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“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

Author

Listed:
  • 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)

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.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:28-:d:1009207
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    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.
    2. Michelle Bovill & Catherine Chamberlain & Jessica Bennett & Hayley Longbottom & Shanell Bacon & Belinda Field & Paul Hussein & Robert Berwick & Gillian Gould & Peter O’Mara, 2021. "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," IJERPH, MDPI, vol. 18(3), pages 1-11, February.
    3. 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.
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