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Bryant J, Noble N, Eades S, Sanson‐Fisher R. Delivery of tobacco control programs by Aboriginal Community Controlled Health Organisations in New South Wales, Australia: A cross-sectional survey. Health Promot J Austr 2024; 35:235-241. [PMID: 37012613 PMCID: PMC10952781 DOI: 10.1002/hpja.725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 02/16/2023] [Accepted: 03/29/2023] [Indexed: 04/05/2023] Open
Abstract
ISSUE ADDRESSED To describe the characteristics of tobacco control programs (TCPs) delivered by Aboriginal Community Controlled Health Services (ACCHSs) in New South Wales (NSW), Australia. METHODS A key informant from each ACCHS in NSW completed a 30-item online survey. For each TCP, ACCHSs were asked to provide: the target population group, program aims and activities, funding source, and whether the program had been monitored or evaluated and reflected principles of community control and engagement. RESULTS Twenty-five of 38 eligible ACCHSs completed the survey (66% response rate). Overall, 64% of services reported currently delivering at least one TCP, almost all of which aimed to promote quitting (95%). Programs involved brief intervention for tobacco cessation (71%), referral to quit services (67%), or use of printed resources (67%). Funding sources included Local Health Districts (52% of programs), the Commonwealth Government (48%) and NSW Ministry of Health (43%). Most programs were aimed at all Aboriginal people who smoke (76%); 19% targeted women or families during pregnancy/birth. Many TCPs used culturally tailored resources (86%) and employed Aboriginal staff (86%), and 48% had been evaluated. CONCLUSIONS A third of participating ACCHS did not have a specific TCP to address smoking among Aboriginal people, and delivery of programs was characterised by an uncoordinated approach across the state. Aboriginal staff and culturally tailored messages were a focus of existing TCP programs. SO WHAT?: Findings highlight the need for more investment in TCPs for Aboriginal people to ensure all ACCHSs can deliver evidence-based programs.
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Affiliation(s)
- Jamie Bryant
- Health Behaviour Research CollaborativeUniversity of NewcastleCallaghanNSWAustralia
- College of Health, Medicine and WellbeingUniversity of NewcastleCallaghanNSWAustralia
- Hunter Medical Research InstituteNew Lambton HeightsNSWAustralia
| | - Natasha Noble
- Health Behaviour Research CollaborativeUniversity of NewcastleCallaghanNSWAustralia
- College of Health, Medicine and WellbeingUniversity of NewcastleCallaghanNSWAustralia
- Hunter Medical Research InstituteNew Lambton HeightsNSWAustralia
| | - Sandra Eades
- Curtin Medical SchoolCurtin UniversityBentleyWAAustralia
- School of Population and Global HealthUniversity of MelbourneCarltonVic.Australia
| | - Rob Sanson‐Fisher
- Health Behaviour Research CollaborativeUniversity of NewcastleCallaghanNSWAustralia
- College of Health, Medicine and WellbeingUniversity of NewcastleCallaghanNSWAustralia
- Hunter Medical Research InstituteNew Lambton HeightsNSWAustralia
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2
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Martin T, McIntyre S, Waight E, Baynam G, Watson L, Langdon K, Woolfenden S, Smithers‐Sheedy H, Sherwood J. Prevalence and trends for Aboriginal and Torres Strait Islander children living with cerebral palsy: A birds-eye view. Dev Med Child Neurol 2023; 65:1475-1485. [PMID: 37147854 PMCID: PMC10952932 DOI: 10.1111/dmcn.15617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 03/16/2023] [Accepted: 03/17/2023] [Indexed: 05/07/2023]
Abstract
AIM To provide a birds-eye view of the trends of cerebral palsy (CP) for Australian Aboriginal and Torres Strait Islander children and young adults. METHOD Data were obtained for this population-based observational study from the Australian Cerebral Palsy Register (ACPR), birth years 1995 to 2014. The Indigenous status of children was classified by maternal Aboriginal and Torres Strait Islander or non-Indigenous status. Descriptive statistics were calculated for socio-demographic and clinical characteristics. Prenatal/perinatal and post-neonatal birth prevalence was calculated per 1000 live births and per 10 000 live births respectively, and Poisson regression used to assess trends. RESULTS Data from the ACPR were available for 514 Aboriginal and Torres Strait Islander individuals with CP. Most children could walk independently (56%) and lived