Community Action For Smoking Cessation In Remote Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$1,162,650.00
Summary
Smoking rates halved in Australia over the past 30 years to below 20% in 2004. However, Indigenous Australians continued to smoke at more than double this rate. In remote Aboriginal communities in the NT's 'Top End', over two-thirds of the population smoke. Smoking tobacco causes the greatest burden of disease for Australians generally. For Indigenous Australians, it is the single most important reversible risk factor for morbidity and premature mortality. With no sign of reduction in smoking le ....Smoking rates halved in Australia over the past 30 years to below 20% in 2004. However, Indigenous Australians continued to smoke at more than double this rate. In remote Aboriginal communities in the NT's 'Top End', over two-thirds of the population smoke. Smoking tobacco causes the greatest burden of disease for Australians generally. For Indigenous Australians, it is the single most important reversible risk factor for morbidity and premature mortality. With no sign of reduction in smoking levels, Indigenous Australians remain at greater risk of hospitalisations or death from many tobacco-related illnesses. Smoking in Australia was reduced through individually-oriented measures, public education and supply control. These strategies have either not been tried or have not been adequately studied in Aboriginal communities. Effective interventions could provide major health gains for Aboriginal Australians and reduce health costs. The intervention we propose will be based on an agreement whereby four remote communities in the 'Top End' will make a pact with the researchers to jointly try to reduce tobacco smoking using community-wide mobilisation, training and education. The intervention with have multiple components. We will not evaluate each component separately. The effect of the whole intervention on smoking will be assessed. Tobacco sales for the whole community in these small isolated localities, a sensitive and reliable measure, should decline if the intervention works. Tobacco smokers will be assessed before the intervention in each community and followed up twice to assess quit rates. Quit rates should go up. Five years are needed for the study because smoking behaviour change does not happen quickly or at peoples' first attempt. With staggered implementation of the intervention, i.e. not starting in all communities at once, reductions in smoking in more than one community will make us confident that the intervention worked.Read moreRead less
Extending The Australian Arm Of The International Tobacco Control Policy Evaluation Study
Funder
National Health and Medical Research Council
Funding Amount
$881,295.00
Summary
This project is to provide for the Australian arm of a large multi-national study to determine how tobacco control policies work. It is being conducted in the context of the implementation in 2005 of the World Health Organisation's Framework Convention on Tobacco Control, to which Australia is a party. We will provide new knowledge on the impacts of specific policies which are being implemented in Australia, as well as ones that occur in other countries that are part of the larger study. These i ....This project is to provide for the Australian arm of a large multi-national study to determine how tobacco control policies work. It is being conducted in the context of the implementation in 2005 of the World Health Organisation's Framework Convention on Tobacco Control, to which Australia is a party. We will provide new knowledge on the impacts of specific policies which are being implemented in Australia, as well as ones that occur in other countries that are part of the larger study. These include the adoption of graphic health warnings on tobacco packaging, removal of misleading constituents levels information from packs, bans of misleading descriptors such as Light and Mild, and implementation of smoke-free bars. In addition it will advance our understanding of how policy effects persist over time, their equity, and the means by which they contribute to increased cessation and reduced relapse. We do this by following smokers every year in each of the countries and asking them about their thinking and actions with regard to smoking, as well as about their awareness of the policies. By comparing the responses of smokers exposed to policies with those from other countries that are not exposed, we can work out the contribution of the policies to changes in smoking. Understanding policy effects on smokers and smoking cessation will lead to improved policies in Australia and the likelihood of improved dissemination of policies that work here to other countries. Similarly policies found to work in other countries, can be best adapted to Australia if we understand how they work. Taken in total, it should advance our efforts to reduce the burden of smoking-related harm both in Australia and the rest of the world.Read moreRead less
Public Health Communication Strategies To Reduce Population Smoking Prevalence
Funder
National Health and Medical Research Council
Funding Amount
$753,300.00
Summary
This research program will investigate the potential for and impact of advanced tobacco control policies in reducing population smoking prevalence. My research will assess the effects of tobacco taxation, further tobacco marketing restrictions and mass communication strategies on smoking attitudes and behaviours. I will also extend the methods and measures I have developed in tobacco control to improve health communication in obesity prevention and alcohol harm prevention.
How Do Media Campaigns And Tobacco-relevant News Coverage Influence Adolescent And Adult Smoking?
Funder
National Health and Medical Research Council
Funding Amount
$411,177.00
Summary
The study will merge measures of exposure to televised anti-smoking advertising, press coverage about tobacco issues and other tobacco control policies with (a) an annually interviewed cohort of 2,000 adult smokers from 2002-2008 and (b) triennial surveys of smoking among adolescents 1993-2008 (n-150,000). Analysis will determine the role of anti-smoking advertising and tobacco-related press coverage in moving smokers towards quitting and changing adolescent smoking.
