Evaluation of a multi-component community tobacco intervention in three remote Australian Aboriginal communities

R Ivers, A Castro, D Parfitt, Ross Stewart Bailie, Peter D'Abbs, R Richmond

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objectives: To assess the effect of community tobacco interventions in Aboriginal communities. Methods: The study consisted of a pre-and post- study of the effect of a multi-component tobacco intervention conducted in six Aboriginal communities in the Northern Territory (NT). The intervention included sports sponsorship, health promotion campaigns, training health professionals in the delivery of smoking cessation advice, school education about tobacco, and policy on smoke-free public places. The study was conducted in three intervention communities and three matched control communities. Surveys were used to measure changes in prevalence of tobacco use, changes in knowledge, and attitudes to cessation in intervention communities. Results: Tobacco consumption decreased in one intervention community compared with the matched control community; the trends of consumption (as measured by tobacco ordered through points of sale) in these communities were significantly different (t =-4.5, 95% CI -33.6 - -12.5, p?0.01). Community samples in intervention communities included 920 participants. There was no significant change in the prevalence of tobacco use, although knowledge of the health effects of tobacco and readiness to quit increased. Conclusions: Although it is difficult to demonstrate a reduction in tobacco consumption or in the prevalence of tobacco use as a result of multi-component community tobacco interventions delivered in Aboriginal communities, such interventions can increase awareness of the health effects of tobacco and increase reported readiness to cease tobacco use.
Original languageEnglish
Pages (from-to)132-136
Number of pages5
JournalAustralian and New Zealand Journal of Public Health
Volume30
Issue number2
Publication statusPublished - 2006

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Tobacco
Tobacco Use
Health Promotion
Health
Smoke-Free Policy
Northern Territory
Smoking Cessation
Sports
Education

Cite this

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title = "Evaluation of a multi-component community tobacco intervention in three remote Australian Aboriginal communities",
abstract = "Objectives: To assess the effect of community tobacco interventions in Aboriginal communities. Methods: The study consisted of a pre-and post- study of the effect of a multi-component tobacco intervention conducted in six Aboriginal communities in the Northern Territory (NT). The intervention included sports sponsorship, health promotion campaigns, training health professionals in the delivery of smoking cessation advice, school education about tobacco, and policy on smoke-free public places. The study was conducted in three intervention communities and three matched control communities. Surveys were used to measure changes in prevalence of tobacco use, changes in knowledge, and attitudes to cessation in intervention communities. Results: Tobacco consumption decreased in one intervention community compared with the matched control community; the trends of consumption (as measured by tobacco ordered through points of sale) in these communities were significantly different (t =-4.5, 95{\%} CI -33.6 - -12.5, p?0.01). Community samples in intervention communities included 920 participants. There was no significant change in the prevalence of tobacco use, although knowledge of the health effects of tobacco and readiness to quit increased. Conclusions: Although it is difficult to demonstrate a reduction in tobacco consumption or in the prevalence of tobacco use as a result of multi-component community tobacco interventions delivered in Aboriginal communities, such interventions can increase awareness of the health effects of tobacco and increase reported readiness to cease tobacco use.",
keywords = "Aborigine, adolescent, adult, article, attitude, Australia, awareness, community assessment, community program, controlled study, education, female, health care delivery, health care policy, health practitioner, health promotion, health survey, human, major clinical study, male, medical education, participant observation, prevalence, sample size, school, smoking cessation program, sport, statistical significance, tobacco, tobacco dependence, Adolescent, Adult, Child, Follow-Up Studies, Health Behavior, Health Education, Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Northern Territory, Oceanic Ancestry Group, Prevalence, Rural Population, Smoking, Smoking Cessation",
author = "R Ivers and A Castro and D Parfitt and Bailie, {Ross Stewart} and Peter D'Abbs and R Richmond",
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Evaluation of a multi-component community tobacco intervention in three remote Australian Aboriginal communities. / Ivers, R; Castro, A; Parfitt, D; Bailie, Ross Stewart; D'Abbs, Peter; Richmond, R.

In: Australian and New Zealand Journal of Public Health, Vol. 30, No. 2, 2006, p. 132-136.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Evaluation of a multi-component community tobacco intervention in three remote Australian Aboriginal communities

AU - Ivers, R

AU - Castro, A

AU - Parfitt, D

AU - Bailie, Ross Stewart

AU - D'Abbs, Peter

AU - Richmond, R

PY - 2006

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N2 - Objectives: To assess the effect of community tobacco interventions in Aboriginal communities. Methods: The study consisted of a pre-and post- study of the effect of a multi-component tobacco intervention conducted in six Aboriginal communities in the Northern Territory (NT). The intervention included sports sponsorship, health promotion campaigns, training health professionals in the delivery of smoking cessation advice, school education about tobacco, and policy on smoke-free public places. The study was conducted in three intervention communities and three matched control communities. Surveys were used to measure changes in prevalence of tobacco use, changes in knowledge, and attitudes to cessation in intervention communities. Results: Tobacco consumption decreased in one intervention community compared with the matched control community; the trends of consumption (as measured by tobacco ordered through points of sale) in these communities were significantly different (t =-4.5, 95% CI -33.6 - -12.5, p?0.01). Community samples in intervention communities included 920 participants. There was no significant change in the prevalence of tobacco use, although knowledge of the health effects of tobacco and readiness to quit increased. Conclusions: Although it is difficult to demonstrate a reduction in tobacco consumption or in the prevalence of tobacco use as a result of multi-component community tobacco interventions delivered in Aboriginal communities, such interventions can increase awareness of the health effects of tobacco and increase reported readiness to cease tobacco use.

AB - Objectives: To assess the effect of community tobacco interventions in Aboriginal communities. Methods: The study consisted of a pre-and post- study of the effect of a multi-component tobacco intervention conducted in six Aboriginal communities in the Northern Territory (NT). The intervention included sports sponsorship, health promotion campaigns, training health professionals in the delivery of smoking cessation advice, school education about tobacco, and policy on smoke-free public places. The study was conducted in three intervention communities and three matched control communities. Surveys were used to measure changes in prevalence of tobacco use, changes in knowledge, and attitudes to cessation in intervention communities. Results: Tobacco consumption decreased in one intervention community compared with the matched control community; the trends of consumption (as measured by tobacco ordered through points of sale) in these communities were significantly different (t =-4.5, 95% CI -33.6 - -12.5, p?0.01). Community samples in intervention communities included 920 participants. There was no significant change in the prevalence of tobacco use, although knowledge of the health effects of tobacco and readiness to quit increased. Conclusions: Although it is difficult to demonstrate a reduction in tobacco consumption or in the prevalence of tobacco use as a result of multi-component community tobacco interventions delivered in Aboriginal communities, such interventions can increase awareness of the health effects of tobacco and increase reported readiness to cease tobacco use.

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KW - health promotion

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KW - major clinical study

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KW - smoking cessation program

KW - sport

KW - statistical significance

KW - tobacco

KW - tobacco dependence

KW - Adolescent

KW - Adult

KW - Child

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KW - Health Behavior

KW - Health Education

KW - Health Knowledge, Attitudes, Practice

KW - Health Surveys

KW - Humans

KW - Northern Territory

KW - Oceanic Ancestry Group

KW - Prevalence

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KW - Smoking

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VL - 30

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JO - Australian and New Zealand Journal of Public Health

JF - Australian and New Zealand Journal of Public Health

SN - 1326-0200

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