in urban or regional areas (72%). One in five children lived in socioeconomically disadvantaged remote/very remote areas. The birth prevalence of prenatal/perinatal CP declined after the mid-2000s from a high of 4.8 (95% confidence interval 3.2-7.0) to 1.9 per 1000 live births (95% confidence interval 1.1-3.2) (2013-2014), with marked declines observed for term births and teenage mothers. INTERPRETATION The birth prevalence of CP in Aboriginal and Torres Strait Islander children in Australia declined between the mid-2000s and 2013 to 2014. This birds-eye view provides key stakeholders with new knowledge to advocate for sustainable funding for accessible, culturally safe, antenatal and CP services. WHAT THIS PAPER ADDS Birth prevalence of cerebral palsy (CP) is beginning to decline for Aboriginal and Torres Strait Islanders. Recent CP birth prevalence for Aboriginal and Torres Strait Islanders is 1.9 per 1000 live births. Most children with CP live in more populated areas rather than remote or very remote areas. One in five Aboriginal and Torres Strait Islander children with CP live in socioeconomically disadvantaged remote areas.
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Affiliation(s)
- Tanya Martin
- School of Nursing and MidwiferyThe University of SydneyCamperdownNew South WalesAustralia
| | - Sarah McIntyre
- Cerebral Palsy Alliance/Research Institute, Specialty of Child & Adolescent HealthThe University of SydneyCamperdownNew South WalesAustralia
| | - Emma Waight
- Cerebral Palsy Alliance/Research Institute, Specialty of Child & Adolescent HealthThe University of SydneyCamperdownNew South WalesAustralia
| | - Gareth Baynam
- Department of Health, Western Australian Register of Developmental AnomaliesGovernment of Western AustraliaPerthWestern AustraliaAustralia
| | - Linda Watson
- Department of Health, Western Australian Register of Developmental AnomaliesGovernment of Western AustraliaPerthWestern AustraliaAustralia
| | | | - Susan Woolfenden
- Discipline of Paediatrics, School of Clinical MedicineUNSW SydneySydneyNew South WalesAustralia
- Sydney Institute of Women, Children and their FamiliesSydney Local Health DistrictSydneyNew South WalesAustralia
| | - Hayley Smithers‐Sheedy
- Cerebral Palsy Alliance/Research Institute, Specialty of Child & Adolescent HealthThe University of SydneyCamperdownNew South WalesAustralia
| | - Juanita Sherwood
- Jumbunna Institute for Indigenous Education and ResearchUniversity of Technology SydneySydneyNew South WalesAustralia
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3
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Heris CL, Cutmore M, Chamberlain C, Smith N, Simpson V, Sherriff S, Wright D, Slater K, Eades S. Don't Follow the Smoke-Listening to the Tobacco Experiences and Attitudes of Urban Aboriginal Adolescents in the Study of Environment on Aboriginal Resilience and Child Health (SEARCH). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4587. [PMID: 36901596 PMCID: PMC10002023 DOI: 10.3390/ijerph20054587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 02/28/2023] [Accepted: 03/02/2023] [Indexed: 06/18/2023]
Abstract
Preventing smoking among young Aboriginal people is important for reducing health inequities. Multiple factors were associated with adolescent smoking in the SEARCH baseline survey (2009-12) and discussed in a follow-up qualitative study that aimed to inform prevention programs. Twelve yarning circles were facilitated by Aboriginal research staff at two NSW sites in 2019 with 32 existing SEARCH participants aged 12-28 (17 female, 15 male). Open discussion around tobacco was followed by a card sorting activity, prioritising risk and protective factors and program ideas. The age of initiation varied by generation. Older participants had established smoking in their early adolescence, whereas the current younger teens had little exposure. Some smoking commenced around high school (from Year 7), and social smoking increased at age 18. Mental and physical health, smoke-free spaces and strong connections to family, community and culture promoted non-smoking. The key themes were (1) drawing strength from culture and community; (2) how the smoking environment shapes attitudes and intentions; (3) non-smoking as a sign of good physical, social and emotional wellbeing; and (4) the importance of individual empowerment and engagement for being smoke-free. Programs promoting good mental health and strengthening cultural and community connections were identified as a priority for prevention.
