1 / 25

Julie Stratton, Manager, Epidemiology Peel Public Health

Determining the proportion of illicit (contraband) cigarettes in a local public health jurisdiction. Julie Stratton, Manager, Epidemiology Peel Public Health. Background. Self report surveys: Most smokers buy their cigarettes legally

base
Download Presentation

Julie Stratton, Manager, Epidemiology Peel Public Health

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Determining the proportion of illicit (contraband) cigarettes in a local public health jurisdiction Julie Stratton, Manager, Epidemiology Peel Public Health

  2. Background • Self report surveys: • Most smokers buy their cigarettes legally • 1% of Canadians might have purchased smuggled cigarettes (CTUMS) • 13% of Canadians buy cigarettes from a First Nations reserve (23% of Ontarians)

  3. Background Cigarette Butt Studies • Canadian Convenience Store Association • 26% in Ontario youth (2008) • 38% in Peel youth (2008) • Ontario Convenience Store Association • 21% in Ontario residents (2014) • 22% in Brampton residents (2014) • Post-secondary campuses in Ontario – 14%

  4. Peel Region • West of Toronto • 1.3 million residents (20,000 people added each year) • 15% of Peel residents smoke

  5. Research Questions • What proportion of cigarettes in the Region of Peel are illicit (untaxed?) • Are there differences in the proportion of illicit cigarettes by location of collection?

  6. Methods – Sampling Frame • 4 types of locations within Peel Region • Regional hospitals (3 locations) • Regional buildings serving the public (2 locations) • College campuses (2 locations) and university campus (1 location) • Secondary schools (random selection of 10 locations)

  7. Methods – Pilot Study • Piloted process from one location from each venue • Collection • Identification

  8. Methods – Sample Size • Required 1,209 butts per venue • Parameters • Estimated number of cigarettes smoked per day • Estimated per cent of contraband based on pilot study • Adjustment factor 1/0.7 - 1 • Precision of the estimate = 3% • Statistical power = 80% • Type 1 error rate = 5% • Cigarette butt discard rate based on results of pilot study

  9. Methods – Collection and Storage • Hand collection from the ground or dumped from cigarette disposal bins • Collected butts until quota was met • Collected on non-rainy days • Stored in a fire proof cabinet in plastic bins at an off-site location

  10. Classification - Testing • Brand name or symbol • Existence of a dry patch within the plug wrap • Number of rows and type of ventilation holes • Type of filter (acetate or polypropylene) • Resources: www.cigarettespedia.com

  11. Classification – Brand Name Examples • du Maurier • Player’s • Matinee • Viceroy • Export A

  12. Classification – Plug Wrap and Dry Patch Dry patch (area with no glue) Plug wrap

  13. Classification – Ventilation Holes

  14. Laser Electrostatic Mechanical

  15. Classification - Filter • Polypropylene vs acetate • Some illegal cigarettes use polypropylene filters • Do not dissolve in acetone

  16. Classification • Legal branded • International • Legal native • Contraband (illegal) • Discards • Unknown or other

  17. Classification – Legal Native • Putters • DKS • Sago • Ménage • Podium

  18. Classification – Contraband Examples • Canadian • Playfair • Unbranded

  19. ResultsTotal Collected and Discard Rate

  20. Results – Overall Classification Note: Excludes discards

  21. Results - Native Legal and Contraband by Venue

  22. Conclusion • Lower percentage of contraband cigarette butts than reported in other studies (5.3%) • The percentage of contraband cigarette butts varied by venue (highest in secondary schools) • Contraband rates are low - Peel will focus on other aspects of tobacco control

  23. Implications for Public health practice • Collection of cigarette butts to assess percentage of contraband cigarettes can easily be replicated in the field • Peel Health has developed the following protocols which can be shared: • Cigarette Butt Study protocol • Cigarette Butt Collection Protocol • Cigarette Butt Identification Protocol • Cigarette Butt Photo Library

  24. For more information • Julie Stratton, Manager, Epidemiology, Peel Public Health, julie.stratton@peelregion.ca • Dr. Megan Ward, Associate Medical Officer of Health, Peel Public Health, megan.ward@peelregion.ca

  25. Limitations • International and some contraband cigarettes might have been classified as legal • Selection of venues

More Related