A truly comprehensive approach to tobacco control should include interventions targeting high risk groups
Australia is a world leader in tobacco control as a result of implementing the strong tobacco control strategies in the World Health Organization Framework Convention on Tobacco Control (http://www.who.int/fctc/en). The Australian adult daily smoking prevalence is 14%1 compared with 31% in 1986,2 with a government goal to reduce this prevalence to 10% by 2020.3 Recently employed tobacco control strategies include increased taxation and plain cigarette pack legislation, supported by strong legislative, economic and community commitment to significantly reduce tobacco use in our society. These strategies motivate smokers to quit. For example, data from the 2007 National Drug Strategy Household Survey4 indicate that high cigarette prices are a key motivator to attempt to quit or reduce the number of cigarettes smoked.
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- 1. Australian Institute of Health and Welfare. National Drug Strategy Household Survey detailed report, 2013 (AIHW Cat. No. PHE 183; Drug Statistics Series No. 28). Canberra: AIHW, 2014. http://aihw.gov.au/WorkArea/DownloadAsset.aspx?id=60129549848 (accessed Dec 2016).
- 2. Greenhalgh EM, Bayly M, Winstanley MH. 1.3 Prevalence of smoking—adults. In: Scollo MM, Winstanley MH, editors. Tobacco in Australia: facts and issues. Melbourne: Cancer Council Victoria, 2015. http://www.tobaccoinaustralia.org.au/chapter-1-prevalence/1-3-prevalence-of-smoking-adults (accessed July 2017).
- 3. Intergovernmental Committee on Drugs. National Tobacco Strategy 2012–2018. Canberra: Commonwealth of Australia, 2012. http://www.nationaldrugstrategy.gov.au/internet/drugstrategy/publishing.nsf/Content/D4E3727950BDBAE4CA257AE70003730C/$File/National%20Tobacco%20Strategy%202012-2018.pdf (accessed Dec 2016).
- 4. Australian Institute of Health and Welfare. 2007 National Drug Strategy Household Survey: detailed findings (AIHW Cat. No. PHE 107). Canberra: AIHW, 2008. http://www.aihw.gov.au/publication-detail/?id=6442468195 (accessed Dec 2016).
- 5. Australian Institute of Health and Welfare. Australian Burden of Disease Study: Impact and causes of illness and death in Australia 2011 (Australian Burden of Disease Study Series No. 3; BOD 4). Canberra: AIHW, 2016. http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=60129555176 (accessed Dec 2016).
- 6. Australian Bureau of Statistics. National Health Survey: first results, 2014-15 (Cat. No. 4364.0.55.001). Canberra: ABS, 2016. http://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/4364.0.55.001Main+Features100012014-15?OpenDocument (accessed Dec 2016).
- 7. Baker AL, Ivers RG, Bowman JA, et al. Where there’s smoke, there’s fire: high prevalence of smoking among some sub-populations and recommendations for intervention. Drug Alcohol Rev 2006; 25: 85-96.
- 8. Butler TG, Yap L. Smoking bans in prison: time for a breather? Med J Aust 2015; 203: 313. <MJA full text>
- 9. Couzos S, Nicholson AK, Hunt JM, et al. Talking About The Smokes: a large-scale community-based participatory research project. Med J Aust 2015: 202 (10 Suppl): S13-S19. <MJA full text>
- 10. Cooper J, Mancuso S, Borland R, et al. Tobacco smoking among people living with a psychotic illness: the second Australian survey of psychosis. Aust N Z J Psychiatry 2012; 46: 851-863.
- 11. Malone RE. The race to a tobacco endgame. Tob Control 2016; 25: 607-608.
- 12. Twyman L, Bonevski B, Paul C, et al. Perceived barriers to smoking cessation in selected socioeconomically disadvantaged groups: A systematic review of the qualitative and quantitative literature. BMJ Open 2014; 4: 1-15.
- 13. Guillaumier A, Bonevski B, Paul C. Tobacco health warning messages on plain cigarette packs and in television campaigns: a qualitative study with Australian socioeconomically disadvantaged smokers. Health Educ Res 2015; 30: 57-66.
- 14. Walters EH, Barnsley K. Tobacco-free generation legislation. Med J Aust 2015; 202: 509. <MJA full text>
- 15. Baker AL, Richmond R, Kay-Lambkin FJ, et al. Randomized controlled trial of a healthy lifestyle intervention among smokers with psychotic disorders. Nicotine Tob Res 2015; 17: 946-954.
- 16. Franck C, Filion KB, Kimmelman J, et al. Ethical considerations of e-cigarette use for tobacco harm reduction. Respir Res 2016; 17: 53.
- 17. Twyman L, Bonevski B, Paul C, et al. Electronic cigarettes: awareness, recent use, and attitudes within a sample of socioeconomically disadvantaged Australian smokers. Nicotine Tob Res 2016; 18: 670-677.
- 18. O’Brien B, Knight-West O, Walker N, et al. E-cigarettes for smoking reduction or cessation in people with mental illness: secondary analysis of data from the ASCEND trial. Tob Induc Dis 2015; 13: 5.
- 19. Bonevski B, Guillaumier A, Shakeshaft A, et al. An organisational change intervention for increasing the delivery of smoking cessation support in addiction treatment centres: study protocol for a randomized controlled trial. Trials 2016; 17: 290.
- 20. Ministry of Health. Health targets: better help for smokers to quit. http://www.health.govt.nz/new-zealand-health-system/health-targets/about-health-targets/health-targets-better-help-smokers-quit (accessed July 2017).
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