ANALYSIS OF TOBACCO INDUSTRY INTERNAL DOCUMENTS: AUSTRALIA
Funder
National Health and Medical Research Council
Funding Amount
$150,000.00
Summary
In 1998, the Minnesota court ordered US tobacco companies to place over 30 million pages of hitherto secret internal documents on the www. Many thousands of these explicitly concern Australian tobacco control. This project will locate, catalogue, review and disseminate the strategic national, regional and international significance of these industry documents. Since the documents have been released, three legal cases have for the first time succeeded against the industry and the tobacco industry ....In 1998, the Minnesota court ordered US tobacco companies to place over 30 million pages of hitherto secret internal documents on the www. Many thousands of these explicitly concern Australian tobacco control. This project will locate, catalogue, review and disseminate the strategic national, regional and international significance of these industry documents. Since the documents have been released, three legal cases have for the first time succeeded against the industry and the tobacco industry agreed to a $US208 billion settlemnt with the US states -- the largest settlement in legal history. Detailed critical examination of industry documents addressing issues such as product formulation, health research, advertising and marketing, and political lobbying against tobacco control, holds great promise to provide unprecedented insights into local tobacco industry ambitions, research, marketing, public relations and lobbying activities, and counter-measures against tobacco control. These insights will be invaluable to public health scientists, policy advocates, lawyers and historians both in Australia and internationally. They will also provide a large amount of news material, essential to continuing efforts at keep tobacco control as a neon public and political issue deserving action.Read moreRead less
Reducing Tobacco Harm During Pregnancy, Infancy And Early Childhood Among Groups With High Smoking Prevalence
Funder
National Health and Medical Research Council
Funding Amount
$346,449.00
Summary
This research will contribute to the evidence base for reducing harm from tobacco during pregnancy, infancy and early childhood, among groups with high smoking prevalence. It will: generate evidence on a program to help pregnant Indigenous women quit smoking; develop tools and evidence to support implementation of smoking cessation guidelines in public antenatal services; and explore people’s understanding regarding protecting children from harms of passive smoking at home.
Evaluating Population-wide Efforts To Reduce Tobacco Use: Continuation Of The ITC-Four Country Cohort In Australia
Funder
National Health and Medical Research Council
Funding Amount
$1,368,936.00
Summary
This study is part of a large international collaboration to study whether policies directed at whole communities work as planned. We survey around 2000 smokers from each of 4 countries every year. We compare reactions of smokers in a country with a policy to those in a country without such a policy or with a different policy. We do this by following through the likely chain of effects to smoking cessation. In this way we can provide advice to governments not only on whether their policies work ....This study is part of a large international collaboration to study whether policies directed at whole communities work as planned. We survey around 2000 smokers from each of 4 countries every year. We compare reactions of smokers in a country with a policy to those in a country without such a policy or with a different policy. We do this by following through the likely chain of effects to smoking cessation. In this way we can provide advice to governments not only on whether their policies work as intended, but how to improve them.Read moreRead less
Investigation Of Tobacco Industry Efforts To Counteract Tobacco Control In Australia, 1970-2000
Funder
National Health and Medical Research Council
Funding Amount
$333,225.00
Summary
Tobacco use continues to be both the most important preventable cause of premature death and a key determinant of health inequity in Australia. Tobacco is a legally sold product which addicts many of its consumers, mostly as adolescents, and then kills half of them when used as intended. Comprehensive policy change, product regulation and litigation is required to put a halt to the tobacco industry's decades of avoidance, delay and disruption of tobacco control. In an interview for the Wall Stre ....Tobacco use continues to be both the most important preventable cause of premature death and a key determinant of health inequity in Australia. Tobacco is a legally sold product which addicts many of its consumers, mostly as adolescents, and then kills half of them when used as intended. Comprehensive policy change, product regulation and litigation is required to put a halt to the tobacco industry's decades of avoidance, delay and disruption of tobacco control. In an interview for the Wall Street Journal in 1995, Stan Glantz, from the University of California at San Francisco, equated the tobacco industry with other disease vectors: If you want to do something about malaria, you have to study mosquitoes and if you want to do something about lung cancer, you have to study the tobacco industry. Regulatory changes can only be justified by specific local evidence of both the private plans and knowledge of the tobacco industry to attack tobacco control and their public statements and actions designed to mislead consumers and effectively prevent or delay tobacco control. This study will document the public actions and statements of the tobacco industry in Australia between 1970 and 2000. It will draw on interviews with and personal records of tobacco control experts and former state and federal health ministers; as well as tobacco retail trade publications; print media reports; material obtained via Freedom of Information from State and Federal Health Departments; Federal Cabinet papers released under the 30 year rule (ie papers are available from prior 1972); and radio and television reports. It will complement a parallel study of the tobacco industry's internal documents. The outcome will be provision of strategically vital evidence to support effective tobacco control advocacy, policy formation, regulation and litigation in Australia, in the face of continuing industry countermeasures.Read moreRead less
An Open-label Randomised Pragmatic Policy Trial Of Nicotine Products For Short-term Cessation Assistance Or Long-term Substitution In Smokers.
Funder
National Health and Medical Research Council
Funding Amount
$1,053,910.00
Summary
Many smokers who try to quit fail in their attempt. Medicinal nicotine is currently only used as a short-term quit aid. This trial will test if offering smokers the option of using these products as long-term substitutes for cigarettes will help more smokers to successfully quit. We will also determine if offering smokers low toxicity smokeless tobacco and electronic nicotine devices in addition to medicinal nicotine products further increases the number of smokers who quit successfully.