusing on the persisting gap) is associated with more positive emotional responses and increased interest in engaging in health-promoting behaviours.14 Therefore, we consider it ethical to report absolute progress in smoking prevalence.

The ambitious target to halve Aboriginal and Torres Strait Islander adult daily smoking prevalence to 23.9% by 20186 will not be achieved if current trends continue. However, this target would be reached within the next two decades if smoking prevalence continues to decrease at the current rate. If the success in smoking reduction observed within the younger age groups and those living in urban/regional areas is echoed in older age groups and in remote areas, this target may be reached earlier.

We observed significant reductions (about 10%) in daily smoking prevalence among the youngest age groups (18–24, 25–34 and 35–44 years). Data from the 2004–05 NATSIHS indicates that two-thirds of current and past Aboriginal and Torres Strait Islander smokers had begun smoking by age 1817; therefore, our findings of reduced smoking prevalence among younger adults is promising.

The Aboriginal and Torres Strait Islander population has a younger age profile than the total population, and therefore the potential population-level benefit of reducing smoking among younger adults is important.18

We observed reductions in daily smoking prevalence among male and female Aboriginal and Torres Strait Islander adults living in urban/regional areas. Given that the majority of Aboriginal and Torres Strait Islander people live in urban/regional settings, this is another encouraging finding at the population level.

We did not detect a significant change between 2004–05 and 2014–15 in daily smoking prevalence among Aboriginal and Torres Strait Islander adults living in remote areas. The observed stability of smoking prevalence in remote areas from 2004 to 2015 is consistent with trends from 1994 to 2004.7 Despite being the largest available datasets, the number of survey participants in remote areas was relatively small, and is likely to be insufficient to detect changes in prevalence.

Given the enduring high smoking prevalence among older age groups and in remote settings, improved intensive effort will be required to change the normalisation of tobacco use and correct potential misperceptions of tobacco use, particularly as older people may have had longer and more intense exposure to tobacco marketing.19

This includes continued and concerted effort from targeted Aboriginal and Torres Strait Islander tobacco control programs, in addition to national strategies.4,20

The prevalence of smoking is reduced by increased numbers of people quitting and not taking up smoking. Since 2008, there has been a concerted effort in public health strategies, policies and programs to reduce tobacco smoking in Aboriginal and Torres Strait Islander people.

Australia’s approach to tobacco control is comprehensive, and it is difficult to attribute changes to one program; however, continuing support for both whole-of-population and targeted strategies is required.

For example, recent evidence indicates that the introduction of graphic warning labels on cigarette packages led to increased understanding of and concern about the harms associated with smoking among Aboriginal and Torres Strait Islander people19,21, and research has demonstrated that smokers’ knowledge of the effects of second-hand smoke is associated with desire and attempts to quit.22 Our findings may indicate that programs and policies have been particularly effective at reducing smoking among young people and those living in urban/regional areas. It is more difficult to assess the potential effectiveness of programs and policies in remote settings; finer regional estimates are required to assess policy and program impacts in this setting.23

Strengths and weaknesses

This paper analyses multiple cross-sectional data, which are the most comprehensive data available on Aboriginal and Torres Strait Islander smoking status. Limitations of our approach include that comparability between survey estimates may be affected by differences in scope, sample design, coverage, and potential changes in the age structure of the population over time. The use of weighting generates estimates that are representative of the in-scope population, which were similarly defined across the four surveys. However, we note that the 2004–05 and 2008 surveys represent a somewhat smaller percentage (82–90%) of the Aboriginal and Torres Strait Islander population compared with the other surveys (95%); this may result from issues related to survey scope.17

We have restricted our analysis to current daily smoking – rather than including weekly or less frequent smoking – to enable consistent measurement across surveys, and to enable direct comparison with national tobacco targets.5,6 It is important to note that our analysis focused on cigarette smoking. Recent ABS surveys provide data on the use of other tobacco products (e.g. chewing tobacco); data on e-cigarette use are not yet available.

Although we include a comparison with daily smoking prevalence in the total Australian population as a benchmark, this article focuses on variation in daily current smoking trends within the Aboriginal and Torres Strait Islander population. We have presented comparable estimates for the total Australian population, rather than the non-Indigenous Australian population, because of the data that were available, and we may therefore underestimate the gap in prevalence between the Aboriginal and Torres Strait Islander and non-Indigenous populations. However, this underestimation is likely to be very small; for example, in 2014, the difference between daily adult smoking prevalence in the non-Indigenous population (14.2%; 95% CI 13.4, 15.0)3 versus the total Australian population (14.5%; 95% CI 13.6, 15.4) was marginal.

Conclusions

Applying a progress frame rather than a disparity frame and reporting absolute changes in smoking prevalence provides clear evidence of the substantial and significant declines in daily smoking prevalence among Aboriginal and Torres Strait Islander adults, which will result in considerable health gain. Particular success has occurred among younger adults and those living in urban/regional areas.

Despite this progress, the smoking prevalence in the Aboriginal and Torres Strait Islander population remains high, with an estimated 165 000 current adult daily smokers. It will be critical to learn from the success among younger adults and those in urban areas to effect change among older age groups and those in remote areas. Continuation and enhancement of a suite of tobacco control efforts are required.

 

 

 

 

 

 

 

 

 

 

NACCHO Aboriginal Health #Smoking : Features Our ACCHO Members at #OTCC2017 #Deadly good news stories #TAS #NT #NSW #QLD #WA #SA #VIC #TAS

1.1 #NACCHOagm2017 and Members’ Conference Program launched

1.2. National : The Redfern Statement Alliance Call for Funding to be Reinstated to the National Congress of Australia’s First Peoples

2. Tas: Tasmanian Aboriginal Centre at #OTCC2017

3. VIC : Victorian Aboriginal Health Service Healthy Lifestyle Team at #OTCC2017

4. NT : Miwatj AMS Arnhem Land and Congress at #OTCC2017

5.QLD : Deadly Choices at @OTCC2017

6 SA : AHCSA and Quitline at #OTCC2017

7.WA : Puntukurnu Aboriginal Medical Service ‘you CAN quit’ film project 

8. ACT/NSW  :Tom Calma Don’t Make Smokes Your Story

 View hundreds of ACCHO Deadly Good News Stories over past 5 years

How to submit a NACCHO Affiliate  or Members Good News Story ? 

 Email to Colin Cowell NACCHO Media    

Mobile 0401 331 251

Wednesday by 4.30 pm for publication each Thursday

1.1 #NACCHOagm2017 and Members’ Conference Program launched

 Download the 48 Page Conference Program

NACCHO 2017 Conference Program

You can follow on Twitter , Instagram and Facebook using HASH Tag #NACCHOagm2017

The NACCHO Members’ Conference and AGM will provided a forum for the Aboriginal community controlled health services workforce, bureaucrats, educators, suppliers and consumers to:

  • Present on innovative local economic development solutions to issues that can be applied to address similar issues nationally and across disciplines
  • Have input and influence from the ‘grassroots’ into national and state health policy and service delivery
  • Demonstrate leadership in workforce and service delivery innovation
  • Promote continuing education and professional development activities essential to the Aboriginal community controlled health services in urban, rural and remote Australia
  • Promote Aboriginal health research by professionals who practice in these areas and the presentation of research findings
  • Develop supportive networks
  • Promote good health and well-being through the delivery of health services to and by Indigenous and non-Indigenous people throughout Australia.

Conference Website

1.2. National : The Redfern Statement Alliance Call for Funding to be Reinstated to the National Congress of Australia’s First Peoples .

“We need to reset the relationship by supporting the operations of the National Congress of Australia’s First Peoples.”

