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Motivations for Smoking Cessation and the Impact of Regulatory Tax Increases Amongst Fathers within the Pacific Islands Families Study

Published online by Cambridge University Press:  17 June 2015

El-Shadan Tautolo*
Affiliation:
School of Public Health and Psychosocial Studies, Auckland University of Technology, Auckland, New Zealand
Leon Iusitini
Affiliation:
School of Public Health and Psychosocial Studies, Auckland University of Technology, Auckland, New Zealand
Steve Taylor
Affiliation:
School of Public Health and Psychosocial Studies, Auckland University of Technology, Auckland, New Zealand
Janis Paterson
Affiliation:
School of Public Health and Psychosocial Studies, Auckland University of Technology, Auckland, New Zealand
*
Address for correspondence: El-Shadan Tautolo, Centre for Pacific Health & Development Research, Faculty of Health and Environmental Sciences, Auckland University of Technology, Private Bag 92006, AUCKLAND 1020. Email: dtautolo@aut.ac.nz

Abstract

Aims: To examine the prevalence of smoking, motivations for cessation, and impact of tobacco excise tax increases amongst a cohort of Pacific fathers at 11 years after the birth of their child.

Methods: Within the context of broader interviews, 723 Pacific fathers participating in the Pacific Islands Families (PIF) Study were surveyed about their smoking at the 11-year measurement point. Prevalence of smoking was calculated, alongside motivations to quit, and the impact of increases to the excise tax on tobacco.

Results: Smoking prevalence amongst Pacific fathers remains high (38%) at 11 years postpartum, although 81% of smokers disclosed interest in quitting smoking. The strongest motivation to quit smoking was their ‘own health’ (n = 185, 82%), followed by ‘the cost’ (n = 148, 66%), and the impact on ‘their child's health’ (n = 113, 50%). Among smokers, 12% (n = 31) had never attempted to quit, whereas 63% (n = 159) had made multiple attempts. Approximately 70% (n = 191) of smokers indicated the New Zealand Government-initiated tobacco excise tax increases caused them to reduce their tobacco consumption.

Conclusions: High smoking prevalence amongst this cohort raises serious concerns about the risks Pacific families and communities face from smoking. Maintaining a sustained series of tobacco excise tax increases, alongside the utilisation of information on key motivators for Pacific fathers to quit smoking, may prove more effective in supporting Pacific communities to achieve the New Zealand Government's Smokefree 2025 goal.

