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Changes to smoking habits and addiction following tobacco excise tax increases: a comparison of Māori, Pacific and New Zealand European smokers

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Authors:
Summary:

These researchers sought to determine changes in smoking habit and psychological addiction among Māori/Pacific and New Zealand European smokers following excise tax increases. In this survey, smokers from New Zealand cities completed questionnaires at three time points before and after two annual excise tax increases from 2012 to 2014. At baseline, the ethnic groups did not differ significantly on measures of cigarettes per day or psychological addiction. However, both measures declined in a linear fashion among Māori/Pacific and NZ European smokers; daily cigarette consumption reduced at a greater rate in Māori/Pacific than NZ European smokers but dependence did not.

Comment:
I’ve chosen to reflect on these two papers together, given the commonality – racism. There has been a lot in the media recently about tobacco (and others, including sugar) taxes potentially disadvantaging Māori and therefore being racist. These papers suggest that Dame Tariana was right to introduce, and then increase, tobacco taxes as they have had a positive impact on Māori smoking rates and this has shown leadership in terms of tackling an issue that many have placed in the too-hard basket. International evidence recommends careful monitoring of the impacts that taxes have on the Indigenous or peoples of non-dominant ethnicity (such as African Americans in the US), as there appears to be a point when the harm outweighs benefit.
Reference: Aust N Z J Public Health. 2017;41(1):92-8
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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