Pat Turner, NACCHO CEO said a positive step is needed (Pictured above at Redfern Statement launch June 2016)

See Redfern Statement Update NACCHO Aboriginal Health Priorities : 1st Anniversary of the #Redfernstatement

On the eve that the Australian Government has secured a seat on the United Nations Human Rights Council, the Redfern Statement Alliance Leaders met to discuss its relationship with the Australian Government.

Securing this position to the UN Council does not reflect the relationship this Government has with Aboriginal and Torres Strait Islander people.

In 2008 there was bi-partisan support for the National Congress as an elected voice of Aboriginal and Torres Strait Islander People.

Co-Chair Jackie Huggins said, “National Congress is an elected body with more members than some of the major political parties. Although our relationship has improved with Government, it has been through minor contract work and is ineffective.”

Co-Chair Rod Little said, “National Congress is strongly committed to the implementation of the United Nations Declaration on the Rights of Indigenous Peoples.

We have consistently called on the Australian Government to honour its commitment and not just sit idly on the UN Human Rights Council when our people are suffering.”

The recent UN Special Rapporteur on the rights of Indigenous People’s report delivered a verdict to the Australian Government on the status of Aboriginal Australia and called for the reinstatement of funds to the National Congress of Australia’s First Peoples.

The Redfern Statement Alliance Leaders call on Prime Minister Turnbull to seize the opportunity to do the right thing and invest in the National Congress of Australia’s First Peoples as a lead Aboriginal and Torres Strait Islander community controlled organisation.

Australia is now going to be overseeing the human rights records of other nations whilst serious human rights violations are being committed against our people daily.

2. Tas: Tasmanian Aboriginal Centre at #OTCC2017

Here’s Tina Goodwin, TAC tobacco worker, on stage at the Oceania Tobacco Control Conference is Tasmania this week with Hone Harawura.

Tina announced Hone as the winner of the Tariana Turia award which recognises significant contributions to Indigenous tobacco control.

Hone has worked as a community activist and parliamentarian on many issues of importance to Maori. He wants to see tobacco companies sued for all of the death and destruction they cause to Maori, Aboriginal and other Indigenous communities.

Hone’s words: “Those bastards (Big Tobacco) are making people addicted and they are killing our people. Let’s sue them!”Anyone want to help with the legal case? Pictured below with Tom Calma

3. VIC : Victorian Aboriginal Health Service Healthy Lifestyle Team at #OTCC2017

Representing Deadly Dan and ready to take on day 1 of the Oceania Tobacco Control Conference 2017 in Hobart.

Very excited to hear from our friends in other Tackling Indigenous Smoking Teams and mainstream organisations from Aus, NZ and Pacific Islands today.

Learning about the progress and challenges as we aim for a Tobacco Free Pacific by 2025!

 

The team exploring kunanyi this morning. Checking out the view and getting our 30 minutes of exercise in before day 2 of the Oceania Tobacco Control Conference.

Having a great time. Loving learning about the rich Aboriginal history of this area and meeting other passionate like minded health professionals.

If you can’t tell from our faces it was very cold at the top!

#otcc2017#kunanyi#hobart#vahsHLT#StaySmokeFree

4. NT : Miwatj AMS Arnhem Land and Congress at #OTCC2017

5.QLD : Deadly Choices at @OTCC2017

6 SA : AHCSA and Quitline at #OTCC2017

7.WA : Puntukurnu Aboriginal Medical Service ‘you CAN quit’ film project ( Note not at #OTCC2017)

Young people in four remote communities in Western Australia’s East Pilbara — where up to 80 percent of community members smoke — have joined forces with filmmakers on a campaign to urge people to give up the deadly habit.

From NIT

The youngsters from Jigalong, Parnngurr, Punmu and Kunawarritji in WA are shedding light on the personal stories of local smokers to warn about the dangerous habit in a series of short films.

Fifteen-year-old Clintesha Samson, who was involved in the films and doesn’t smoke, said she would like to see people in her community stop for the sake of their health.

She said she thought film was a good way to get the message across.

The series of films are part of a ‘you CAN quit’ project that has documented the stories of community members who have kicked the habit and those who have been affected by smoking-related illnesses.

The project was organised by Puntukurnu Aboriginal Medical Service’s Tackling Indigenous Smoking team.

The young people involved were responsible for researching, shooting, editing and promoting the films.

Puntukurnu Aboriginal Medical Service regional tobacco coordinator Danika Tager said smoking rates in the East Pilbara were high and more needed to be done to support communities to address tobacco addiction.

“Smoking rates in remote East Pilbara communities are as high as 80 percent and tobacco use is the single most preventable cause of death and disease in this population,” Ms Tager said.

“Through this important film project we hope to encourage people in these communities to quit smoking, as well as air the many benefits of quitting and where they can find help and support.”

The films are being shown in communities and also aired on TV and social media.

The Puntukurnu Aboriginal Medical Service is a community-controlled health organisation that provides primary health care, 24-hour emergency services and preventative health and education programs in the communities of Jigalong, Parnngurr, Punmu and Kunawarritji.

8. ACT/NSW Tom Calma Don’t Make Smokes Your Story

Download the evaluation report

Evaluation-Report_National-Tobacco-Campaign-Indigenous

NACCHO Aboriginal Health and #Smoking : @our_ANU Report : #Indigenous smoking deaths on the rise despite people butting out

We have seen significant declines in smoking among Indigenous Australian adults over the past two decades that will bring major health benefits over time,

But we’re seeing tobacco’s lethal legacy from when smoking prevalence was at its peak.

We need a continued comprehensive approach to tobacco control, and the incorporation of Indigenous leadership, long-term investment and the provision of culturally appropriate materials and activities is critical to further reducing smoking,”

Dr Ray Lovett from the ANU Research School of Population Health.

Please note Dr Lovett will be speaking at the NACCHO Conference 31 Oct -2 Nov

Topic: Mayi Kuwayu: a national study of culture and wellbeing among Aboriginal and Torres Strait Islander peoples

Speaker: Dr Ray Lovett See NACCHO Conference Website

Smoking-related deaths among Indigenous Australians are likely to continue to rise and peak over the next decade despite big reductions in smoking over the past 20 years, a new study led by The Australian National University (ANU) has found.

Cigarette smoking is a leading contributor to the burden of morbidity and mortality among Aboriginal and Torres Strait Islander (hereafter respectfully referred to as Indigenous) Australians1, the total Australian population2, and in developed countries worldwide.3

The health impacts of smoking vary by smoking duration and intensity, but it is well established that smoking causes a range of health conditions.3 Although there have been marked smoking reductions in Australia4,5, the prevalence of smoking among Indigenous adults remains high, estimated at 41.4%, compared with 14.5% in the total Australian adult population.5

Smoking behaviour is influenced by factors including social, cultural and environmental factors, and tobacco control effectiveness.6 Indigenous tobacco use is also tightly tied to Australia’s history of colonisation; for example, tobacco was often used as a form of payment, and was issued as part of rations on mission stations.7

Dramatic decreases in smoking prevalence in the total Australian population suggest that the smoking epidemic is in its final stages.3,6 However, the stage of the tobacco epidemic among the Indigenous Australian population is less clear.

Understanding the stage of the epidemic provides insight into probable trends in smoking-attributable mortality, thereby enabling accurate communication of the likely impacts of smoking4, and informing relevant programs and policies.

This paper provides a perspective on the current stage of the smoking epidemic among Indigenous Australians based on an existing model of smoking epidemic stages3, and describes the expected short- and long-term implications for the wellbeing of the Indigenous population, and for programs and policies.

