Lanumata Tolotea, Thomson George, Wilson Nick
Department of Public Health, University of Otago, Box 7343 Wellington, New Zealand.
N Z Med J. 2010 Jan 29;123(1308):54-63.
To explore the views of Pacific policymakers on solutions to reducing smoking around Pacific children in New Zealand (given smoking is a cause of health inequalities between Pacific peoples and other New Zealanders).
Documentary and media sources were searched for Pacific policymaker attitudes. Key informants (n=18) were recruited and interviewed by Pacific interviewers during May-October 2008, in person or by phone.
There was a focus on the need to change attitudes (e.g. by education), rather than on government regulation for secondhand smoke protection (e.g. smokefree cars). Families and churches were seen as major avenues for the changes, with increased bottom-up, community-controlled activity. Specific interventions for each Pacific ethnic group were sought by these policymakers, along with better resourcing of Pacific tobacco control. There was considerable variance of opinion on the extent to which smokefree areas should be extended, with some informants reluctant to interfere with smokers' 'choices'.
Research on Pacific involvement in health policy is feasible and practical, and could be extended. General Pacific policymaker reluctance to consider smokefree regulation extensions is at odds with surveyed attitudes of Pacific peoples in New Zealand.
探讨太平洋地区政策制定者对于新西兰减少太平洋儿童周围吸烟现象的解决方案的看法（鉴于吸烟是太平洋人群与其他新西兰人之间健康不平等的一个原因）。
检索文献和媒体来源以了解太平洋地区政策制定者的态度。2008年5月至10月期间，由太平洋地区的访谈人员亲自或通过电话招募并访谈了18名关键信息提供者。
重点在于改变态度（例如通过教育）的必要性，而非政府对二手烟防护的监管（例如无烟汽车）。家庭和教会被视为实现这些改变的主要途径，同时增加自下而上、由社区控制的活动。这些政策制定者寻求针对每个太平洋族裔群体的具体干预措施，以及为太平洋地区烟草控制提供更多资源。对于无烟区域应扩展到何种程度，意见存在很大差异，一些信息提供者不愿干涉吸烟者的“选择”。
关于太平洋地区参与健康政策的研究是可行且实际的，并且可以扩展。太平洋地区政策制定者普遍不愿考虑扩大无烟法规，这与对新西兰太平洋人群的调查态度不一致。
