Winston Churchill Winston Churchill Fellowship to Australia – Fellowship to Australia –

Cerys HumphreysCerys Humphreys

Gwynedd CouncilGwynedd Council

Fellowship period – Jan – Feb Fellowship period – Jan – Feb 20142014

Purpose of FellowshipPurpose of FellowshipTo investigate how the implementation of policies and interventions To investigate how the implementation of policies and interventions by rural local authorities (or equivalent agencies) and national health by rural local authorities (or equivalent agencies) and national health promotion agencies in Australia, are contributing to the decline in promotion agencies in Australia, are contributing to the decline in prevalence of alcohol and tobacco use. prevalence of alcohol and tobacco use.

To examine how under represented and non-represented groups in To examine how under represented and non-represented groups in Australia are able to access alcohol and tobacco health-promotion Australia are able to access alcohol and tobacco health-promotion services/interventions in both rural and urban areas. services/interventions in both rural and urban areas.

To examine the link between tobacco use and increased alcohol-To examine the link between tobacco use and increased alcohol-consumption within mainstream and indigenous populations and its consumption within mainstream and indigenous populations and its effects on poverty. effects on poverty.

Reducing tobacco prevalence Reducing tobacco prevalence

Current prevalence rate in Australia = Current prevalence rate in Australia = 16%.16%.

State of Victoria = 13%.State of Victoria = 13%.

Certain areas (such as Mosman, a suburb Certain areas (such as Mosman, a suburb of Sydney = 4-5%)of Sydney = 4-5%)

Certain indigenous communities = Certain indigenous communities = upwards of 40%upwards of 40%

Organisations VisitedOrganisations VisitedCancer Council VictoriaCancer Council Victoria

VicHealthVicHealth

Australian Drugs FoundationAustralian Drugs Foundation

Queensland HealthQueensland Health

James Cook UniversityJames Cook University

Drug Arm AustralasiaDrug Arm Australasia

Wuchopperen Health ServiceWuchopperen Health Service

QuitlineQuitline

Victorian Aboriginal Victorian Aboriginal Community Controlled Health Community Controlled Health CouncilCouncil

Latitude ResearchLatitude Research

Dr Tony JewellDr Tony Jewell

Wollongong City CouncilWollongong City Council

Municipal Association of Municipal Association of VictoriaVictoria

Healthy TogetherHealthy Together

Good Sports ProgrammeGood Sports Programme

Alcohol and Other Drugs Alcohol and Other Drugs Council of AustralasiaCouncil of Australasia

Australian National Australian National Preventative Health Agency Preventative Health Agency (ANPHA)(ANPHA)

How have they managed to How have they managed to reduce tobacco rates?reduce tobacco rates?

High tobacco taxes High tobacco taxes

Mass media public education campaignsMass media public education campaigns

Smoke free spaces (inc. legislation)Smoke free spaces (inc. legislation)

EvidenceEvidenceStudies have shown that making workplaces, homes Studies have shown that making workplaces, homes and cars smoke-free:and cars smoke-free:decreases the numbers of cigarettes that people smoke; decreases the numbers of cigarettes that people smoke; increases the quit attempts that smokers make; increases the quit attempts that smokers make; reduces the number of relapses that smokers have; reduces the number of relapses that smokers have; increases the numbers of people who quit; increases the numbers of people who quit; decreases the exposure of others to second-hand smoke decreases the exposure of others to second-hand smoke (environmental tobacco smoke); and (environmental tobacco smoke); and having smoke-free homes also lowers the chances that having smoke-free homes also lowers the chances that children will take up smoking.children will take up smoking.

Smoke free spaces - definitionSmoke free spaces - definition

No tobacco products No tobacco products at all?at all?

Designated smoking Designated smoking areas?areas?

Ban in public spaces, Ban in public spaces, still can smoke in still can smoke in private areas?private areas?

Voluntary/Statutory?Voluntary/Statutory?

Smoke free areasSmoke free areas

PrisonsPrisonsPlaygrounds (within 10 Playgrounds (within 10 metres)metres)MallsMallsPatrolled Beaches (within Patrolled Beaches (within the flags)the flags)Enclosed public spacesEnclosed public spacesSmoke free suburbsSmoke free suburbsCars (under 18)Cars (under 18)Sports grounds (within 10 Sports grounds (within 10 m)m)Universities (some)Universities (some)

Smoke free areasSmoke free areas

Outdoor eating areasOutdoor eating areasWithin 4 metres to an Within 4 metres to an entrance to a public entrance to a public buildingbuildingEnclosed or covered bus Enclosed or covered bus stop/taxi rankstop/taxi rankHospitalsHospitalsSports stadiumsSports stadiumsSchool groundsSchool groundsTrain stationsTrain stationsWithin 10 m of Council Within 10 m of Council propertiesproperties

Smoke free areas – target groupsSmoke free areas – target groups

Pregnant womenPregnant women

Indigenous populationsIndigenous populations

Young peopleYoung people

Smoke free workplacesSmoke free workplaces

EffectivenessEffectivenessPolice heavily involved in Police heavily involved in policing such as smoke free policing such as smoke free cars.cars.Limited workforce to patrol Limited workforce to patrol rural and remote areas.rural and remote areas.All states have different All states have different tobacco legislation – can be tobacco legislation – can be both positive and negative. both positive and negative. Strong community support Strong community support for change.for change.Nanny state?Nanny state?

Understanding population needsUnderstanding population needs

Smoke free messages – Smoke free messages – indigenous populationindigenous population

feature Aboriginal & Torres Strait Islander faces, voices and feature Aboriginal & Torres Strait Islander faces, voices and imagery; imagery; avoid negative themes; positive, inspirational and light-hearted; avoid negative themes; positive, inspirational and light-hearted; simple clear language; simple clear language; use familiar (and local) Indigenous people; use familiar (and local) Indigenous people; use local language, Aboriginal words and style of talking; use local language, Aboriginal words and style of talking; have a storytelling approach; have a storytelling approach; use Aboriginal & Torres Strait Islander imagery and art work; use Aboriginal & Torres Strait Islander imagery and art work; feature true stories and real people; feature true stories and real people; feature messages which relate to ‘here and now’ and feature messages which relate to ‘here and now’ and harness the strong sense of family and kin.harness the strong sense of family and kin.

Smoke free city?Smoke free city?

Proposal to ban Proposal to ban smoking from Central smoking from Central Business District in Business District in Melbourne.Melbourne.Streets, laneways, Streets, laneways, footpaths and any footpaths and any public space.public space.No details as yet as to No details as yet as to how this would be how this would be enforced.enforced.

Tobacco – out of sightTobacco – out of sight

Unlike alcohol, tobacco is Unlike alcohol, tobacco is not a product that you see not a product that you see in daily life.in daily life.

Actively search for tobacco Actively search for tobacco products – not made easy.products – not made easy.

Quit support messages Quit support messages seen everywhere.seen everywhere.

Any questions?Any questions?