Stages of the smoking epidemic

Lopez proposed a four-stage model of cigarette consumption and mortality in 1994, characterising features of the smoking epidemic3; the model was updated in 2012.4 The proportion of the adult population that regularly smokes – and variation by characteristics such as age and sex – provides an indication of the extent to which smoking has been adopted.3 Smoking-attributable mortality, which can be crudely approximated by lung cancer deaths, provides insight into the health consequences of smoking at each stage of the epidemic.3,4 Central to the model is the long delay between smoking and its associated cancer mortality; even when the prevalence of smoking begins to decline, smoking-attributed mortality continues to increase, reflecting the smoking behaviours of up to three decades earlier.3,4

In short, Stage 1 of the tobacco epidemic marks the initial population uptake of smoking, with no evidence of smoking-attributable mortality. In Stage 2, the prevalence of smoking increases rapidly to its peak, alongside low but increasing smoking-attributable mortality. By Stage 3, awareness of the health hazards of smoking is common, and conditions are favourable for implementing tobacco control measures; while the prevalence of smoking remains stable or begins to decrease, smoking-attributable mortality rises rapidly. Stage 4 is represented by decreasing smoking prevalence and associated mortality to their lower limits, in a context of widespread awareness of tobacco harms and tobacco control measures

This research paper is published in the Public Health Research & Practice journal 

VIEW HERE

Read over 114 NACCHO Smoking articles published over 5 years

Lead researcher Dr Ray Lovett said the study found the lag between smoking and the onset of smoking-related diseases such as lung cancer means the number of smoking deaths was likely to keep climbing.

“On the positive side, we’ve seen a 43 per cent reduction in cardiovascular disease deaths, mainly from heart attacks, over the past 20 years among Indigenous people, in large part due to people quitting smoking.”

Smoking rates among Indigenous Australians have dropped from more than half the population in 1994 to two in five adults today. This is still two and a half times higher than the rest of the Australian population.

Dr Lovett said the substantial progress in reducing smoking rates, particularly in the past decade, was a clear sign that further reductions and improvements to Indigenous health could be achieved.

Co-researcher Dr Katie Thurber said the team analysed the available national health and death data from the past 20 years to conduct the study.

“The available data do not provide the full picture of smoking and its impacts for the Aboriginal and Torres Strait Islander population, so it’s important to understand these limitations and work towards improving data in the future,” said Dr Thurber from the ANU Research School of Population Health.

“Despite these challenges, we’ve managed to produce the first comprehensive assessment of the tobacco epidemic among Aboriginal and Torres Strait Islander Australians.”

The research paper is published in the Public Health Research & Practice journal and this issue of the journal celebrates 50 years since the 1967 referendum, when Australians voted to amend the Constitution to allow the Commonwealth to create laws for Indigenous people and include them in the Census.

 

NACCHO Aboriginal Health #Alcohol and other Drugs #GAPC2017 Download @AIHW National drug household survey

  ” The Australian Institute of Health and Welfare (AIHW) have released the National drug household survey: detailed findings 2016 report.

The report aims to provide insight into Australians’ use of, and attitudes to, drugs and alcohol in 2016.

A key finding of the report is around mental health and alcohol and other drug (AOD) use. ( see Part 2 below for full details )

Download the full 168 page report

National Drug Strategy Household Survey 2016

Read over 186 NACCHO Alcohol and other Drug articles published over 5 years

This report expands on the key findings from the 2016 National Drug Strategy Household Survey (NDSHS) that were released on 1 June 2017.

It presents more detailed analysis including comparisons between states and territories and for population groups. Unless otherwise specified, the results presented in this report are for those aged 14 or older.

Indigenous Australians

As Indigenous Australians constitute only 2.4 per cent of the 2016 NDSHS (unweighted) sample (or 568 respondents), the results must be interpreted with caution, particularly those for illicit drug use.

Smoking

In 2016, the daily smoking rate among Indigenous Australians was considerably higher than non-Indigenous people but has declined since 2010 and 2013 (decreased from 35% in 2010 to 32% in 2013 and to 27% in 2016) (Figure 8.7). The NDSHS was not designed to detect small differences among the Indigenous population, so even though the smoking rate declined between 2013 and 2016, it was not significant.

The Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS) and the National Aboriginal and Torres Strait Islander Social Survey (NATSISS) were specifically designed to represent Indigenous Australians (see Box 8.1 for further information).

After adjusting for differences in age structures, Indigenous people were 2.3 times as likely to smoke daily as non-Indigenous people in 2016 (Table 8.7).

Read over 113 NACCHO Smoking articles published last 5 years

Alcohol

Overall, Indigenous Australians were more likely to abstain from drinking alcohol than non-Indigenous Australians (31% compared with 23%, respectively) and this has been increasing since 2010 (was 25%) (Figure 8.8).

Among those who did drink, a higher proportion of Indigenous Australians drank at risky levels, and placed themselves at harm of an alcoholrelated injury from single drinking occasion, at least monthly (35% compared with 25% for non-Indigenous).

The (rate ratio) gap in drinking rates was even greater when looking at the consumption of 11 or more standard drinks at least monthly. Indigenous Australians were 2.8 times as likely as non-Indigenous Australians to drink 11 or more standard drinks monthly or more often (18.8% compared with 6.8%).

About 1 in 5 (20%) Indigenous Australian exceeded the lifetime risk guidelines in 2016; a slight but non-significant decline from 23% in 2013, and significantly lower than the 32% in 2010. The proportion of non-Indigenous Australians exceeding the lifetime risk guidelines in 2016 was 17.0% and significantly declined from 18.1% in 2013.

Illicit drugs

Other than ecstasy and cocaine, Indigenous Australians aged 14 or older used illicit drugs at a higher rate than the general population (Table 8.6). In 2016, Indigenous Australians were: 1.8 times as likely to use any illicit drug in the last 12 months; 1.9 times as likely to use cannabis; 2.2 times as likely to use meth/amphetamines; and 2.3 times as likely to misuse pharmaceuticals as non-Indigenous people. These differences were still apparent even after adjusting for differences in age structure (Table 8.7). There were no significant changes in illicit use of drugs among Indigenous Australians between 2013 and 2016.

Read over 64 NACCHO Ice drug articles published last 5 years

1 in 8 Australians smoke daily and 6 in 10 have never smoked

  • Smoking rates have been on a long-term downward trend since 1991, but the daily smoking rate did not significantly decline over the most recent 3 year period (was 12.8% in 2013 and 12.2% in 2016).
  • Among current smokers, 3 in 10 (28.5%) tried to quit but did not succeed and about 1 in 3 (31%) do not intend to quit.
  • People living in the lowest socioeconomic areas are more likely to smoke than people living in the highest socioeconomic area but people in the lowest socioeconomic area were the only group to report a significant decline in daily smoking between 2013 and 2016 (from 19.9% to 17.7%).

8 in 10 Australians had consumed at least 1 glass of alcohol in the last 12 months

  • The proportion exceeding the lifetime risk guidelines declined between 2013 and 2016 (from 18.2% to 17.1%); however, the proportion exceeding the single occasion risk guidelines once a month or more remained unchanged at about 1 in 4.
  • Among recent drinkers: 1 in 4 (24%) had been a victim of an alcohol-related incident in 2016; about 1 in 6 (17.4%) put themselves or others at risk of harm while under the influence of alcohol in the last 12 months; and about 1 in 10 (9%) had injured themselves or someone else because of their drinking in their lifetime.
  • Half of recent drinkers had undertaken at least some alcohol moderation behaviour. The main reason chosen was for health reasons.
  • A greater proportion of people living in Remote or very remote areas abstained from alcohol in 2016 than in 2013 (26% compared with 17.5%) and a lower proportion exceeded the lifetime risk guidelines (26% compared with 35%).

