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“They Were Willing to Work with Me and Not Pressure Me”: A Qualitative Investigation into the Features of Value of a Smoking Cessation in Pregnancy Program for Aboriginal and Torres Strait Islander Women

Author

Listed:
  • Vivian Lyall

    (School of Clinical Medicine, Primary Care Clinical Unit, Level 8 Health Sciences Building, Royal Brisbane & Women’s Hospital, The University of Queensland, Herston, QLD 4029, Australia
    Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, P.O. Box 52, Inala, QLD 4077, Australia)

  • Jillian Guy

    (Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, P.O. Box 52, Inala, QLD 4077, Australia)

  • Sonya Egert

    (Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, P.O. Box 52, Inala, QLD 4077, Australia)

  • Leigh-Anne Pokino

    (Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, P.O. Box 52, Inala, QLD 4077, Australia)

  • Lynne Rogers

    (Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, P.O. Box 52, Inala, QLD 4077, Australia)

  • Deborah Askew

    (School of Clinical Medicine, Primary Care Clinical Unit, Level 8 Health Sciences Building, Royal Brisbane & Women’s Hospital, The University of Queensland, Herston, QLD 4029, Australia
    Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, P.O. Box 52, Inala, QLD 4077, Australia)

Abstract

With tobacco commonly used for stress relief, smoking cessation during pregnancy can present challenges for women facing stressful circumstances. This can be pronounced for Aboriginal and Torres Strait Islander women who experience disproportionately high smoking rates during pregnancy and also have a greater intersection of stressors from social disadvantage, institutional racism and trauma. To contribute understandings into how women can be best supported at this time, this study identified the features of value of an Aboriginal and Torres Strait Islander pregnancy smoking cessation program that addressed the contexts of women’s lives in culturally affirming and strength-based ways. A narrative methodology using a yarning approach was used to interview 7 pregnant women, 6 significant others, 3 case managers, and 4 healthcare professionals. Data were analyzed using thematic analysis, guided by an Indigenist research practice of deep and reflexive researcher listening. Features of value included: relationship-based care, holistic wraparound care, flexibility, individualized care, and culturally orientated care. Combined, they enabled highly relevant and responsive women-centered, trauma-informed, and harm-reducing smoking cessation support that was well received by participants, who achieved promising smoking changes, including cessation. This approach strongly departs from standard practices and provides a blueprint for meaningful support for pregnant women experiencing vulnerabilities.

Suggested Citation

  • Vivian Lyall & Jillian Guy & Sonya Egert & Leigh-Anne Pokino & Lynne Rogers & Deborah Askew, 2020. "“They Were Willing to Work with Me and Not Pressure Me”: A Qualitative Investigation into the Features of Value of a Smoking Cessation in Pregnancy Program for Aboriginal and Torres Strait Islander Wo," IJERPH, MDPI, vol. 18(1), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2020:i:1:p:49-:d:467071
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    References listed on IDEAS

    as
    1. Lorraine Greaves, 2015. "The Meanings of Smoking to Women and Their Implications for Cessation," IJERPH, MDPI, vol. 12(2), pages 1-17, January.
    2. Journal of Food Distribution Research, 2018. "Table of Contents," Journal of Food Distribution Research, Food Distribution Research Society, vol. 49(2), July.
    3. Mathias Mund & Frank Louwen & Doris Klingelhoefer & Alexander Gerber, 2013. "Smoking and Pregnancy — A Review on the First Major Environmental Risk Factor of the Unborn," IJERPH, MDPI, vol. 10(12), pages 1-15, November.
    4. Lindsay Wolfson & Nancy Poole & Melody Morton Ninomiya & Deborah Rutman & Sherry Letendre & Toni Winterhoff & Catherine Finney & Elizabeth Carlson & Michelle Prouty & Audrey McFarlane & Lia Ruttan & L, 2019. "Collaborative Action on Fetal Alcohol Spectrum Disorder Prevention: Principles for Enacting the Truth and Reconciliation Commission Call to Action #33," IJERPH, MDPI, vol. 16(9), pages 1-13, May.
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