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Affiliation(s)
- Christina L. Heris
- National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Acton, Canberra, ACT 2601, Australia
- Centre for Epidemiology and Biostatistics, University of Melbourne, Parkville, Melbourne, VIC 3000, Australia
| | | | - Catherine Chamberlain
- Indigenous Health Equity Unit, University of Melbourne, Parkville, Melbourne, VIC 3000, Australia
| | - Natalie Smith
- Riverina Medical and Dental Aboriginal Corporation, Wagga Wagga, NSW 2650, Australia
| | - Victor Simpson
- Riverina Medical and Dental Aboriginal Corporation, Wagga Wagga, NSW 2650, Australia
| | | | - Darryl Wright
- Tharawal Aboriginal Corporation, Airds, Sydney, NSW 2560, Australia
| | - Kym Slater
- Tharawal Aboriginal Corporation, Airds, Sydney, NSW 2560, Australia
| | - Sandra Eades
- Centre for Epidemiology and Biostatistics, University of Melbourne, Parkville, Melbourne, VIC 3000, Australia
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4
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Rahman T, Weatherall A, Kennedy M, Baker AL, Gould GS. My quitting stories: A qualitative study exploring Aboriginal women's experiences of smoking cessation and preventing relapse in the context of pregnancy. Women Birth 2023; 36:e237-e245. [PMID: 35918279 DOI: 10.1016/j.wombi.2022.07.172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 07/24/2022] [Accepted: 07/24/2022] [Indexed: 11/16/2022]
Abstract
BACKGROUND Most women who give up smoking during pregnancy relapse to smoking postnatally. Evidence on strategies that are helpful in maintaining smoking cessation during and beyond pregnancy is limited. AIM This paper aims to explore Aboriginal women's experiences of quitting smoking, relapsing, and preventing relapse, focusing on the strategies they applied for attaining and maintaining abstinence and the support they received. METHODS Qualitative interviews were conducted between October 2020 and June 2021, in urban New South Wales, Australia, with 12 Aboriginal women who either smoked tobacco or quit smoking and had been pregnant in the last five years. Aboriginal Research Assistants recruited participants, participated in data collection and data analysis. Data were thematically analysed. RESULTS Major themes that emerged from the data include: a) aspiration to be abstinent; b) strong mindset; c) strategies to stay smoke-free; d) supports received; and e) service and policy recommendations. Protecting children from second-hand smoke had salience for the maintenance of abstinence. Having a strong mindset was perceived as a prerequisite to staying smoke-free. Use of multiple coping strategies in combination was frequently expressed. Knowledge about tobacco-related harms, the way nicotine dependence works, and the available support options was empowering and enabled informed decision making and actions around smoking cessation. CONCLUSION This qualitative study conducted with 12 Aboriginal women revealed that Aboriginal women employ multiple strategies (cognitive, behavioural and social) to quit smoking and stay smoke-free. The strategies warrant further exploration with different Aboriginal communities across Australia and consideration of inclusion in smoking cessation care.
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Affiliation(s)
- Tabassum Rahman
- School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia; Indigenous Epidemiology and Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, VIC 3053, Australia.
| | - Alyce Weatherall
- School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia.
| | - Michelle Kennedy
- School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia.
| | - Amanda L Baker
- School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia.
| | - Gillian S Gould
- Faculty of Health, Southern Cross University, Coffs Harbour, NSW 2450, Australia.