About 1 in 8 Australians had used at least 1 illegal substance in the last 12 months and 1 in 20 had misused a pharmaceutical drug

  • In 2016, the most commonly used illegal drugs that were used at least once in the past 12 months were cannabis (10.4%), followed by cocaine (2.5%), ecstasy (2.2%) and meth/amphetamines (1.4%).
  • However, ecstasy and cocaine were used relatively infrequently and when examining the share of Australians using an illegal drug weekly or more often in 2016, meth/amphetamines (which includes ‘ice’) was the second most commonly used illegal drug after cannabis.
  • Most meth/amphetamine users used ‘ice’ as their main form, increasing from 22% of recent meth/amphetamine users in 2010 to 57% in 2016.

Certain groups disproportionately experience drug-related risks

  • Use of illicit drugs in the last 12 months was far more common among people who identified as being homosexual or bisexual; ecstasy and meth/amphetamines use in this group was 5.8 times as high as heterosexual people.
  • People who live in Remote and very remote areas, unemployed people and Indigenous Australians continue to be more likely to smoke daily and use illicit drugs than other population groups.
  • The proportion of people experiencing high or very high levels of psychological distress increased among recent illicit drug users between 2013 and 2016—from 17.5% to 22% but also increased from 8.6% to 9.7% over the same period for the non-illicit drug using population (those who had not used an illicit drug in the past 12 months).
  • Daily smoking, risky alcohol consumption and recent illicit drug use was lowest in the Australian Capital Territory and highest in the Northern Territory.

The majority of Australians support policies aimed at reducing the acceptance and use of drugs, and the harms resulting from drug use

  • There was generally greater support for education and treatment and lower support for law enforcement measures.

‘In 2016, 42% of meth/amphetamine users had a mental illness, up from 29% in 2013, while the rate of mental illness among ecstasy users also rose from 18% to 27%,’ said AIHW spokesperson, Matthew James. ‘Drug use is a complex issue, and it’s difficult to determine to what degree drug use causes mental health problems, and to what degree mental health problems give rise to drug use.’

About 1 in 20 Australians reported misusing pharmaceuticals, with 75% of recent painkiller users reporting misusing an ‘over the counter’ codeine product in the past 12 months. The AIHW will be publishing more detailed data on pharmaceutical misuse later in 2017.

In addition to illicit drugs, the report also provides insights into Australians’ use of alcohol and tobacco, and notes some improvements in risky behaviour (such as driving while under the influence of alcohol), as well as improved smoking rates among people living in lower socioeconomic areas.

Source: Australian Institute of Health and Welfare

 Part 3 Mental illness rising among meth/amphetamine and ecstasy users

Mental illnesses are becoming more common among meth/amphetamine and ecstasy users, according to a report released today by the Australian Institute of Health and Welfare (AIHW).

The report, National Drug Strategy Household Survey: detailed findings 2016, builds on preliminary results released in June, and gives further insight into Australians’ use of, and attitudes to, drugs and alcohol in 2016.

The report shows that among people who had recently (in the last 12 months) used an illicit drug, about 27% had been diagnosed or treated for a mental illness—an increase from 21% in 2013. Rates of mental illness were particularly high—and saw the most significant increases—for meth/amphetamine and ecstasy users.

‘In 2016, 42% of meth/amphetamine users had a mental illness, up from 29% in 2013, while the rate of mental illness among ecstasy users also rose from 18% to 27%,’ said AIHW spokesperson Matthew James.

‘Drug use is a complex issue, and it’s difficult to determine to what degree drug use causes mental health problems, and to what degree mental health problems give rise to drug use’.

Similarly, the report also reveals a complex relationship between employment status and drug use.

‘For example, people who were unemployed were about 3 times as likely to have recently used meth/amphetamines as employed people, and about 2 times as likely to use cannabis or smoke tobacco daily. On the other hand, employed people were more likely to use cocaine than those who were unemployed,’ Mr James said.

Today’s report also shows higher rates of drug use among people who identify as gay, lesbian or bisexual, with the largest differences seen in the use of ecstasy and meth/amphetamines.

‘Homosexual and bisexual people were almost 6 times as likely as heterosexual people to use each of these drugs, and were also about 4 times as likely to use cocaine as heterosexual people, and 3 times more likely to use cannabis or misuse pharmaceutical drugs.’ Mr James said.

Overall, about 1 in 20 Australians reported misusing pharmaceuticals, with 75% of recent painkiller users reporting misusing an ‘over the counter’ codeine product in the past 12 months. The AIHW will be publishing comprehensive data on pharmaceutical misuse later in 2017.

‘Our report also shows that more Australians are in favour of the use of cannabis in clinical trials to treat medical conditions—87% now support its use, up from 75% in 2013. We also found that 85% of people now support legislative changes to permit its use for medical purposes in general, up from 69% in 2013,’ Mr James said.

In addition to illicit drugs, today’s report also provides insights into Australians’ use of alcohol and tobacco, and notes some improvements in risky behaviour (such as driving while under the influence of alcohol), as well as improved smoking rates among people living in lower socioeconomic areas.

The report also contains data for each state and territory in Australia, and shows differences in drug use between the jurisdictions. For example, recent use of meth/amphetamine was highest in Western Australia, but the use of cocaine was highest in New South Wales.

NACCHO Aboriginal Health #WorldNoTobaccoDay : Cape York mob are saying “Don’t Make Smokes Your Story.”


“Wasting a lot of money to buy cigarettes and it was making me sick, coughing a lot, and getting up late, and it smells on your clothes a lot. So I said to myself I would have to cut down smoking.”

“You don’t have to buy cigarettes, you don’t have to afford cigarettes for other people, you don’t have to get cigarettes. Just be strong and stand up for yourself and say no!”

Selena Possum, who has lived in Pormpuraaw for the last 20 years, is now a non-smoker. She says smoking affected her a lot

NACCHO Aboriginal Health #smoking #ACCHO events 31 May World #NoTobacco Day #QLD #VIC #WA #NT #NSW

May 31st is World No Tobacco Day and people from Cape York are saying “Don’t Make Smokes Your Story.”

Apunipima Cape York Health Council Tackling Indigenous Smoking (TIS) staff have been engaging with Cape York communities to develop an anti-smoking campaign.

The locally appropriate ‘Don’t Make Smokes Your Story’ campaign aims to raise awareness of the harms of smoking and passive smoking, the benefits of a smoke-free environment, and available quit support.

The Cape York ‘Don’t Make Smokes Your Story’ Campaign enables community members to share on film their stories about quitting, trying to quit and the impact of smoking on families and communities. It is hoped that by sharing their stories, others will be encouraged to share their stories too.

Coen local Amos James Hobson has never smoked in his life. He sees many young people start smoking “Just to be cool, to pick up a chick.” He says to all the young people out there, “Our people didn’t smoke, don’t smoke, it’s not good. It’s not our culture and it’s not our way.”

WATCH AMOS VIDEO STORY HERE HERE

Thala Wallace from Napranum has tried to quit three times and says “Every time it gets easier.” Her strategy is to “Try to find ways to occupy myself, snack-out on fruit or go to the gym, getting out and hanging out more with people who don’t smoke.”

Watch Thala story video here

The stories, as well as posters, social media posts and radio advertisements will be released from May 31st as Apunipima launches the Cape York ‘Don’t Make Smokes Your Story’ campaign.

The videos, including those featuring Amos, and Thala, will be distributed on the ‘What’s Your Story, Cape York?’ Facebook page and will be available on the Apunipima YouTube Channel here.

Apunipima received a Tackling Indigenous Smoking (TIS) Regional Tobacco Control Grant as part of the National Tackling Indigenous Smoking program.

To effectively reduce smoking rates in Cape York, Apunipima TIS staff have been engaging with communities to develop and implement a locally appropriate social marketing campaign to influence smoking behaviours and community readiness to address smoke-free environments. The Cape York campaign will align with a national ‘Don’t Make Smokes Your Story’ campaign.

