SMOKING STAGES OF CHANGE KEY MESSAGES

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KEY MESSAGES In Peel among current daily or occasional smokers: o 19% are not thinking are not thinking about quitting (pre-contemplation stage) in the next six months; o 21% are thinking about quitting (contemplation stage) in the next six months; o 8% are thinking of quitting (preparation stage) in the next 30 days. Among former smokers in Peel, 3% quit smoking within the last year and 49% have been smoke free for at least 6 months (maintenance stage). These findings are similar in Ontario. In Ontario, among current daily and occasional smokers, those aged 12 to 29 years were more likely to be in the pre-contemplation or contemplation stages compared to older age groups. Among former smokers in Ontario, those aged 65 years and older were more likely to be in the maintenance stage compared to other age groups. Page 1 of 9

SMOKING STAGES OF CHANGE AMONG SMOKERS (CURRENT AND FORMER), PEEL, 2007/2008 PEEL (%) Pre-Contemplation Contemplation Preparation Action Maintenance TOTAL 18.5 (CI: 14.5-23.4) 20.6 (CI: 16.2-25.9) 8.2* (CI: 5.8-11.6) 3.1* (CI: 1.9-5.2) 49.4 (CI: 44.0-54.9) SEX Male 18.1* (CI: 12.9-24.8) 21.6* (CI: 16.0-28.6) 7.7* (CI: 5.2-11.2) NR 50.1 (CI: 43.1-57.0) Female 19.5 (CI: 14.2-26.0) 18.5* (CI: 12.5-26.6) NR NR 48.2 (CI: 40.0-56.5) AGE GROUP (YEARS) 12-18 NR NR NR NR NR 19-29 23.0* (CI: 14.0-35.5) 23.9* (CI: 14.9-36.1) NR NR 26.1* (CI: 16.0-39.5) 30-44 15.1* (CI: 9.8-22.4) 30.8* (CI: 22.8-40.1) 8.9* (CI: 5.4-14.2) NR 42.5 (CI: 33.7-51.9) 45-64 22.1* (CI: 14.4-32.4) NR 4.0* (CI: 2.3-6.8) NR 55.6 (CI: 45.4-65.4) 65+ NR NR NR NR 87.8 (CI: 80.3-92.7) IMMIGRANT STATUS Recent immigrant NR NR NR NR 45.3* (CI: 29.3-62.3) Long-term immigrant 17.9* (CI: 11.6-26.6) 20.5* (CI: 12.4-31.9) 4.4* (CI: 2.5-7.7) NR 53.4 (CI: 43.7-62.9) Non-immigrant 15.9 (CI: 12.0-20.8) 22.2 (CI: 16.8-28.6) 9.4* (CI: 5.6-15.3) 3.7* (CI: 1.9-6.9) 48.9 (CI: 42.0-55.8) *Use estimate with caution. Reflects respondents aged 12 years and older who are current or former smokers. NR = Not releasable due to small numbers. CI - 95% confidence interval. Note: Don t know, refused or not stated responses are excluded for the main indicator presented in the table above. Current smoker is defined as a person who currently smokes daily or occasionally, has smoked at least 100 cigarettes in their lifetime and some in the past 30 days. Former smoker is defined as a person who currently does not smoke at all and has smoked at least 100 cigarettes in their lifetime. Smoking Stages of Change are Defined As: Pre-contemplation applies to current daily or occasional smokers who may not be thinking of quitting in the next 6 months. Contemplation applies to current daily or occasional smokers who are thinking about quitting in the next 6 months. Page 2 of 9

Preparation applies to current daily or occasional smokers who are thinking about quitting in the next 30 days. Action applies to those who have quit smoking (former smoker) within 6 months of the Canadian Community Health Survey (CCHS) administration date. Maintenance applies to those who have quit smoking (former smoker) 6 months or more from the administration date of the CCHS. Source: Canadian Community Health Survey 2007/2008, Statistics Canada, Share File, Ontario Ministry of Health and Long-Term Care. Question: Derived variable. Last Updated: January 5, 2015 Page 3 of 9