Type
Original Articles
Copyright
Copyright © The Author(s) 2015 

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References

Argyrous, G. (2011). Statistics for research: With a guide to SPSS. London: Sage.Google Scholar
Blakely, T., Richardson, K., Young, J., Graham, P., Tobias, M., Callister, P. et al. (2009). Does mortality vary between pacific groups? Estimating samoan, cook Island Mäori, Tongan, and Niuean mortality rates using hierarchical Bayesian modelling. Official Statistics Research Series 5.Google Scholar
Cowie, N., Glover, M., & Gentles, D. (2014). Taxing times? Smoker response to tax increases. Ethnicity and Inequalities in Health and Social Care, 7 (1), 3648.CrossRefGoogle Scholar
Farrelly, M., Nonnemaker, J. M., & Watson, K. A. (2012). The consequences of high cigarette excise taxes for low-income smokers. PLoS One, 7 (9), e43838. doi:10.1371/journal.pone.0043838.CrossRefGoogle ScholarPubMed
Glover, M., Nosa, V., Gentles, D., Watson, D., & Paynter, J. (2014). Do New Zealand Maori and Pacific ‘walk the talk’ when it comes to stopping smoking? A qualitative study of motivation to quit. Journal of Smoking Cessation, 9 (2), 6875.CrossRefGoogle Scholar
Jha, P., & Chaloupka, F. J. (2000). Tobacco control in developing countries. Oxford, UK: Oxford University Press.CrossRefGoogle Scholar
Ministry of Health (2005). Te orau ora: Pacific mental health profile. Wellington: Ministry of Health.Google Scholar
Ministry of Health (2008). Tobacco Control and Smoking: Health Effects of Smoking. Retrieved 21 September, 2010, from http://www.moh.govt.nz/moh.nsf/indexmh/tobacco-effects.Google Scholar
Ministry of Health (2009). Tobacco Trends 2008: A brief update of tobacco use in New Zealand. Wellington: Ministry of Health.Google Scholar
Ministry of Health (2010). Tobacco control and smoking: Health effects of smoking. Retrieved 21 September 2010, from http://www.moh.govt.nz/moh.nsf/indexmh/tobacco-effects.Google Scholar
Ministry of Health (2012). The health of New Zealand adults 2011/12: Key findings of the New Zealand Health Survey. Wellington: Ministry of Health.Google Scholar
Ministry of Health (2013). New Zealand health survey: Annual update of key findings 2012/13. Wellington: Ministry of Health.Google Scholar
Ministry of Pacific Islands Affairs (2002). Pacific progress report. A report on the economic status of pacific peoples in New Zealand. Wellington: Ministry of Pacific Islands Affairs.Google Scholar
O’Dea, D., & Thomson, G. (2007). Tobacco taxation in New Zealand. Wellington: Smokefree Coalition.Google Scholar
Paterson, J., Percival, T., Schluter, P. J., Sundborn, G., Abbott, M., Carter, S. et al. (2008). Cohort profile: The pacific Islands families (PIF) study. International Journal of Epidemiology, 37 (2), 273279.CrossRefGoogle ScholarPubMed
Paterson, J., Tukuitonga, C., Abbott, M., Feehan, M., Silva, P., Percival, T. et al. (2006). Pacific Islands families: First two years of life study - design and methodology. New Zealand Medical Journal, 119 (1228), U1814.Google ScholarPubMed
Patrick, D. L., Cheadle, A., Thompson, D. C., Diehr, P., Koepsell, T., & Kinne, S. (1994). The validity of self-reported smoking: A review and meta-analysis. American Journal of Public Health, 84 (7), 10861093.CrossRefGoogle ScholarPubMed
Rebagliato, M. (2002). Validation of self-reported smoking. Journal of Epidemiology and Community Health, 56, 163164.CrossRefGoogle ScholarPubMed
Statistics New Zealand (2012). Household labour force survey: March 2012. Wellington, NZ: Statistics New Zealand.Google Scholar
Statistics New Zealand (2013). 2013 Census QuickStats about national highlights. Available from www.stats.govt.nz.Google Scholar
Statistics New Zealand and Ministry of Pacific Island Affairs (2010). Education and Pacific peoples in New Zealand. Wellington, NZ: Statistics New Zealand.Google Scholar
Tappin, D., Lumsden, M., McIntyre, D., McKay, C., Gilmour, W., Webber, R. et al. (2000). A pilot study to establish a randomized trial methodology to test the efficacy of a behavioural intervention trial. Health Education Research, 15 (4), 491502.CrossRefGoogle Scholar
Tautolo, E. (2011). Pacific fathers cultivating the future: The health of pacific fathers and their influence upon and involvement with their children. AUT University, PhD Thesis.Google Scholar
Tautolo, E., Schluter, P., & Taylor, S. (2011a). Prevalence and smoking concordance amongst Mothers and Fathers within the Pacific Island Families Study. Pacific Health Dialog, 17 (2), 136146.Google ScholarPubMed
Tautolo, E., Schluter, P. J., Paterson, J., & McRobbie, H. (2011b). Acculturation and Smoking amongst a cohort of Pacific Island fathers. Australian and New Zealand Journal of Public Health, 39 (6), 509516.CrossRefGoogle Scholar
Tautolo, E., Schluter, P. J., & Sundborn, G. (2009). Mental health well-being amongst fathers in the Pacific Islands Families Study. Pacific Health Dialog, 15 (1), 6979.Google Scholar
Thomson, G., O’Dea, D., Wilson, N., Reid, P., & Howden-Chapman, P. (2000). The financial effects of tobacco tax increases on Maori and low-income households. Wellington: Department of Public Health, Wellington School of Medicine. Retrieved from http://www.otago.ac.nz/wellington/research/heppru/publications/#reports.Google Scholar
Townsend, J., Roderick, P., & Cooper, J. (1994). Cigarette smoking by socioeconomic group, sex, and age: effects of price, income, and health publicity. British Medical Journal, 309, 923927.CrossRefGoogle ScholarPubMed
Vartiainen, E., Seppala, T., Lillsunde, P., & Puska, P. (2002). Validation of self reported smoking by serum continine measurement in a community based study. Journal of Epidemiology and Community Health, 56, 167170.CrossRefGoogle Scholar
WHO Western Pacific Region & Secretariat of the Pacific Community (2013). Towards healthy Islands: Pacific Noncommunicable disease response. Apia, Samoa 2013: http://www.wpro.who.int/southpacific/pic_meeting/2013/documents/PHMM_PIC10_3_NCD.pdf.Google Scholar
Wilson, N., Blakely, T., & Tobias, M. (2006). What potential has tobacco control for reducing health inequalities? The New Zealand situation. International Journal for Equity in Health, 5 (14), 111.Google ScholarPubMed
Wilson, N., & Thomson, G. (2005). Tobacco tax as a health protecting policy: A brief review of the New Zealand evidence. New Zealand Medical Journal, 118 (1213), 13.Google ScholarPubMed
Wong, G., Ameratunga, S., Garrett, N., Robinson, E., & Watson, P. (2008). Family influences, acculturation, and the prevalence of tobacco smoking among Asian youth in New Zealand: Findings from a national survey. Journal of Adolescenct Health, 43, 412416.CrossRefGoogle ScholarPubMed
World Health Organization Europe (2007). Fatherhood and Health Outcomes in Europe: A Summary Report. Copenhagen: World Health Organization.Google Scholar