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5
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Barrett EM, Thurber KA, Learnihan V, Lovett R, Thandrayen J, Thomas DP, Colonna E, Banks E, Maddox R. Estimating population coverage of Tackling Indigenous Smoking teams, a placed-based health intervention in Australia. Aust N Z J Public Health 2023; 47:100012. [PMID: 36641958 DOI: 10.1016/j.anzjph.2022.100012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Accepted: 08/01/2022] [Indexed: 01/14/2023] Open
Abstract
OBJECTIVE As part of the Tackling Indigenous Smoking (TIS) program, TIS teams provide Aboriginal and Torres Strait Islander-led tobacco control in their geographic area. We aimed to estimate the percentage and number of Aboriginal and Torres Strait Islander peoples living in an area serviced by a TIS team in 2018-19. METHODS We analysed weighted, representative data from 8,048 Aboriginal and Torres Strait Islander people aged ≥10 years from the 2018-19 National Aboriginal and Torres Strait Islander Health Survey. TIS services mapping data were used to define areas served by TIS teams. Coverage was explored in relation to remoteness, program priority groups and sociodemographic characteristics. RESULTS Around three-quarters (76.4%,95%CI:72.9-79.9) of the 2018-19 population aged ≥10 years lived in an area served by TIS teams (n=479,000). Coverage by TIS teams was generally similar across groups, with few exceptions. CONCLUSIONS The recently announced expansion to national coverage would provide access to locally tailored tobacco control to a further 148,000 Aboriginal and Torres Strait Islander peoples aged ≥10 years, including 46,000 adults who currently smoke. IMPLICATIONS FOR PUBLIC HEALTH Expansion to national TIS team coverage is a welcomed first step on the path to ensuring equitable access to tobacco control.
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Affiliation(s)
- Eden M Barrett
- National Centre for Epidemiology and Population Health, The Australian National University, Australian Capital Territory, Australia; The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
| | - Katherine A Thurber
- National Centre for Epidemiology and Population Health, The Australian National University, Australian Capital Territory, Australia
| | - Vincent Learnihan
- Health Research Institute, University of Canberra, Australian Capital Territory, Australia
| | - Raymond Lovett
- National Centre for Epidemiology and Population Health, The Australian National University, Australian Capital Territory, Australia; Ngiyampaa (Wongaibon), Australia
| | - Joanne Thandrayen
- National Centre for Epidemiology and Population Health, The Australian National University, Australian Capital Territory, Australia
| | - David P Thomas
- Menzies School of Health Research, Charles Darwin University, Northern Territory, Australia
| | - Emily Colonna
- National Centre for Epidemiology and Population Health, The Australian National University, Australian Capital Territory, Australia
| | - Emily Banks
- National Centre for Epidemiology and Population Health, The Australian National University, Australian Capital Territory, Australia
| | - Raglan Maddox
- National Centre for Epidemiology and Population Health, The Australian National University, Australian Capital Territory, Australia; Bagumani (Modewa) Clan, Papua New Guinea.
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Mersha AG, Maddox R, Maidment S, Booth K, Briscoe K, Hussein P, Longbottom H, Bar-Zeev Y, Kennedy M. "It Needs a Full-Time Dedicated Person to Do This Job in Our Local Communities with Our Aboriginal Health Services"-Aboriginal and Torres Strait Islander Health Workers and Practitioners Perspectives on Supporting Smoking Cessation during Pregnancy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:28. [PMID: 36612349 PMCID: PMC9819709 DOI: 10.3390/ijerph20010028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Revised: 11/29/2022] [Accepted: 12/07/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND Aboriginal and Torres Strait Islander women deserve improved smoking cessation support. Aboriginal health workers (AHW) and practitioners (AHP) can be central to the provision of culturally safe smoking cessation care (SCC). The objective of this study is to explore attitudes and the perceived role of AHWs/AHPs toward providing SCC to Aboriginal and Torres Strait Islander pregnant women. METHOD A mixed-method study using quantitative and qualitative data was conducted among AHW/AHPs in 2021 across Australia. Descriptive and analytical statistics were used to characterise AHWs'/AHPs' attitudes towards SCC and to evaluate the factors associated with perceptions of who is best placed to provide SCC. RESULTS From the total AHW/AHP workforce, 21.2% (223) completed the survey. Less than half (48.4%) believed that AHW/AHP were best placed to provide SCC for pregnant women. The majority believed that group-based supports (82.5%) and cultural support programs (63.7%) were the best strategies to support Aboriginal and Torres Strait Islander pregnant women to quit smoking. CONCLUSION This study highlights the need to enhance SCC offered to Aboriginal and Torres Strait Islander pregnant women. A targeted workforce dedicated to smoking cessation should be resourced, including funding, standardised training, and ongoing SCC support tailored to Aboriginal and Torres Strait Islander pregnant women.