SMOKING STAGES OF CHANGE AMONG SMOKERS (CURRENT AND FORMER), ONTARIO, 2007/2008 ONTARIO (%) Pre-Contemplation Contemplation Preparation Action Maintenance TOTAL 16.6 (CI: 15.7-17.5) 19.2 (CI: 18.2-20.1) 8.0 (CI: 7.4-8.7) 3.0 (CI: 2.7-3.5) 53.2 (CI: 52.0-54.4) SEX Male 16.8 (CI: 15.6-18.2) 19.2 (CI: 17.9-20.6) 8.2 (CI: 7.3-9.1) 2.9 (CI: 2.5-3.5) 52.9 (CI: 51.2-54.5) Female 16.3 (CI: 15.1-17.6) 19.1 (CI: 17.8-20.5) 7.9 (CI: 7.0-8.9) 3.2 (CI: 2.6-3.9) 53.6 (CI: 51.9-55.2) AGE GROUP (YEARS) 12-18 29.7 (CI: 23.3-37.0) 33.9 (CI: 27.4-41.0) 17.0* (CI: 12.0-23.6) 8.7* (CI: 5.4-13.7) 10.7* (CI: 6.3-17.8) 19-29 25.1 (CI: 22.4-28.0) 28.9 (CI: 26.2-31.8) 14.4 (CI: 12.1-17.0) 8.0 (CI: 6.3-10.1) 23.5 (CI: 21.0-26.3) 30-44 17.1 (CI: 15.3-18.9) 25.1 (CI: 23.1-27.2) 10.3 (CI: 8.9-11.8) 2.5 (CI: 2.0-3.2) 45.0 (CI: 42.7-47.4) 45-64 15.7 (CI: 14.2-17.3) 16.5 (CI: 15.0-18.1) 5.9 (CI: 5.2-6.7) 2.0 (CI: 1.6-2.6) 59.9 (CI: 57.9-61.9) 65+ 8.5 (CI: 7.5-9.6) 4.9 (CI: 4.3-5.7) 2.6 (CI: 2.0-3.3) 1.0* (CI: 0.7-1.3) 83.0 (CI: 81.6-84.4) INCOME LEVEL Low-middle 25.6 (CI: 22.3-29.2) 22.9 (CI: 19.6-26.6) 11.5 (CI: 9.1-14.5) 4.2* (CI: 2.4-7.1) 35.8 (CI: 31.8-40.1) Middle 20.4 (CI: 17.8-23.2) 21.7 (CI: 19.0-24.6) 8.5 (CI: 6.9-10.4) 2.8* (CI: 1.9-4.1) 46.8 (CI: 43.6-49.9) Upper-middle 16.4 (CI: 14.8-18.2) 20.7 (CI: 18.9-22.7) 8.3 (CI: 7.1-9.7) 2.5 (CI: 2.0-3.2) 52.1 (CI: 49.8-54.3) Highest 13.6 (CI: 12.3-15.0) 17.5 (CI: 16.1-19.0) 7.4 (CI: 6.5-8.5) 3.5 (CI: 2.9-4.3) 57.9 (CI: 56.1-59.8) EDUCATION LEVEL Less than high school 22.4 (CI: 20.3-24.7) 19.3 (CI: 17.4-21.3) 7.8 (CI: 6.5-9.4) 2.7 (CI: 2.0-3.6) 47.7 (CI: 45.2-50.4) High school graduate 19.5 (CI: 17.3-22.0) 22.2 (CI: 20.1-24.4) 8.2 (CI: 6.9-9.8) 2.6 (CI: 1.9-3.6) 47.4 (CI: 44.8-50.1) Some post-secondary 18.4 (CI: 15.4-22.0) 22.0 (CI: 18.6-25.8) 10.6 (CI: 8.0-13.8) 5.7* (CI: 3.8-8.3) 43.4 (CI: 39.2-47.6) Post-secondary graduate 13.3 (CI: 12.2-14.5) 18.0 (CI: 16.6-19.4) 7.6 (CI: 6.8-8.5) 2.9 (CI: 2.4-3.5) 58.2 (CI: 56.5-59.9) IMMIGRANT STATUS Recent immigrant 22.8 (CI: 16.9-29.9) 17.0* (CI: 12.0-23.5) 10.0* (CI: 6.5-15.0) NR 46.4 (CI: 38.4-54.6) Long-term immigrant 15.0 (CI: 12.8-17.4) 15.1 (CI: 12.7-17.9) 5.7 (CI: 4.6-7.2) 1.7* (CI: 1.1-2.7) 62.4 (CI: 59.2-65.5) Non-immigrant 16.4 (CI: 15.5-17.4) 20.6 (CI: 19.6-21.6) 8.4 (CI: 7.7-9.2) 3.3 (CI: 2.9-3.8) 51.2 (CI: 50.0-52.5) Page 4 of 9

*Use estimate with caution. Reflects respondents aged 12 years and older who are current or former smokers. NR = Not releasable due to small numbers. CI - 95% confidence interval. Notes: Don t know, refused or not stated responses are excluded for the main indicator presented in the table above. Income information was missing for 17% of records in Peel for 2007/2008. Current smoker is defined as a person who currently smokes daily or occasionally, has smoked at least 100 cigarettes in their lifetime and some in the past 30 days. Former smoker is defined as a person who currently does not smoke at all and has smoked at least 100 cigarettes in their lifetime. Smoking Stages of Change (Current and Former Smokers) are Defined As: Pre-contemplation applies to current daily or occasional smokers who may not be thinking of quitting in the next 6 months. Contemplation applies to current daily or occasional smokers who are thinking about quitting in the next 6 months. Preparation applies to current daily or occasional smokers who are thinking about quitting in the next 30 days. Action applies to those who have quit smoking (former smoker) within 6 months of the Canadian Community Health Survey (CCHS) administration date. Maintenance applies to those who have quit smoking (former smoker) 6 months or more from the administration date of the CCHS. Source: Canadian Community Health Survey 2007/2008, Statistics Canada, Share File, Ontario Ministry of Health and Long-Term Care. Question: Derived variable. Last Updated: January 5, 2015 Page 5 of 9

