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Aboriginal health workers experience multilevel barriers to quitting smoking: a qualitative study.

https://arctichealth.org/en/permalink/ahliterature124122
Source
Int J Equity Health. 2012;11:27
Publication Type
Article
Date
2012
Author
Anna P Dawson
Margaret Cargo
Harold Stewart
Alwin Chong
Mark Daniel
Author Affiliation
University of South Australia, Sansom Institute for Health Research, Social Epidemiology and Evaluation Research Group, GPO Box 2471, IPC: CEA-01, Adelaide, South Australia, 5001, Australia.
Source
Int J Equity Health. 2012;11:27
Date
2012
Language
English
Publication Type
Article
Keywords
Cultural Competency
Delivery of Health Care - ethnology - methods
Female
Focus Groups
Health Manpower - statistics & numerical data
Health Policy
Health Status Disparities
Healthcare Disparities - ethnology - statistics & numerical data
Humans
Interviews as Topic
Male
Oceanic Ancestry Group - psychology - statistics & numerical data
Smoking Cessation - ethnology - methods - psychology - statistics & numerical data
Abstract
Long-term measures to reduce tobacco consumption in Australia have had differential effects in the population. The prevalence of smoking in Aboriginal peoples is currently more than double that of the non-Aboriginal population. Aboriginal Health Workers are responsible for providing primary health care to Aboriginal clients including smoking cessation programs. However, Aboriginal Health Workers are frequently smokers themselves, and their smoking undermines the smoking cessation services they deliver to Aboriginal clients. An understanding of the barriers to quitting smoking experienced by Aboriginal Health Workers is needed to design culturally relevant smoking cessation programs. Once smoking is reduced in Aboriginal Health Workers, they may then be able to support Aboriginal clients to quit smoking.
We undertook a fundamental qualitative description study underpinned by social ecological theory. The research was participatory, and academic researchers worked in partnership with personnel from the local Aboriginal health council. The barriers Aboriginal Health Workers experience in relation to quitting smoking were explored in 34 semi-structured interviews (with 23 Aboriginal Health Workers and 11 other health staff) and 3 focus groups (n = 17 participants) with key informants. Content analysis was performed on transcribed text and interview notes.
Aboriginal Health Workers spoke of burdensome stress and grief which made them unable to prioritise quitting smoking. They lacked knowledge about quitting and access to culturally relevant quitting resources. Interpersonal obstacles included a social pressure to smoke, social exclusion when quitting, and few role models. In many workplaces, smoking was part of organisational culture and there were challenges to implementation of Smokefree policy. Respondents identified inadequate funding of tobacco programs and a lack of Smokefree public spaces as policy level barriers. The normalisation of smoking in Aboriginal society was an overarching challenge to quitting.
Aboriginal Health Workers experience multilevel barriers to quitting smoking that include personal, social, cultural and environmental factors. Multidimensional smoking cessation programs are needed that reduce the stress and burden for Aboriginal Health Workers; provide access to culturally relevant quitting resources; and address the prevailing normalisation of smoking in the family, workplace and community.
Notes
Cites: Int J Environ Res Public Health. 2011 Feb;8(2):388-41021556193
Cites: Annu Rev Public Health. 2011;32:327-4721219157
Cites: Res Nurs Health. 2000 Aug;23(4):334-4010940958
Cites: Qual Health Res. 2001 May;11(3):291-211339074
Cites: Aust N Z J Public Health. 2002 Apr;26(2):120-412054329
Cites: Aust N Z J Public Health. 2002 Oct;26(5):426-3112413286
Cites: Nicotine Tob Res. 2003 Dec;5 Suppl 1:S101-1714668090
Cites: Can J Public Health. 2004 Jan-Feb;95(1):45-914768741
Cites: Nurse Educ Today. 2004 Feb;24(2):105-1214769454
Cites: Aust N Z J Public Health. 1997 Dec;21(7):789-919489201
Cites: Aust N Z J Public Health. 1998 Oct;22(6):648-529848957
Cites: Br Med J. 1950 Sep 30;2(4682):739-4814772469
Cites: J Am Med Assoc. 1950 May 27;143(4):329-3615415260
Cites: J Am Med Assoc. 1950 May 27;143(4):336-815415261
Cites: Med J Aust. 2006 May 15;184(10):529-3016719758
Cites: Int J Epidemiol. 2006 Aug;35(4):888-90116585055
Cites: Aust N Z J Public Health. 2007 Apr;31(2):174-617461010
Cites: Annu Rev Public Health. 2008;29:325-5018173388
Cites: Aust N Z J Public Health. 2008 Apr;32(2):110-618412679
Cites: Soc Sci Med. 2008 Jun;66(11):2378-8918313186
Cites: Soc Sci Med. 2008 Dec;67(11):1708-1618938006
Cites: Int J Epidemiol. 2009 Apr;38(2):470-719047078
Cites: Res Nurs Health. 2010 Feb;33(1):77-8420014004
Cites: J Ethnobiol Ethnomed. 2010;6:2620831827
Cites: Aust N Z J Public Health. 2011 Feb;35(1):47-5321299700
Cites: BMC Health Serv Res. 2012;12:10222533609
PubMed ID
22621767 View in PubMed
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