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Affiliation(s)
- Amanual Getnet Mersha
- College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia
- Equity in Health and Wellbeing Research Program, Hunter Medical Research Institute, The University of Newcastle, New Lambton, NSW 2305, Australia
| | - Raglan Maddox
- National Centre for Epidemiology and Public Health, The Australian National University, Canberra, ACT 2601, Australia
| | - Sian Maidment
- College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia
| | - Kade Booth
- College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia
- Equity in Health and Wellbeing Research Program, Hunter Medical Research Institute, The University of Newcastle, New Lambton, NSW 2305, Australia
| | - Karl Briscoe
- National Association of Aboriginal and Torres Strait Islander Health Workers and Practitioners, Phillip, ACT 2606, Australia
| | - Paul Hussein
- Yerin Eleanor Duncan Aboriginal Health Centre, Wyong, NSW 2259, Australia
| | - Hayley Longbottom
- Waminda South Coast Women’s Health and Welfare Aboriginal Corporation, Nowra, NSW 2541, Australia
| | - Yael Bar-Zeev
- Braun School of Public Health and Community Medicine, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 91905, Israel
| | - Michelle Kennedy
- College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia
- Equity in Health and Wellbeing Research Program, Hunter Medical Research Institute, The University of Newcastle, New Lambton, NSW 2305, Australia
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7
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Kennedy M, Mersha AG, Maddox R, Chamberlain C, Maidment S, O'Mara P, Segan C, Hunt M, Clarke K, Donaldson B, Bonevski B. Koori Quit Pack mailout smoking cessation support for Aboriginal and Torres Strait Islander people who smoke: a feasibility study protocol. BMJ Open 2022; 12:e065316. [PMID: 36229142 PMCID: PMC9562309 DOI: 10.1136/bmjopen-2022-065316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 09/23/2022] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION Smoking remains the leading preventable cause of death for Aboriginal and Torres Strait Islander people in Australia. Aboriginal and Torres Strait Islander people who smoke are more likely to make a quit attempt than their non-Aboriginal counterparts but less likely to sustain the quit attempt. There is little available evidence specifically for and by Indigenous peoples to inform best practice smoking cessation care.The provision of a free Koori Quit Pack with optional nicotine replacement therapy sent by mail may be a feasible, acceptable and effective way to access stop smoking support for Aboriginal and Torres Strait Islander peoples. METHODS AND ANALYSIS An Aboriginal-led, multisite non-randomised single-group, pre-post feasibility study across three states in Australia will be conducted. Participants will be recruited via service-targeted social media advertising and during usual care at their Aboriginal Community Controlled Health Services. Through a process of self-referral, Aboriginal and Torres Strait Islander people who smoke daily will complete a survey and receive mailout smoking cessation support. Data will be collected over the phone by an Aboriginal Research Assistant. This pilot study will inform the development of a larger, powered trial. ETHICS AND DISSEMINATION Ethics approval has been obtained from the Aboriginal Health & Medical Research Council Ethics Committee of New South Wales (NSW) (#1894/21) and the University of Newcastle (#H-2022-0174). Findings will be reported through peer-reviewed journals and presentations at relevant local, national and international conferences. The findings will be shared with the NSW and Victoria Quitline, Aboriginal Health and Medical Research Council and Victorian Aboriginal Community Controlled Organisation and the National Heart Foundation. TRIAL REGISTRATION NUMBER ACTRN12622000654752.
