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'The times are changing': New Zealand smokers' perceptions of the tobacco endgame

机译:“时代在变”:新西兰吸烟者对烟草残局的看法

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摘要

Background The New Zealand government's goal of achieving a smoke-free society by 2025 reflects growing interest in 'endgame' solutions to tobacco smoking. However, tobacco companies have framed 'endgame' strategies as contrary to individual freedoms and 'choice'; these claims heighten politicians' sensitivity to 'nanny state' allegations and may undermine tobacco control policies. Public support for stronger policies could strengthen political will; however, little is known about how smokers perceive endgame scenarios or the factors underlying their support or opposition to these. Methods The authors conducted 47 in-depth interviews with four priority groups: Maori, Pacific, young adults and pregnant women; all were smokers or very recent quitters. The authors used thematic analysis to interpret the transcripts. Results Most participants strongly supported the 2025 smoke-free goal, recognised the broader social good that would result and accepted the personal inconvenience of quitting. Yet they wanted to retain control over when and how they would quit and asserted their 'freedom' to smoke. Participants identified interventions that would extend current policy and maintain the autonomy they valued; the authors classified these into four themes: restricting supply, diminishing visibility, decreasing availability and affordability, and increasing quit support. Conclusions Politicians may have a stronger mandate to implement endgame policies than they appreciate. Participants' use of industry arguments when asserting their freedom to 'choose' to smoke and quit suggests a need for denormalisation strategies that challenge industry propaganda, demonstrate how endgame measures would empower smokers and re-iterate the community benefits a smoke-free society will deliver.
机译:背景信息新西兰政府的目标是到2025年实现无烟社会,这反映出人们对烟草“残局”解决方案的兴趣日益浓厚。然而,烟草公司制定了与个人自由和“选择”相反的“最终游戏”策略。这些主张提高了政客对“保姆州”指控的敏感性,并可能破坏烟草控制政策。公众支持更强有力的政策可以增强政治意愿;然而,对于吸烟者如何看待残局情景或他们支持或反对这些情景的潜在因素知之甚少。方法作者对四个优先群体进行了47次深度访谈:毛利人,太平洋地区,青年和孕妇;都是吸烟者或刚戒烟的人。作者使用主题分析来解释成绩单。结果大多数参与者坚决支持2025年无烟目标,认识到将产生的更广泛的社会福利,并接受戒烟给个人带来的不便。然而,他们希望保留何时,如何戒烟的控制权,并主张自己的“吸烟自由”。与会者确定了可以扩大现行政策并维持其重视的自主权的干预措施;作者将这些主题分为四个主题:限制供应,减少可见度,降低可用性和可负担性以及增加戒烟支持。结论政客执行终局政策的授权可能比他们想象的要强。参与者在主张其“选择”吸烟和戒烟的自由时使用行业论据,这表明需要采取非正规化策略来挑战行业宣传,证明最终措施将如何赋予吸烟者权力,并重申社区对无烟社会的益处。

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  • 来源
    《Tobacco control》 |2013年第6期|395-400|共6页
  • 作者单位

    Department of Marketing, University of Otago, P O Box 7343, Wellington 6242, New Zealand;

    Department of Marketing, University of Otago, Dunedin, New Zealand;

    Department of Public Health, University of Otago, Wellington, New Zealand;

    Whakauae Research Services, Whanganui, New Zealand;

    Tala Pasifika, Auckland, New Zealand;

    Health Sponsorship Council, Wellington, New Zealand;

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