SMOKING STAGES OF CHANGE AMONG SMOKERS (CURRENT AND FORMER), PEEL, 2007/2008 PEEL (#) Pre-Contemplation Contemplation Preparation Action Maintenance TOTAL 63,600 70,800 28,300* 10,800* 169,800 SEX Male 41,900* 50,100* 17,700* NR 115,900 Female 21,800 20,700* NR NR 53,900 AGE GROUP (YEARS) 12-18 NR NR NR NR NR 19-29 15,000* 15,600* NR NR 17,000* 30-44 16,700* 34,100* 9,800* NR 47,100 45-64 26,900* NR 4,800* NR 67,700 65+ NR NR NR NR 37,800 IMMIGRANT STATUS Recent immigrant NR NR NR NR 19,000* Long-term immigrant 22,100* 25,200* 5,400* NR 65,800 Non-immigrant 26,300 36,700 15,600* 6,100* 80,900 *Use estimate with caution. Reflects respondents aged 12 years and older who are current or former smokers. NR = Not releasable due to small numbers. Note: Don t know, refused or not stated responses are excluded for the main indicator presented in the table above. Current smoker is defined as a person who currently smokes daily or occasionally, has smoked at least 100 cigarettes in their lifetime and some in the past 30 days. Former smoker is defined as a person who currently does not smoke at all and has smoked at least 100 cigarettes in their lifetime. Smoking Stages of Change are Defined As: Pre-contemplation applies to current daily or occasional smokers who may not be thinking of quitting in the next 6 months. Contemplation applies to current daily or occasional smokers who are thinking about quitting in the next 6 months. Page 6 of 9

Preparation applies to current daily or occasional smokers who are thinking about quitting in the next 30 days. Action applies to those who have quit smoking (former smoker) within 6 months of the Canadian Community Health Survey (CCHS) administration date. Maintenance applies to those who have quit smoking (former smoker) 6 months or more from the administration date of the CCHS. Source: Canadian Community Health Survey 2007/2008, Statistics Canada, Share File, Ontario Ministry of Health and Long-Term Care. Question: Derived variable. Last Updated: January 5, 2015 Page 7 of 9

SMOKING STAGES OF CHANGE AMONG SMOKERS (CURRENT AND FORMER), ONTARIO, 2007/2008 ONTARIO (#) Pre-Contemplation Contemplation Preparation Action Maintenance TOTAL 740,300 854,400 358,800 135,600 2,371,500 SEX Male 424,300 483,100 205,800 74,300 1,331,600 Female 316,000 371,300 153,000 61,400 1,040,000 AGE GROUP (YEARS) 12-18 20,000 22,800 11,500* 5,800* 7,200* 19-29 180,500 208,000 103,300 57,700 169,200 30-44 204,000 300,400 122,800 30,100 538,200 45-64 272,900 286,500 102,100 34,900 1,040,900 65+ 62,900 36,700 19,200 7,100* 616,000 INCOME LEVEL Low-middle 60,500 54,000 27,200 9,800* 84,500 Middle 120,000 127,700 49,800 16,300* 275,700 Upper-middle 195,300 247,100 99,200 30,000 620,700 Highest 256,900 330,900 140,700 67,000 1,095,100 EDUCATION LEVEL Less than high school 167,000 143,500 58,400 20,000 355,400 High school graduate 164,900 187,500 69,500 22,300 401,100 Some post-secondary 66,900 79,700 38,400 20,600* 157,400 Post-secondary graduate 318,900 430,500 182,200 69,900 1,394,500 IMMIGRANT STATUS Recent immigrant 47,700 35,600* 20,800* NR 97,200 Long-term immigrant 126,300 127,700 48,600 14,700* 527,500 Non-immigrant 542,600 679,500 278,500 109,900 1,692,000 Page 8 of 9

*Use estimate with caution. Reflects respondents aged 12 years and older who are current or former smokers. NR = Not releasable due to small numbers. Notes: Don t know, refused or not stated responses are excluded for the main indicator presented in the table above. Income information was missing for 17% of records in Peel for 2007/2008. Current smoker is defined as a person who currently smokes daily or occasionally, has smoked at least 100 cigarettes in their lifetime and some in the past 30 days. Former smoker is defined as a person who currently does not smoke at all and has smoked at least 100 cigarettes in their lifetime. Smoking Stages of Change (Current and Former Smokers) are Defined As: Pre-contemplation applies to current daily or occasional smokers who may not be thinking of quitting in the next 6 months. Contemplation applies to current daily or occasional smokers who are thinking about quitting in the next 6 months. Preparation applies to current daily or occasional smokers who are thinking about quitting in the next 30 days. Action applies to those who have quit smoking (former smoker) within 6 months of the Canadian Community Health Survey (CCHS) administration date. Maintenance applies to those who have quit smoking (former smoker) 6 months or more from the administration date of the CCHS. Source: Canadian Community Health Survey 2007/2008, Statistics Canada, Share File, Ontario Ministry of Health and Long-Term Care. Question: Derived variable. Last Updated: January 5, 2015 Page 9 of 9