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Affiliation(s)
- Michelle Kennedy
- College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, The University of Newcastle, New Lambton, New South Wales, Australia
| | - Amanual Getnet Mersha
- College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, The University of Newcastle, New Lambton, New South Wales, Australia
| | - Raglan Maddox
- National Centre for Epidemiology and Public Health, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Catherine Chamberlain
- Centre for Health Equity, School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
- Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia
- Ngangk Yira Research Ventre for Aboriginal Health and Social Equity, Murdoch University, Perth, WA, Australia
| | - Sian Maidment
- College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Peter O'Mara
- College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Cathy Segan
- Cancer Council Victoria, Melbourne, Victoria, Australia
- Centre for Health Policy, School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Marina Hunt
- Aboriginal Health and Medical Research Council of New South Wales, Little Bay, New South Wales, Australia
| | | | - Belinda Donaldson
- Victorian Aboriginal Community Controlled Health Organisation, Collingwood, Victoria, Australia
| | - Billie Bonevski
- Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia
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Maddox R, Kennedy M, Drummond A, Waa A, Bradbrook S, Tautolo ES, Calma T, Whop LJ. 'Dispelling the smoke to reflect the mirror': the time is now to eliminate tobacco related harms. Aust N Z J Public Health 2022; 46:727-729. [PMID: 36190195 DOI: 10.1111/1753-6405.13313] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Affiliation(s)
- Raglan Maddox
- Bagumani (Modewa) Clan, Papua New Guinea.,National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory
| | - Michelle Kennedy
- Wiradjuri.,College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales; Hunter Medical Research Institute, Newcastle, New South Wales
| | - Ali Drummond
- Meriam and Wuthathi.,Congress of Aboriginal and Torres Strait Islander Nurses and Midwives., Canberra, Australian Capital Territory
| | - Andrew Waa
- Ngāti Hine/Ngāpuhi.,Eru Pomare Māori Health Research Unit and ASPIRE2025 Research Centre, University of Otago., Wellington, Aotearoa (New Zealand)
| | - Shane Bradbrook
- Ngāi Tāmanuhiri, Rongowhakaata.,Ngāti Kahungunu. Wellington, Aotearoa (New Zealand)
| | - El-Shadan Tautolo
- Samoa/Ngāti Tapuniu.,AUT Pacific Health Research Centre, Auckland University of Technology, Auckland, New Zealand
| | - Tom Calma
- Elder from the Kungarakan tribal group and a member of the Iwaidja tribal group.,Office of the National Coordinator, Tackling Indigenous Smoking., Canberra, Australian Capital Territory.,Poche Indigenous Health Network., Sydney, New South Wales.,Ninti One., Adelaide, South Australia
| | - Lisa J Whop
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory.,Wagadagam
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9
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Heris C, Lovett R, Barrett EM, Calma T, Wright A, Maddox R. Deadly declines and diversity - understanding the variations in regional Aboriginal and Torres Strait Islander smoking prevalence. Aust N Z J Public Health 2022; 46:558-561. [PMID: 35924895 DOI: 10.1111/1753-6405.13286] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- Christina Heris
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory
| | - Raymond Lovett
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory.,Ngiyampaa (Wongaibon), Australia
| | - Eden M Barrett
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory
| | - Tom Calma
- Elder from the Kungarakan tribal group and a member of the Iwaidja tribal group.,Office of the National Coordinator, Tackling Indigenous Smoking, Canberra, Australian Capital Territory.,Poche Indigenous Health Network, Sydney, New South Wales.,Ninti One, Adelaide, South Australia
| | - Alyson Wright
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory
| | - Raglan Maddox
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory.,Bagumani (Modewa) Clan, Papua New Guinea
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10
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Kennedy M, Longbottom H. Doing “deadly” community‐based research during
COVID
‐19: the Which Way? study. Med J Aust 2022; 217:86-87. [PMID: 35842936 PMCID: PMC9349716 DOI: 10.5694/mja2.51624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 05/23/2022] [Accepted: 05/25/2022] [Indexed: 11/17/2022]
Affiliation(s)
| | - Hayley Longbottom
- Waminda South Coast Women’s Health and Welfare Aboriginal Corporation Nowra NSW
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11
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Ring IT, Griffiths K. Life expectancy for Indigenous people is improving, but closing the gap remains unacceptably slow. Med J Aust 2022; 217:26-27. [DOI: 10.5694/mja2.51606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Accepted: 05/22/2022] [Indexed: 11/17/2022]
Affiliation(s)
| | - Kalinda Griffiths
