Exploring indigenous perspectives on tobacco tax: how some Māori families are responding in Aotearoa New Zealand.

Abstract:

OBJECTIVE:High smoking prevalence rates, combined with a steep tax on tobacco and lower household income, mean that 5% of Māori (indigenous) whānau (family unit) expenditure in New Zealand is on tobacco. This paper outlines whānau perceptions of, and behavioural responses to, increasing tobacco tax. METHODS:This qualitative study was informed by the Kaupapa Māori theory and used a simplified interpretive phenomenological analysis thematic hybrid methodology. A semistructured, open-ended interview guide was designed and used in one-off focus group interviews. SETTING AND PARTICIPANTS:Interviews were separately conducted with each of 15 whānau units. A total of 72 participants, most of whom were smokers, took part in the interviews carried out in two geographical regions: one rural/provincial and one urban. RESULTS:Whānau were concerned about the rising cost of tobacco. However, this concern had not generally translated into quit attempts. Whānau had instead developed innovative tobacco-related practices. Working collectively within their whānau, they were able to continue to smoke, although in a modified fashion, despite the rising costs of tobacco. Whānau thereby resisted the intended outcome of the government's tobacco tax which is to reduce rates of smoking prevalence. CONCLUSION:In the face of significant government disinvestment in New Zealand tobacco control over the last 10 years, hypothecated taxes should be used to scale up Māori-specific cessation and uptake prevention programmes, supporting authentic Māori partnerships for endgame solutions including restricting the availability and appeal of tobacco.

journal_name

Tob Control

journal_title

Tobacco control

authors

Gifford H,Waa A,Cvitanovic L,Potaka-Osborne G,Kerehoma-Cook A

doi

10.1136/tobaccocontrol-2020-056097

subject

Has Abstract

pub_date

2021-01-12 00:00:00

eissn

0964-4563

issn

1468-3318

pii

tobaccocontrol-2020-056097

pub_type

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