NACCHO Save a Date Aboriginal Health #smoking #ACCHO events 31 May World #NoTobacco Day #QLD #VIC #WA #NT #NSW

This weeks NACCHO Save a date is dedicated to World No Tobacco Day we feature just some of 100’s of events at our ACCHO clinics throughout Australia

Each year on 31 May, the World Health Organisation (WHO) mark World No Tobacco Day (WNTD), an opportunity to highlight the health and other risks associated with tobacco use, and advocate for policies to reduce tobacco consumption.

See details in the 100 + NACCHO articles SMOKING

The theme for 2017 is Tobacco – a threat to development, which aims to demonstrate the risk that the tobacco industry poses to the sustainable development of all countries. The theme will highlight measures that governments and the public can take to promote health and development by confronting the global tobacco crisis.

See Video introduction from TOM CALMA

WHO is calling on countries to prioritise and accelerate tobacco control efforts as part of their responses to the 2030 Agenda for Sustainable Development. In addition to saving lives and reducing health inequalities, comprehensive tobacco control contains the adverse environmental impact of tobacco growing, manufacturing, trade and consumption.

In Australia, tobacco smoking is still an area of concern, particularly for Aboriginal and Torres Strait Islander people in rural and remote areas.

In NSW

Today is WORLD DAY!! Yerin Gosford is working with community to reduce smoking!

In Queensland

The Deadly Choices team is hitting the road this World No Tobacco Day on Wednesday 31 May to:

  • Reduce the number of people in community exposed to the impacts of passive smoking inside their homes or cars, through the Deadly Places, Smoke-Free Spaces campaign and
  • Encourage people to join the Deadly Choices Smoke-Free Team by attending Quit appointments at IUIH clinics.

What’s on?

On World No Tobacco Day the Deadly Choices team will be running tobacco stalls at the following clinics:

Organisation Clinic Time  Address
Moreton ATSICHS Morayfield 9-11:30am  10-20 Walkers Road
Moreton ATSICHS Strathpine 9-11:30am  6/199 Gympie Road
Moreton ATSICHS Deception Bay 1-3:30pm  675 Deception Bay Road
Moreton ATSICHS Caboolture 1-3:30pm  5 James Street
ATSICHS Brisbane Wooloongabba 1-3:30pm  55 Annerley Road
ATSICHS Brisbane Browns Plains 1-3:30pm  20-24 Commerce Road
ATSICHS Brisbane Logan 9-11:30am  41 Station Road
ATSICHS Brisbane Northgate 9-11:30am  313 Melton Road
Kambu Ipswich 9-11:30am  27 Roderick Street
Kambu Goodna 1-3:30pm  13 Church Street
Kalwun Miami 1:30-3:30pm  2020 Gold Coast Highway
Kalwun Oxenford 11am-12pm  Level 1, 2 Leo Graham Way
Kalwun Bilinga 10:30am-12:30pm  Airport Central, 1 Eastern Ave
Yulu-Burri-Ba Dunwich 9:30-11am  16 Dickson Way
Yulu-Burri-Ba Capalaba 2-3:30pm  Shop 2&3/ 1 Finucane Road
Yulu-Burri-Ba Wynnum 1-3pm  85 Edith Street

At the tobacco stalls, you’ll be able to:

  • Complete the Deadly Choices Tobacco Survey.
  • Sign the pledge to make your home and car Deadly, Smoke-Free Spaces.

In return you’ll receive:

  • A Deadly Home Pack containing stickers, magnets and a fact sheet.
  • An entry into the competition to win a family trip to Sydney to watch State of Origin 2 at ANZ Stadium.

If you’re a smoker, you’re encouraged to register yourself for Quit appointments at the clinics. If you do this, and attend four Quit sessions, you are eligible for a limited edition Smoke-Free Team jersey.

Not a smoker? Just refer a smoker that you know and, if that smoker attends four Quit sessions, both you and the smoker are eligible for a limited edition Smoke-Free Team jersey.

But wait, there’s more!

  • Five people who sign pledges on the day will be randomly selected and win a double pass each to the Broncos vs Melbourne Storm game during the Deadly Choices Round at Suncorp Stadium on Friday 30 June 2017 (10 tickets given away in total) and
  • Smokers who attend all four of their quit appointments in June will go into the draw to win a personalised Smoke-Free Team jersey.

If you can’t attend on the day, you can still complete the survey and sign the pledge to go into the draw to win the trip to Sydney to watch State of Origin 2 at ANZ Stadium on 21 June 2014, by going to www.deadlychoices.com.au

And Cape York

World No Tobacco Day

May 31st is World No Tobacco Day and people from Cape York are saying “Don’t Make Smokes Your Story.”

Apunipima Cape York Health Council Tackling Indigenous Smoking (TIS) staff have been engaging with Cape York communities to develop an anti-smoking campaign.

The locally appropriate ‘Don’t Make Smokes Your Story’ campaign aims to raise awareness of the harms of smoking and passive smoking, the benefits of a smoke-free environment, and available quit support.

The Cape York ‘Don’t Make Smokes Your Story’ Campaign enables community members to share on film their stories about quitting, trying to quit and the impact of smoking on families and communities. It is hoped that by sharing their stories, others will be encouraged to share their stories too.

Selena Possum, who has lived in Pormpuraaw for the last 20 years, is now a non-smoker. She says smoking affected her a lot, “Wasting a lot of money to buy cigarettes and it was making me sick, coughing a lot, and getting up late, and it smells on your clothes a lot. So I said to myself I would have to cut down smoking.”

“You don’t have to buy cigarettes, you don’t have to afford cigarettes for other people, you don’t have to get cigarettes. Just be strong and stand up for yourself and say no!”

Coen local Amos James Hobson has never smoked in his life. He sees many young people start smoking “Just to be cool, to pick up a chick.” He says to all the young people out there, “Our people didn’t smoke, don’t smoke, it’s not good. It’s not our culture and it’s not our way.”

 

Thala Wallace from Napranum has tried to quit three times and says “Every time it gets easier.” Her strategy is to “Try to find ways to occupy myself, snack-out on fruit or go to the gym, getting out and hanging out more with people who don’t smoke.”

The stories, as well as posters, social media posts and radio advertisements will be released from May 31st as Apunipima launches the Cape York ‘Don’t Make Smokes Your Story’ campaign.

The videos, including those featuring Amos, and Thala, will be distributed on the ‘What’s Your Story, Cape York?’ Facebook page and will be available on the Apunipima YouTube Channel here.

Apunipima received a Tackling Indigenous Smoking (TIS) Regional Tobacco Control Grant as part of the National Tackling Indigenous Smoking program.

To effectively reduce smoking rates in Cape York, Apunipima TIS staff have been engaging with communities to develop and implement a locally appropriate social marketing campaign to influence smoking behaviours and community readiness to address smoke-free environments.

The Cape York campaign will align with a national ‘Don’t Make Smokes Your Story’ campaign.

 

Link Here

In Tasmania  Flinders Island Aboriginal Association

Amazing day on Cape Barren Island celebrating World No Tobacco Day today. This smoke free event was well attended by the community.


We’d like to thank the Cape Barren Island Aboriginal Association as well as John Gardener and Pro golfer Brett Partridge for making the day a success.

We can’t wait to come back in the future for this great event.
#WNTD #NoSmokesNoLimits

 

In South Australia

In Western Australia Broome

World No Tobacco Day 2017

Every year, on 31 May, WHO and partners mark World No Tobacco Day (WNTD), highlighting the health and additional risks associated with tobacco use, and advocating for effective policies to reduce tobacco consumption.

The theme for World No Tobacco Day 2017 is “Tobacco – a threat to development.”


About the campaign

  • It will demonstrate the threats that the tobacco industry poses to the sustainable development of all countries, including the health and economic well-being of their citizens.
  • It will propose measures that governments and the public should take to promote health and development by confronting the global tobacco crisis.

