IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v10y2013i4p1562-1571d25023.html
   My bibliography  Save this article

Stages of Change, Smoking Behaviour and Readiness to Quit in a Large Sample of Indigenous Australians Living in Eight Remote North Queensland Communities

Author

Listed:
  • Sandra Campbell

    (Division of Health Sciences, University of South Australia, Adelaide 5000, South Australia)

  • India Bohanna

    (School of Public Health, Tropical Medicine & Rehabilitation Sciences, James Cook University, Cairns, Queensland 4870, Australia
    These authors contributed equally to this work.)

  • Anne Swinbourne

    (Department of Psychology, James Cook University, Townsville, Queensland 4810, Australia
    These authors contributed equally to this work.)

  • Yvonne Cadet-James

    (School of Indigenous Australian Studies, James Cook University, Townsville, Queensland 4810, Australia
    These authors contributed equally to this work.)

  • Dallas McKeown

    (Wuchopperen Health Service, Atherton, Queensland 4883, Australia
    These authors contributed equally to this work.)

  • Robyn McDermott

    (Division of Health Sciences, University of South Australia, Adelaide 5000, South Australia
    These authors contributed equally to this work.)

Abstract

Tobacco smoking is a major health issue for Indigenous Australians, however there are few interventions with demonstrated efficacy in this population. The Transtheoretical Model may provide a useful framework for describing smoking behaviour and assessing readiness to quit, with the aim of developing better interventions. Interviews were conducted with 593 Indigenous Australians in eight rural and remote communities in north Queensland, to examine stages of change and smoking behaviour. Among current smokers, 39.6% and 43.4% were in Precontemplation and Contemplation stages respectively. A further 13.9% were making preparations to quit (Preparation) whilst only 3.2% said they were actively trying to quit (Action). When analysed by stage of change, the pattern of smoking-related behaviours conformed to the results of past research using the model. Importantly however, distribution of individuals across the stages opposes those observed in investigations of smoking behaviour in non-Indigenous Australian populations. The Transtheoretical Model can be used to meaningfully classify Indigenous smokers in remote north Queensland according to stages along the behaviour change continuum. Importantly, in this large sample across eight communities, most Indigenous smokers were not making preparations to change their smoking behaviour. This suggests that interventions should focus on promoting movement toward the Preparation and Action stages of change.

Suggested Citation

  • Sandra Campbell & India Bohanna & Anne Swinbourne & Yvonne Cadet-James & Dallas McKeown & Robyn McDermott, 2013. "Stages of Change, Smoking Behaviour and Readiness to Quit in a Large Sample of Indigenous Australians Living in Eight Remote North Queensland Communities," IJERPH, MDPI, vol. 10(4), pages 1-10, April.
  • Handle: RePEc:gam:jijerp:v:10:y:2013:i:4:p:1562-1571:d:25023
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/10/4/1562/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/10/4/1562/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Wood, Lisa & France, Kathryn & Hunt, Kerry & Eades, Sandra & Slack-Smith, Linda, 2008. "Indigenous women and smoking during pregnancy: Knowledge, cultural contexts and barriers to cessation," Social Science & Medicine, Elsevier, vol. 66(11), pages 2378-2389, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. James M. Davis & Leah C. Thomas & Jillian E. H. Dirkes & H. Scott Swartzwelder, 2020. "Strategies for Referring Cancer Patients in a Smoking Cessation Program," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    2. Marsha A. Ivey & Graeme P. Maguire & Brett G. Toelle & Guy B. Marks & Michael J. Abramson & Richard Wood-Baker, 2019. "Characteristics in Stages of Change and Decisional Balance among Smokers: The Burden of Obstructive Lung Diseases (BOLD)-Australia Study," IJERPH, MDPI, vol. 16(18), pages 1-12, September.
    3. Ja-yin Lee & Hyunmi Ahn & Hyeonkyeong Lee, 2018. "Factors Affecting Secondhand Smoke Avoidance Behavior of Vietnamese Adolescents," IJERPH, MDPI, vol. 15(8), pages 1-11, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Amanual Getnet Mersha & Raglan Maddox & Sian Maidment & Kade Booth & Karl Briscoe & Paul Hussein & Hayley Longbottom & Yael Bar-Zeev & Michelle Kennedy, 2022. "“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 ," IJERPH, MDPI, vol. 20(1), pages 1-15, December.
    2. Whelan, Stephen & Wright, Donald J., 2013. "Health services use and lifestyle choices of Indigenous and non-Indigenous Australians," Social Science & Medicine, Elsevier, vol. 84(C), pages 1-12.
    3. Farah Nawabi & Franziska Krebs & Laura Lorenz & Arim Shukri & Adrienne Alayli & Stephanie Stock, 2022. "Understanding Determinants of Pregnant Women’s Knowledge of Lifestyle-Related Risk Factors: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(2), pages 1-12, January.
    4. Eiji Yamamura & Yoshiro Tsutsui, 2019. "Effects of Pregnancy and Birth on Smoking and Drinking Behaviours: A Comparative Study Between Men and Women," The Japanese Economic Review, Springer, vol. 70(2), pages 210-234, June.
    5. Leah Stevenson & Sandy Campbell & India Bohanna & Gillian S. Gould & Jan Robertson & Alan R. Clough, 2017. "Establishing Smoke-Free Homes in the Indigenous Populations of Australia, New Zealand, Canada and the United States: A Systematic Literature Review," IJERPH, MDPI, vol. 14(11), pages 1-15, November.
    6. Johnston, Vanessa & Thomas, David P., 2008. "Smoking behaviours in a remote Australian Indigenous community: The influence of family and other factors," Social Science & Medicine, Elsevier, vol. 67(11), pages 1708-1716, December.
    7. Pramesh Raj Ghimire & Julie Mooney & Louise Fox & Lorraine Dubois, 2021. "Smoking Cessation during the Second Half of Pregnancy Prevents Low Birth Weight among Australian Born Babies in Regional New South Wales," IJERPH, MDPI, vol. 18(7), pages 1-14, March.
    8. Tara Flemington & Gina La Hera-Fuentes & Michelle Bovill & Allison Hart & Jessica Bennett & Nicole M. Ryan & Gillian Sandra Gould, 2021. "Smoking Cessation Messages for Pregnant Aboriginal and Torres Strait Islander Women: A Rapid Review of Peer-Reviewed Literature and Assessment of Research Translation of Media Content," IJERPH, MDPI, vol. 18(17), pages 1-24, September.
    9. Paula Wyndow & Elaine Clifton & Roz Walker, 2020. "Improving Aboriginal Maternal Health by Strengthening Connection to Culture, Family and Community," IJERPH, MDPI, vol. 17(24), pages 1-16, December.
    10. Tabassum Rahman & Amanda L. Baker & Gillian S. Gould & Kerrin Palazzi & David Lambkin & Michelle Kennedy, 2021. "Factors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study," IJERPH, MDPI, vol. 18(21), pages 1-17, October.
    11. Julie Boucher & Anne T. M. Konkle, 2016. "Understanding Inequalities of Maternal Smoking—Bridging the Gap with Adapted Intervention Strategies," IJERPH, MDPI, vol. 13(3), pages 1-16, March.
    12. Grace Lordan, 2011. "Older but Not Wiser- Smokers and Passive Smoking Belief," Discussion Papers Series 431, School of Economics, University of Queensland, Australia.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:10:y:2013:i:4:p:1562-1571:d:25023. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.