A good news story for smoking rates

In 2023, TDB Advisory and Infometrics undertook a cost effectiveness review of the now repealed Smoked Tobacco Amendment Act. Our report projected that smoking rates were already declining to the point that we did not need the ban to achieve Smokefree.

The results of the 2022/23 National Health Survey released in December 2023 is completely consistent with our projections. The latest data reveals current smokers fell during the year from 8.6% down to 6.8%. Smoking amongst the Māori population is still higher than the national average, but dropped a substantial 20% over the year.

A summary of the key smoking results of the 2022/23 HNS is presented in the two tables below.

TDB Advisory New Zealand smoking rates maori smokefree

Report link:

Smoked Tobacco Amendment Act Review – Jul 23

Phil on TOVA Podcast on tobacco policy change – Dec 23

Phil on Taxpayer Talk discussing the tobacco ban – Aug 23

TDB report on cost of tobacco policy, Taxpayers’ Union – Aug 23

New Zealand’s Tobacco Policies, NZ Initiative Podcast– Aug 23

Wellbeing Analysis of Gambling in NZ – Apr 21

Assessment of Proposed Fonterra Capital Restructure – Dec 21

Observations:

Smoking rates were revised up for 2021/22, with the estimate of current smokers revised up from 9.2% to 9.8% of adults and daily smokers from 8.0% to 8.6%. It is not clear what new information informed these revisions.
The downward trend in smoking rates continued in 2022/23, with the estimated current rate declining from 9.8% in 2021/22 to 8.3% in 2022/23. The prevalence of daily smoking likewise declined from 8.6% to 6.8%.
Māori remain the ethnic group with the highest smoking propensity, which at 17.1% is more than double the national average of 8.3%. However, the very large annual decline in smoking rates for Pacific peoples (from 18.1% to 6.4%) does highlight potential problems with the NHS accurately measuring smoking rates for ethnic groups.

The projections of smoking rates used in the TDBI July 2023 report are completely consistent with the NHS data. The latest NHS estimated actual smoking rates for 2022/23, (8.3% for current smokers and 6.8% for daily smokers) are fully consistent with the projections for 2022/23 made in the TDBI report (of 7.8% for current smokers and 6.8% for daily smokers). The upward revision to the NHS estimate for 2021/22 could, if anything, be interpreted as implying a faster rate of decline in smoking rates than anticipated in TDB’s Cost-effectiveness Review.

Featured in the TDB Digest March 2023