Controlling tobacco helps achieve other global goals

In addition to saving lives and reducing health inequalities, comprehensive tobacco control contains the adverse environmental impact of tobacco growing, manufacturing, trade and consumption.

Tobacco control can break the cycle of poverty, contribute to ending hunger, promote sustainable agriculture and economic growth, and combat climate change. Increasing taxes on tobacco products can also be used to finance universal health coverage and other development programs of the government.

It is not only governments who can step up tobacco control efforts: people can contribute on an individual level to making a sustainable, tobacco-free world. People can commit to never take up tobacco products. Those who do use tobacco can quit the habit, or seek help in doing so, which will in turn protect their health as well as people exposed to second-hand smoke, including children, other family members and friends. Money not spent on tobacco can be, in turn, used for other essential uses, including the purchase of healthy food, healthcare and education.

Facts about tobacco, tobacco control and the development goals

  • About 6 million people die from tobacco use every year, a figure that is predicted to grow to more than 8 million a year by 2030 without intensified action. Tobacco use is a threat to any person, regardless of gender, age, race, cultural or educational background. It brings suffering, disease, and death, impoverishing families and national economies.
  • Tobacco use costs national economies enormously through increased health-care costs and decreased productivity. It worsens health inequalities and exacerbates poverty, as the poorest people spend less on essentials such as food, education and health care. Some 80% of premature deaths from tobacco occur in low- or middle-income countries, which face increased challenges to achieving their development goals.
  • Tobacco growing requires large amounts of pesticides and fertilizers, which can be toxic and pollute water supplies. Each year, tobacco growing uses 4.3 million hectares of land, resulting in global deforestation between 2% and 4%. Tobacco manufacturing also produces over 2 million tonnes of solid waste.
  • The WHO Framework Convention on Tobacco Control (WHO FCTC) guides the global fight against the tobacco epidemic. The WHO FCTC is an international treaty with 180 Parties (179 countries and the European Union). Today, more than half the world’s countries, representing nearly 40% of the world’s population (2.8 billion people), have implemented at least one of the WHO FCTC’s most cost-effective measures to the highest level. An increasing number of countries are creating firewalls to ward off interference from the tobacco industry in government tobacco control policy.
  • Through increasing cigarette taxes worldwide by US$1, an extra US$190 billion could be raised for development. High tobacco taxes contribute to revenue generation for governments, reduce demand for tobacco, and offer an important revenue stream to finance development activities.

Goals of the World No Tobacco Day 2017 campaign

World No Tobacco Day 2017 aims to:

  • Highlight the links between the use of tobacco products, tobacco control and sustainable development.
  • Encourage countries to include tobacco control in their national responses to 2030 Sustainable Development Agenda.
  • Support Member States and civil society to combat tobacco industry interference in political processes, in turn leading to stronger national tobacco control action.
  • Encourage broader public and partner participation in national, regional and global efforts to develop and implement development strategies and plans and achieve goals that prioritize action on tobacco control.
  • Demonstrate how individuals can contribute to making a sustainable, tobacco-free world, either by committing to never taking up tobacco products, or by quitting the habit.

In the NT

Come join & Nhulunbuy Corp to celebrate World Yaka Ŋarali Day & learn how to improve your health

31st of May is World No Tobacco Day. If you see us mob out and about don’t be shame to come up and have a yarn. This week you can spot us Casuarina Shopping Centre, Darwin Smith Street Mall and Nighcliff Shopping Centre. #NoTobacco

In Victoria

See Link here

World No Tobacco Day” is coming up on Wednesday 31st May and the VAHS Healthy Lifestyle Team is hosting a morning tea event to celebrate!

This event is a great way to spread awareness about tobacco cessation and to acknowledge the inspirational journeys that many Community members have taken to be or to stay smoke-free!!

We’re lucky enough to have Aunty Rieo Ellis come along to share her story and ttalk about he steps she has taken to quit smoking and live a healthier lifestyle.

We hope to see you there!

For more information, please feel free to contact the VAHS Healthy Lifestyles Team on 9403 3300.

In New South Wales

Redfern

NOWRA

 

Resources

On the Australian Indigenous HealthInfoNet and the Australian Indigenous Alcohol and Other Drugs Knowledge Centre we have three key sections for addressing tobacco use.

The Tackling Indigenous Smoking portal hosts information for organisations funded through the National Tackling Indigenous Smoking programme, but it will also be useful for people working in any other initiative to support Aboriginal and Torres Strait Islander people to quit smoking.

The Preventing Aboriginal and Torres Strait Islander Maternal Smoking portal provides the Indigenous women’s maternal and child health workforce and other related workers with access to quality information about smoking cessation and prevention to support better health for Aboriginal and Torres Strait Islander women, their babies and families.

The Tobacco section on the AOD Knowledge Centre provides a comprehensive collection of information for people working, studying or interested in addressing tobacco use among Aboriginal and Torres Strait Islander people.

 

NACCHO Aboriginal Health and #Smoking : @KenWyattMP announces $35.2 million funding #ACCHO Anti-smoking programs

These health services are all delivering frontline services to prevent young Indigenous people taking up smoking and to encourage existing smokers to quit.

Reducing smoking rates is central to the Government’s efforts to close the gap in life expectancy, but requires a consistent, long-term commitment”

Minister for Indigenous Health, Ken Wyatt

Over 100 NACCHO Articles about smoking

REDUCING INDIGENOUS SMOKING TO CLOSE THE GAP

The Australian Government will provide $35.2 million next financial year to continue anti-smoking programs targeted to Aboriginal and Torres Strait Islander people in regional and remote areas.

Minister for Indigenous Health, Ken Wyatt, said the Government had approved the continuation of funding to 36 Aboriginal Community ControlledHealth Services and one private health service.

“These health services are all delivering frontline services to prevent young Indigenous people taking up smoking and to encourage existing smokers to quit,”  .

“Reducing smoking rates is central to the Government’s efforts to close the gap in life expectancy, but requires a consistent, long-term commitment.

“Smoking causes the greatest burden of disease, disability, injury and earlydeath among Indigenous people and accounts for 23 per cent of the health gap between Indigenous and non-Indigenous Australians.”

Under the Council of Australian Governments (COAG) National Healthcare Agreement, all governments have committed to halving the 2008 adult daily smoking rate among Indigenous Australians, of 44.8 per cent, by 2018.

“The rate of smoking among Aboriginal and Torres Strait Islander people is still far higher than among other Australians and is damaging their health in many ways,” Minister Wyatt said.

It’s unlikely now that we will meet the COAG target, but we are making progress.

“It’s important that anti-smoking programs are meaningful for Indigenous people and changes made in recent years have ensured that only programs which are evidence based and effective are receiving grants.”

Continued funding for the 37 health services follows a preliminary evaluation of the Tackling Indigenous Smoking program which found that it was operating effectively and using proven approaches to changing smoking behaviour.

NACCHO Aboriginal Health and #Smoking : Pack warning labels help Aboriginal smokers butt out

166824-new-cigarette-packets

Aboriginal Community Controlled Health Services across 140 health settings are helping smokers in our communities to quit.

Pack warning labels are also an important element as smokers read, think about and discuss large, prominent and  graphic labels.

This comprehensive approach works to reduce Aboriginal and Torres Strait Islander smoking and the harm it causes in our communities,’

Matthew Cooke from the National Aboriginal Community Controlled Health Organisation (NACCHO).

Pack warning labels are motivating Aboriginal and Torres Strait Islander smokers to quit smoking according to new research released by Menzies School of Health Research (Menzies) today.

The study has shown that graphic warning labels not only motivate quit attempts but increase Indigenous smokers’ awareness of the health issues caused by smoking.

Forming part of the national Talking About The Smokes study led by Menzies in partnership with Aboriginal Community Controlled Health Services, the 642 study participants completed baseline surveys and follow-up surveys a year later.