- Centre for Big Data Research in Health University of New South Wales Sydney NSW
- Centre For Health Equity the University of Melbourne Melbourne VIC
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12
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Calma T. Basil Hetzel Oration: The COVID-19, racism, mental health and smoking crises. Aust N Z J Public Health 2022; 46:249-251. [PMID: 35357733 PMCID: PMC9111145 DOI: 10.1111/1753-6405.13236] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Affiliation(s)
- Tom Calma
- Elder from the Kungarakan tribal group and a member of the Iwaidja tribal group,Office of the National Coordinator, Tackling Indigenous Smoking, Canberra, Australian Capital Territory,Poche Indigenous Health Network, Sydney, New South Wales,NintiOne, Adelaide, South Australia,Correspondence to: Tom Calma, Office of the National Coordinator, Tackling Indigenous Smoking. Canberra, Australian Capital Territory
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13
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Gifford H, Tautolo ES, McCool JP, Gartner CE, Edwards R, Maddox R. Getting there together: highlights, challenges and opportunities for tobacco control in the Oceania region. Tob Control 2022; 31:164-168. [PMID: 35241583 DOI: 10.1136/tobaccocontrol-2021-056542] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 11/03/2021] [Indexed: 11/03/2022]
Abstract
BACKGROUND The paper focuses on the geographical region of Oceania. We highlight the tobacco control leadership demonstrated in this region and describe the challenges and opportunities to achieving country-specific smoke-free goals. RESULTS Significant achievements include smoke-free nation goals, world-leading initiatives such as plain packaging, and a bold plan by New Zealand to reduce the retail availability of smoked tobacco products and remove virtually all the nicotine from cigarettes and rolling tobacco. There are significant challenges and opportunities before reaching smoke-free status including implementation pathways requiring strong governance and leadership and compliance monitoring and enforcement. CONCLUSIONS We conclude that achieving a smoke-free Oceania is possible through already existing bold country and regional smoke-free goals, excellent tobacco control leadership, experience and resources, and an understanding of how to work collectively. However, a commitment to focus tobacco control efforts regionally is required to achieve a smoke-free Oceania together.
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Affiliation(s)
- Heather Gifford
- Whakauae Research, Whakauae Research for Maori Health and Development, Whanganui, Manawatu-Whanganui, New Zealand
| | - El-Shadan Tautolo
- Centre for Pacific Health and Development, Auckland University of Technology, Auckland, New Zealand
| | - Judith P McCool
- School of Population Health, University of Auckland, Auckland, New Zealand
| | - Coral E Gartner
- School of Public Health, University of Queensland, Herston, Queensland, Australia
- Queensland Alliance for Environmental Health Sciences, University of Queensland Faculty of Health and Behavioural Sciences, Woolloongabba, Queensland, Australia
| | - Richard Edwards
- Department of Public Health, University of Otago, Wellington, New Zealand
| | - Raglan Maddox
- Aboriginal and Torres Strait Islander Health Program, National Centre for Epidemiology and Public Health, Australian National University, Acton, Australian Capital Territory, Australia
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Cohen R, Maddox R, Sedgwick M, Thurber KA, Brinckley MM, Barrett EM, Lovett R. Tobacco Related Attitudes and Behaviours in Relation to Exposure to the Tackling Indigenous Smoking Program: Evidence from the Mayi Kuwayu Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10962. [PMID: 34682708 PMCID: PMC8535551 DOI: 10.3390/ijerph182010962] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Revised: 10/05/2021] [Accepted: 10/06/2021] [Indexed: 12/29/2022]
Abstract
Smoking is the leading contributor to the burden of disease and mortality for Aboriginal and Torres Strait Islander peoples, with an estimated 37% of all Aboriginal and Torres Strait Islander deaths attributed to smoking. The Tackling Indigenous Smoking (TIS) program was implemented to support people to quit smoking, prevent initiation, and reduce exposure to second-hand smoke. Analysis of baseline (2018-2020) data from a large-scale cohort study was conducted to quantify smoking-related attitudes and behaviours among Aboriginal and Torres Strait Islander adults, overall and in relation to exposure to the TIS program. Most results were similar for TIS and non-TIS, but there was a significantly lower prevalence of smoking inside households (PR0.85; 95% CI: 0.74, 0.97), smoking ≥21 cigarettes per day (PR0.79; 95% CI: 0.62, <1.00), and smoking a first cigarette within 5 min of waking (PR0.87; 95% CI: 0.76, <1.00) in TIS-funded compared to non-TIS-funded areas. Findings from the analysis highlight encouraging anti-smoking attitudes and behaviours across TIS-funded and non-TIS-funded areas, and serve as a basis for future analysis of change in outcomes over time associated with exposure to a large multi-mode population health program (TIS).
