Protecting children from taking up smoking: parents’ views on what would help
K. Marck A F , M. Glover A G , A. Kira A , J. McCool B , R. Scragg C , V. Nosa D and C. Bullen EA Centre for Tobacco Control Research, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
B Social and Community Health, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
C Epidemiology and Biostatistics, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
D Pacific Health, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
E NIHI, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
F Present address: Cancer Society Auckland Division, PO Box 1724, Auckland 1140, New Zealand.
G Corresponding author. Email: m.glover@auckland.ac.nz
Health Promotion Journal of Australia 25(1) 59-64 https://doi.org/10.1071/HE13029
Submitted: 25 March 2013 Accepted: 3 October 2013 Published: 14 March 2014
Abstract
Issue addressed: The present study investigated what factors the parents of children in low-income areas of Auckland, New Zealand, thought could help protect their children from smoking initiation.
Methods: Participants in a large quasi-experimental trial that tested a community-, school- and family-based smoking-initiation intervention were asked in a questionnaire ‘What could we do to help you protect your children from smoke and taking up smoking?’ Free-text responses were divided into distinct meaning units and categorised independently by two of the researchers.
Results: 1806 participants (70% of parents who returned the questionnaire) completed the question. The majority of respondents (80%) were either Pacific Island or Māori mothers and 25% were current smokers. Five main categories of suggested strategies for preventing smoking initiation were identified: building children’s knowledge of the ill-effects of smoking; denormalising smoking; reducing access to tobacco; building children’s resilience; and health promotion activities. The most common suggestion was to educate children about smoking.
Conclusion: Building children’s knowledge of smoking risks was the main strategy parents proposed. There was some support for banning smoking in most public areas and for tougher moves to stop tobacco sales to minors. Few parents suggested innovative or radical strategies, such as banning the sale of tobacco, fining children for smoking or use of competitions.
So what?: To ensure reductions in smoking initiation for lower socioeconomic and Māori and Pacific Island people, further research should engage Māori, Pacific Island and lower socioeconomic parents in a process that elicits innovative thinking about culturally acceptable strategies.
Key words: child smoking initiation, health education, health promotion, parental attitudes.
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