What works in Indigenous tobacco control? the perceptions of remote Indigenous community members and health staff

Vanessa Johnston, David Thomas

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Issues addressed: To explore the perceptions of remote Indigenous community members and health staff regarding the acceptability and effectiveness of different tobacco control health promotion interventions. Methods: Qualitative methods were used for this exploratory study, including interviews with remote Indigenous community members and health staff, as well as observations of the delivery of different tobacco control activities in three remote communities in the Northern Territory (NT). Results: Several tobacco control interventions for which there is strong evidence in other settings were generally perceived as acceptable and efficacious in the remote Indigenous setting. Primary care interventions, such as brief advice and pharmaceutical quitting aids, when available and accessible, were perceived as important and effective strategies to help people quit, as were the promotion of smokefree areas. By contrast unmodified Quit programs were perceived to have questionable application in this context and there were conflicting findings regarding taxation increases on tobacco and social marketing campaigns. Conclusions: Several evidence-based 'mainstream' activities are perceived to be acceptable to this population, but we may also need to address the concerns raised by health staff and community members about the acceptability of some unmodified activities. Additionally, organisational barriers within the health system may be contributing to the reduced effectiveness of tobacco control in this setting.
    Original languageEnglish
    Pages (from-to)49-50
    Number of pages2
    JournalHealth Promotion Journal of Australia
    Volume21
    Issue number1
    Publication statusPublished - 2010

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    Tobacco
    Health
    Pharmaceutic Aids
    Northern Territory
    Social Marketing
    Taxes
    Health Promotion
    Primary Health Care
    Interviews
    Population

    Cite this

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    abstract = "Issues addressed: To explore the perceptions of remote Indigenous community members and health staff regarding the acceptability and effectiveness of different tobacco control health promotion interventions. Methods: Qualitative methods were used for this exploratory study, including interviews with remote Indigenous community members and health staff, as well as observations of the delivery of different tobacco control activities in three remote communities in the Northern Territory (NT). Results: Several tobacco control interventions for which there is strong evidence in other settings were generally perceived as acceptable and efficacious in the remote Indigenous setting. Primary care interventions, such as brief advice and pharmaceutical quitting aids, when available and accessible, were perceived as important and effective strategies to help people quit, as were the promotion of smokefree areas. By contrast unmodified Quit programs were perceived to have questionable application in this context and there were conflicting findings regarding taxation increases on tobacco and social marketing campaigns. Conclusions: Several evidence-based 'mainstream' activities are perceived to be acceptable to this population, but we may also need to address the concerns raised by health staff and community members about the acceptability of some unmodified activities. Additionally, organisational barriers within the health system may be contributing to the reduced effectiveness of tobacco control in this setting.",
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    What works in Indigenous tobacco control? the perceptions of remote Indigenous community members and health staff. / Johnston, Vanessa; Thomas, David.

    In: Health Promotion Journal of Australia, Vol. 21, No. 1, 2010, p. 49-50.

    Research output: Contribution to journalArticleResearchpeer-review

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