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15
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Bovill M, Chamberlain C, Bennett J, Longbottom H, Bacon S, Field B, Hussein P, Berwick R, Gould G, O’Mara P. Building an Indigenous-Led Evidence Base for Smoking Cessation Care among Aboriginal and Torres Strait Islander Women during Pregnancy and Beyond: Research Protocol for the Which Way? Project. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:1342. [PMID: 33540747 PMCID: PMC7908248 DOI: 10.3390/ijerph18031342] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 01/19/2021] [Accepted: 01/27/2021] [Indexed: 12/21/2022]
Abstract
Strong and healthy futures for Aboriginal and Torres Strait Islander people requires engagement in meaningful decision making which is supported by evidence-based approaches. While a significant number of research publications state the research is co-designed, few describe the research process in relation to Indigenous ethical values. Improving the health and wellbeing of Aboriginal and Torres Strait Islander mothers and babies is crucial to the continuation of the oldest living culture in the world. Developing meaningful supports to empower Aboriginal and Torres Strait Islander mothers to quit smoking during pregnancy is paramount to addressing a range of health and wellbeing outcomes. Aboriginal and Torres Strait Islander women have called for non-pharmacological approaches to smoking cessation during pregnancy. We describe a culturally responsive research protocol that has been co-designed and is co-owned with urban and regional Aboriginal communities in New South Wales. The project has been developed in line with the AH&MRC's (Aboriginal Health & Medical Research Council) updated guidelines for ethical research with Aboriginal and Torres Strait Islander communities. Ethics approvals have been granted by AH&MRC #14541662 University of Newcastle HREC H-2020-0092 and the Local Health District ethics committee 2020/ETH02095. Results will be disseminated through peer reviewed articles, community reports, infographics, and online social media content.
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Affiliation(s)
- Michelle Bovill
- School of Health and Medicine, University of Newcastle, UON, Callaghan, NSW 2308, Australia; (J.B.); (G.G.); (P.O.)
- Hunter Medical Research Institute, Newcastle, NSW 2305, Australia
| | | | - Jessica Bennett
- School of Health and Medicine, University of Newcastle, UON, Callaghan, NSW 2308, Australia; (J.B.); (G.G.); (P.O.)
| | - Hayley Longbottom
- Waminda- South Coast Women’s Health and Welfare Aboriginal Coorporation, Nowra, NSW 2541, Australia;
| | - Shanell Bacon
- Nunyara Aboriginal Health Unit, Gosford, NSW 2250, Australia;
| | - Belinda Field
- Yerin-Eleanor Duncan Aboriginal Health Centre, Wyong, NSW 2259, Australia; (B.F.); (P.H.)
| | - Paul Hussein
- Yerin-Eleanor Duncan Aboriginal Health Centre, Wyong, NSW 2259, Australia; (B.F.); (P.H.)
| | - Robert Berwick
- Tamworth Aboriginal Medical Centre, Tamworth, NSW 2340, Australia;
| | - Gillian Gould
- School of Health and Medicine, University of Newcastle, UON, Callaghan, NSW 2308, Australia; (J.B.); (G.G.); (P.O.)
- Hunter Medical Research Institute, Newcastle, NSW 2305, Australia
| | - Peter O’Mara
- School of Health and Medicine, University of Newcastle, UON, Callaghan, NSW 2308, Australia; (J.B.); (G.G.); (P.O.)
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