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ITC Project New Zealand: Status Report. Chris Bullen on behalf of the NZ ITC Project Team. Unique features. Linkage to NZ Health Survey Face-to-face interviews re. health status & health services Smokers invited to be re-contacted by phone 30-45 minute call by RMR Large Māori sample
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ITC Project New Zealand: Status Report Chris Bullen on behalf of the NZ ITC Project Team
Unique features • Linkage to NZ Health Survey • Face-to-face interviews re. health status & health services • Smokers invited to be re-contacted by phone • 30-45 minute call by RMR • Large Māori sample • 15% of NZers, high smoking prevalence, high RYO use
Linkage to NZ Health Survey Potential advantages • Shared expertise and collaboration with Ministry of Health • Improved and more cost-effective recruitment • Information on non-responders • Data linkage allows additional analyses in NZ arm e.g. linking change in beliefs and behaviours to: • Household composition & socio-economic status • Physical and mental health (including presence of smoking-related conditions) • Health of children in the household • Alcohol use • Health care utilisation • Experience of racism and discrimination
Large Māori sample Estimated 40%+ of cohort will be Māori • Allows separate analysis of Māori sample • Opportunity to address issues of specific interest to Māori eg: • Cultural influences on attitudes to and impact of policies • Reasons for increased use of RYO tobacco • Influence of family on quitting behaviour • Unique findings internationally as other ITC arms have only small numbers of indigenous peoples
Current situation • Wave 1 data collection completed. Undergoing quality checks and weighting • Wave 2 data collection starts March 2008 • Complete linkage with all the NZ Health Survey data by September 2008 • Despite incentives ($20 store vouchers), suboptimal (65%) response rate to Wave 1 • Submitted cigarettes to the Repository
Outputs to date • Review article NZMJ (in press). • Cigarette butt study, N&TR (in press) & poster at this meeting • Pack colour study (Report on Igloo), submitted to N&TR, poster at this meeting • Research letters in NZMJ (n=3) • 5 posters at International Conferences • Collaboration on warnings labels work with Ron Borland et al
Priorities for 2008 Analyse data and produce outputs: • Methods report • Priority topic areas: • Light/mild (current enquiry in NZ) • Point-of-sale (policy development) • New graphic warnings (appearing now) • Smoking cessation (new NZ cessation guidelines and Ministry funding) • Tobacco tax / use of RYOs
Challenges: • Minimising attrition in Wave 2 & 3 in a setting with a heavy burden of commercial marketing telephone surveys – ideas welcomed. • What are the pros/cons of continuing as a “control country” if shift in political direction late 2008 (unlikely to favour new tobacco control policy changes) occurs? We are keen to get your views Email: c.bullen@ctru.auckland.ac.nz
Project Team • Nick Wilson (PI), Tony Blakely, George Thomson, Richard Edwards, Jo Peace. University of Otago, Wellington • Chris Bullen, Hayden McRobbie. Clinical Trials Research Unit, University of Auckland • Ron Borland. VicHealth Centre for Tobacco Control, Cancer Council Victoria, Australia • Sharon Ponniah. Ministry of Health • Heather Gifford. Whakauae Research Services, Whanganui • Judy Li, Quit Group, Wellington (PhD student)
Funders and acknowledgements • Health Research Council (funds for 2007-2009) • Ministry of Health (Public Health Intelligence) – data sharing & support • Advisory Group in NZ • Other ITC Project teams (Australia, Canada, UK, US)