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Majority support among the public, youth and smokers
for retail-level controls to help end tobacco use in New Zealand
The New Zealand Government has recently committed to the
goal of making New Zealand (NZ) smokefree by
2025.1 There are growing discussions about the
type and mix of measures needed to achieve the 2025 goal. Specific interventions
have been suggested by: the Māori Affairs Select Committee (MASC)
Report,2 a commentary on the
report,3 a ‘Next Steps’ document
from the National Tobacco Control Working
Group,4 and a Ministry of Health internal
briefing document released through an Official Information Act
request.5
Many of these suggestions reflect the need to target the
retail availability and promotion of tobacco products, part of the increasing
interest in the supply side of tobacco
control.6,7 For example, the MASC Report
recommended banning all retail displays of tobacco products, mandating the sale
of nicotine replacement therapies (NRT) wherever tobacco is sold, increasing
penalties and enforcement of bans on sales to minors, requiring all retail staff
selling tobacco to be over 18 years, banning tobacco vending machines, and
investigating giving Local Authorities powers to restrict the number and
location of tobacco retailers in order to reduce children’s exposure to
tobacco products.2 It also discussed making
retail premises where tobacco is sold accessible only to adults aged over 18
years, but did not make a specific recommendation to this effect. The
‘Next Steps’ document further recommended mandatory registration of
all tobacco retailers as an initial step towards controls on retailers, and the
consideration of banning duty free sales of
tobacco.4
While the Government’s response to the MASC Report
accepted the ‘aspirational’ goal of “reducing smoking
prevalence and tobacco availability to minimal levels, thereby making New
Zealand essentially a smoke-free nation by
2025”,1 it accepted only one retail
environment recommendation in full. The Smoke-free Environments (Controls
and Enforcement) Amendment Act 2011 will result in the removal of
point-of-sale (POS) tobacco displays from 23 July 2012.
Other recommendations were accepted partially, deferred for
further investigation or rejected. The Government will consider requiring
tobacco retailers to be aged over 18 years if additional evidence of likely
impact emerges. It will investigate reducing duty free sales allowances for
travel with major tourism partners and giving Local Authorities powers to
restrict the numbers and location of retailers, but rejected banning vending
machines and mandating sales of NRT where tobacco is
sold.1 Overall, the Government’s response
has so far resulted in only a minor increase in enforcement monitoring illegal
sales to minors.
We have reviewed and synthesised support for the long-term
goal of reducing tobacco availability as well as specific tobacco control
interventions in the retail sector (Table 1). We
excluded the removal of point-of-sale displays as this intervention comes into
effect in July 2012, though we note the strong support for this measure from
both the public and some retailers.8–10
The results shown in the table indicate that there is strong
majority support among smokers, the general adult population, and 14 to
15-year-olds for reducing the number of tobacco retailers. There was also
majority support among smokers for restricting places that sell tobacco to
premises that exclude children and that make cessation products available. We
did not find any data on the level of support for other measures such as
licensing tobacco retailers, restricting duty-free sales, and requiring that
tobacco retailers are over 18 years of age. There were no quantitative data on
the level of support for tobacco control interventions in the retail sector
among retailers.
There was substantial levels of support for ending sales of
tobacco products altogether within 10 years, though among smokers this was when
the caveat was added to the question that effective nicotine substitutes became
available. Support for tobacco control measures in the retail setting and for
ending the sales of tobacco products were higher among Pacific peoples, with
mixed findings for Māori compared to non-Māori.
Public support for proposed policy options often influences
politicians’ willingness to introduce new tobacco control measures, and so
it can be useful for researchers to study these issues. This may be particularly
true for health issues like tobacco control policies, where policy introduction
and implementation is often highly contested by the tobacco industry and their
commercial allies; and where some politicians can be ideologically trapped by
their opposition to the regulation of markets. The evidence presented above from
recent New Zealand surveys has shown that smokers, non-smokers and youth support
many of the MASC recommendations to reduce tobacco supply and retail
availability.
These levels of support are high given that the surveys
occurred before there had been substantial public debate about retail-focused
tobacco control measures other than removal of point-of-sale displays. The usual
pattern observed is that support for tobacco control measures increases greatly
following such debate and policy implementation. For example, this was observed
with smokefree bars and restaurants with the introduction of the 2003 Smoke-free
Environments Amendment Act.20
Achieving the goal of a smokefree New Zealand by 2025 will
require radical action.5 Despite the logic of
supply-focused interventions, reducing the availability of tobacco products is
an underdeveloped facet of tobacco control worldwide.6
7 This is also the case in New Zealand in the Government’s current
approach to achieving the “Smokefree Nation 2025” goal. The findings
of this study suggest that public opinion is running far ahead of the policy
process, and that urgent consideration should be given to implementing the MASC
report’s and National Tobacco Control Working Group’s
recommendations on tobacco control interventions in the retail setting.
Richard Edwards1*; Jo
Peace1; Janet
Hoek2; Nick
Wilson1; George
Thomson1;
Louise Marsh3
1 Department of Public
Health, University of Otago, Wellington
2 Department of
Marketing, University of Otago, Dunedin
3 Department of
Preventive and Social Medicine, University of Otago, Dunedin
* Correspondence: Professor Richard Edwards, Email: Richard.edwards@otago.ac.nz
References:
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