The study found that 30% of Indigenous smokers at baseline said that pack warning labels had stopped them having a smoke when they were about to smoke.

Study leader, Menzies’ Professor David Thomas said, ‘This reaction rose significantly among smokers who were exposed to plain packaging for the first time during the period of research. The introduction of new and enlarged warning labels on plain packs had a positive impact upon Aboriginal and Torres Strait Islander smokers.’

Professor David Thomas, explained the significance of this finding, ‘Reacting to warning labels by forgoing a cigarette may not seem like much on its own. However, forgoing cigarettes due to warning labels was associated with becoming more concerned about the health consequences of smoking, developing an interest in quitting and attempting to quit. This is significant for our understanding of future tobacco control strategies.’

In addition, Indigenous smokers who said at baseline they often noticed warning labels on their packs were 80% more likely to identify the harms of smoking that have featured on warning labels.

Just under two in five (39%) Aboriginal and Torres Strait Islander people aged 15 and over smoke daily. Smoking is responsible for 23% of the health gap between Aboriginal and Torres Strait Islander people and other Australians.

In 2012, pack warning labels in Australia were increased in size to 75% on the front of all packs and 90% of the back at the same time as tobacco plain packaging was introduced.

The study was funded by the Australian Government Department of Health and published in the Nicotine & Tobacco Research journal and available at:

http://ntr.oxfordjournals.org/content/early/2017/01/08/ntr.ntw396.full.pdf+html.

Summary of findings
  • The research is part of the Talking About the Smokes study http://www.menzies.edu.au/page/Research/Projects/Smoking/Talking_About_the_Smokes/
  • A total of 642 Aboriginal and Torres Strait Islander smokers completed surveys at baseline (April 2012-October 2013) and follow-up (August 2013-August 2014)
  • At baseline, 66% of smokers reported they had often noticed warning labels in the past month, 30% said they had stopped smoking due to warning labels in the past month and 50% perceived that warning labels were somewhat or very effective to help them quit or stay quit
  • At follow-up, an increase in stopping smoking due to warning labels was found only those first surveyed before plain packaging was introduced (19% vs 34%, p=0.002), but not for those surveyed during the phase-in period (34% vs 37%, p=0.8) or after it was mandated (35% vs 36%, p=0.7). There were no other differences in reactions to warning labels according to time periods associated with plain packaging.
  • Smokers who reported they had stopped smoking due to warning labels in the month prior to baseline had 1.5 times the odds of quitting when compared with those who reported never doing so or never noticing labels (AOR: 1.45, 95% CI: 1.02-2.06, p=0.04), adjusting for other factors.
  • Smokers who reported they had often noticed warning labels on their packs at baseline had 1.8 times the odds of correctly responding to five questions about the health effects of smoking that had featured on packs (AOR: 1.84, 95% CI: 1.20-2.82, p=0.006), but not those that had not featured on packs (AOR: 1.03, 95%CI 0.73-1.45, p=0.9) when compared to smokers who did not often notice warning labels.

NACCHO Advertisement

nhn

NACCHO has announced the publishing date for the 9 th edition of Australia’s first national health Aboriginal newspaper, the NACCHO Health News .

Publish date 6 April 2017

Working with Aboriginal community controlled and award-winning national newspaper the Koori Mail, NACCHO aims to bring relevant advertising and information on health services, policy and programs to key industry staff, decision makers and stakeholders at the grassroots level.

And who writes for and reads the NACCHO Newspaper ?

km-kw

While NACCHO’s websites ,social media and annual report have been valued sources of information for national and local Aboriginal health care issues for many years, the launch of NACCHO Health News creates a fresh, vitalised platform that will inevitably reach your targeted audiences beyond the boardrooms.

NACCHO will leverage the brand, coverage and award-winning production skills of the Koori Mail to produce a 24 page three times a year, to be distributed as a ‘lift-out’ in the 14,000 Koori Mail circulation, as well as an extra 1,500 copies to be sent directly to NACCHO member organisations across Australia.

Our audited readership (Audit Bureau of Circulations) is 100,000 readers

For more details rate card

Contact : Colin Cowell Editor

Mobile : 0401 331 251

Email  : nacchonews@naccho.org.au

 

 

NACCHO Aboriginal Health and Smoking Research : The Don’t Make Smokes Your Story advertising is helping smokers to quit

history

 ” The Don’t Make Smokes Your Story Campaign was effective because it reflected the impact of smoking on family and community.

The evaluation showed

  •  9 per cent of people interviewed had quit as a result of seeing the campaign and
  • 27 per cent had cut down on their smoking.
  • A further 26 per cent intended to quit in the next month

The campaign shares the story of a young man who decides to quit to make sure he will be around to look after his children as they grow,

Approximately 39 percent of Indigenous Australians aged 15 years and over are daily smokers, which is nearly three times the rate for other Australians.

Smoking is estimated to account for one-in-five Aboriginal and Torres Strait Islander deaths, so changing attitudes to smoking is vital to closing the gap on health.”

Assistant Minister for Health and Aged Care, Ken Wyatt

 ” Most of our people understand that smoking is harmful to themselves, to their children, to partners and to the community. One in five of our mob die from smoking related diseases and many others are sick because of smoking.

Passive smoking, that’s breathing in somebody else’s smoke, is as dangerous as smoking a cigarette and children are amongst those most affected. We all need to take on the challenge and make our homes, our cars, our social events, our meeting places, our council rooms and our workplaces smoke free.”

Tom Calma National Coordinator for the Australian Government’s Tackling Indigenous Smoking Program- see full message below

A significant portion of Aboriginal and Torres Strait Islander smokers have taken action to quit smoking after seeing the Don’t Make Smokes Your Story advertising campaign.

Watch video here

Assistant Minister for Rural Health, Dr David Gillespie, said an independent evaluation of the campaign by ORC International found that it had generated high awareness and was very effective.

The campaign, launched in May this year, focuses on Aboriginal and Torres Strait Islander people aged 18 to 40 years who smoke or have recently quit.

“This is an important campaign that seeks to empower Aboriginal and Torres Strait Islander smokers to quit smoking for themselves and their families,” Dr Gillespie said.

Don’t Make Smokes Your Story – National Tobacco Campaign

TV script – 45 seconds

Ted and his family sitting on the back steps with his guitar.

VO: Family is everything to me.

We see Ted in the kitchen with his extended family.

VO: I can’t imagine life without them, to be honest.

We see Ted in the hospital with an oxygen mask on his face. A close up of his finger with a pulse monitor attached.

VO: I’ve had my battles with smokes.

We see Ted’s wife standing at his hospital bedside.

VO: My lungs got pretty bad

We see a close up of Ted’s face with the oxygen mask.

VO: Sometimes I could hardly breathe and that was tough on everyone.

We see Ted and his sons outside together.

VO: and that was tough on everyone.

In a flashback, we cut to a younger Ted at a skate park, smoking with a mate. We then see them passing cigarettes to each other as they sit in the skate bowl.

VO: I’m not sure why I smoked; I just did.

We see Ted playing with his children in the backyard.

VO: My kids, Jarrah and Yani, I wanted to be there for them, so I quit. I’ve quit before; I just kept trying.

We see Ted kicking a football with his children.

VO: now I can keep up with them in the yard….

Ted helps his children riding their bikes on the street.

VO: …and I’ve got more money to spend on better things.

We see Ted standing in front of his house taking a selfie with his Mum.

VO: Mum and the Aunties are pretty happy that I quit.

We see Ted with his extended family in the kitchen.

VO: They didn’t want me to die from smokes like Dad did.

We see Ted’s face and a shot of Ted standing in front of his house with his children playing football behind him.

VO: My name is Ted, and family is my story.

SUPER: DON’T MAKE SMOKES YOUR STORY.

Quit now: My Quitbuddy logo, Quitline 137848, Australia.gov.au/quitnow, Australian Government crest

VO: Don’t make smokes your story. Download the app, call the Quitline, or visit quitnow.

SUPER: Authorised by the Australian Government, Canberra.

ANNCR: Authorised by the Australian Government, Canberra.

“The Coalition Government is committed to reducing high Indigenous smoking rates.”

The campaign highlights the dangers of smoking, the reasons for quitting, and the tools and support available to help support people who have quit. It featured on television, radio, print, online and outdoor media, with a strong presence in regional and remote communities.

quit

The evaluation showed

  •  9 per cent of people interviewed had quit as a result of seeing the campaign and
  • 27 per cent had cut down on their smoking.
  • A further 26 per cent intended to quit in the next month.

Calls to the Quitline increased over the campaign period and downloads of the My QuitBuddy app reached more than 30,000 new users.

Download here

0

The campaign complements the Coalition Government’s $116.8 million Tackling Indigenous Smoking program which delivers targeted smoking prevention and cessation activities.

Video message – Professor Tom Calma

Welcome to the Quitnow website.

My name is Tom Calma. I am from Darwin and I am Kungarakan on my mother’s side and Iwaidja on my father’s side.

As the National Coordinator for the Australian Government’s Tackling Indigenous Smoking Program, it’s my job to support those working with our mob to quit, or not take up smoking.

If you need help to stop smoking or you want to try and help somebody else quit, then you’ve come to the right place.

This website has got all the information you need about how to quit and what support services are available to help you on your journey.

Most of our people understand that smoking is harmful to themselves, to their children, to partners and to the community. One in five of our mob die from smoking related diseases and many others are sick because of smoking.

Passive smoking, that’s breathing in somebody else’s smoke, is as dangerous as smoking a cigarette and children are amongst those most affected. We all need to take on the challenge and make our homes, our cars, our social events, our meeting places, our council rooms and our workplaces smoke free.

Smoking or breathing in somebody else’s smoking while you’re pregnant also puts a mum and the baby at higher risk of health problems, and some of these problems can affect the baby for life.

Children with parents who smoke are more likely to take up smoking themselves. Be a positive role model for the children around you and break the smoking cycle.

Not only is smoking bad for your health, it is also expensive. Think about how much money you and your family could save if you support each other to quit!

Now most smokers want to quit and have tried to quit. While our people have done a fantastic job in quitting smoking, we still have a long way to go.

I ask my brothers and sisters, Aunties and Uncles and young ones to give up smoking or not take it up. I also ask you to help others you care about to choose the no smoking path. That way we can all lead long and healthy lives.

So enjoy the website and I wish you all the best in quitting and staying smoke free. Don’t make smokes your story!

Background

The Australian Government has strengthened its commitment to closing the gap in Indigenous life expectancy, with the launch of the latest phase of the National Tobacco Campaign.

Don’t Make Smokes Your Story features new advertising materials specifically targeted at encouraging Aboriginal and Torres Strait Islander smokers to make a serious quit attempt, not just for themselves but also for the health and wellbeing of their families.

Approximately 39 per cent of Aboriginal and Torres Strait Islander people over the age of 15 are daily smokers, 2.8 times the smoking rate for other Australians. It is estimated that smoking accounts for one in five Aboriginal and Torres Strait Islander deaths.

The Don’t Make Smokes Your Story campaign aims to change this. It tells the inspiring story of Ted, a mid-thirties Aboriginal and South Sea Islander man who decided to quit smoking for his family, to make sure he’d be around to look after his kids. The campaign highlights the dangers of smoking, the reasons for quitting, and the tools and support available to help people stay quit.

Find out more from your nearest ACCHO or

The Quit Now website has more useful information about quitting smoking.

 

NACCHO Aboriginal Health and Smoking :Facebook could help lower Indigenous smoking rates,health researchers say

nt

“Facebook is a more effective way of reaching Indigenous Australians than traditional forms of communication; what we need to figure out is how to harness that message,”

Marita Hefler from the Menzies School of Health Research in Darwin.

“On Facebook I have seen some of my friends quitting smoking, using Facebook as a diary, and they’ve been very successful. I’m hoping that sharing my experiences will also help me quit,”

After suffering a heart attack on her 50th birthday, Chuna Lowah is trying to quit smoking, and is hopeful Facebook can help.

page-8

Articles are from Page 8  NACCHO Aboriginal Health Newspaper out Wednesday 16 November , 24 Page lift out Koori Mail : or download

naccho-newspaper-nov-2016 PDF file size 9 MB

Indigenous people have the highest rates of smoking in the country, but researchers in the Top End believe Facebook could be the most effective way of helping them quit.

untitled

As reported the ABC

Aboriginal people living in remote communities smoke at three times the rate of other Australians, according to research fellow Marita Hefler from the Menzies School of Health Research in Darwin.

Preliminary research into the role of Facebook in helping smokers to quit has found that although the living situations of Indigenous Australians differs widely across the Northern Territory, even those who lack food or clothing may still own a smartphone.

“We know that Aboriginal people use social media at very high rates; it’s been taken up even in remote communities, particularly where people have limited communication through other means,” Ms Hefler said.

Researchers believe Indigenous people use Facebook at higher rates than the overall population, making it one of the most effective ways to reach out.

“Facebook is a more effective way of reaching Indigenous Australians than traditional forms of communication; what we need to figure out is how to harness that message,” Ms Hefler said.

Early findings show that when friends and family talk about quitting smoking on social media, it has a greater effect than traditional hardline anti-smoking ads.

“The people in your Facebook networks influence you the most,” Ms Hefler said.

“In the past, anti-smoking advertising has relied heavily on having a captive audience; we know that smokers don’t like the content they are seeing, but they can’t get away. Now with the advent of Facebook, all you have to do is swipe and the message is gone.”

Cigarettes more popular than fruit in outback stores

Customers in remote Australia spent roughly four and a half times more on cigarettes than fruit and vegetables in 2015-16, said Stephen Bradley, chairman of Outback Stores, a government-owned company which manages 37 businesses in some of the remotest parts of the country.

An incentive program run by Outback Stores to improve community health has resulted in a 0.5 per cent drop in soft drink sales and a five per cent increase in fruit and vegetable sales, but Mr. Bradley admits more needs to be done.

“We remain convinced that a significant dietary change will take many years and our support programs need to operate for the longer term to be effective,” he said.

The Federal Government is aiming to close the gap between Indigenous and non-Indigenous life expectancy within a generation.

Indigenous deaths caused by heart disease and strokes have been dropping but on average Indigenous people are still dying 10 years younger than non-Indigenous Australians.

“Smoking in Aboriginal communities looks quite different to what it does in the rest of Australia,” Ms Hefler said.

“There’s historical reasons why the smoking rate is higher: it’s tied up in inter-generational trauma, and we also know the stolen generations are more likely to smoke.”

Using Facebook to quit

8044042-3x2-700x467

After suffering a heart attack on her 50th birthday, Chuna Lowah is trying to quit smoking, and is hopeful Facebook can help.

Ms Lowah has been a smoker for more than half her life and agrees the tough traditional anti-smoking ads are too easy to ignore.

“On Facebook I have seen some of my friends quitting smoking, using Facebook as a diary, and they’ve been very successful. I’m hoping that sharing my experiences will also help me quit,” she said.

The preliminary research findings from Menzies have been welcomed by NT Territory Labor MP Chansey Paech, whose central Australian electorate of Namatjira has a high Indigenous population.

“Both the Territory and Federal Governments have made significant contributions over the last several years to reduce the rates of smoking, so I’m looking forward to reading the report and seeing what the recommendations are, and hopefully reducing the smoking rate in the Northern Territory, which we know is too high,” he said.

nt