Cosh Suzanne, Hawkins Kimberley, Skaczkowski Gemma, Copley David, Bowden Jacqueline
Aust J Prim Health. 2015;21(3):334-41. doi: 10.1071/PY13157.
Smoking prevalence among Aboriginal Australian young people greatly exceeds the prevalence in the broader population of Australian young people, yet limited research has explored the social context in which young Aboriginal Australians smoke. Four focus groups were conducted in 2009 with South Australian Aboriginal smokers aged 15-29 years residing in urban areas (n = 32) to examine attitudes and experiences surrounding smoking and quitting. The primary reasons for smoking initiation and maintenance among Aboriginal Australian young people were identified as stress, social influence and boredom. Motivators for quitting were identified as pregnancy and/or children, sporting performance (males only), cost issues and, to a lesser extent, health reasons. The barriers to cessation were identified as social influence, the perception of quitting as a distant event and reluctance to access cessation support. However, it appears that social influences and stress were particularly salient contributors to smoking maintenance among Aboriginal Australian young people. Smoking cessation interventions targeted at young urban Aboriginal Australian smokers should aim to build motivation to quit by utilising the motivators of pregnancy and/or children, sporting performance (males only), cost issues and, to a lesser extent, health reasons, while acknowledging the pertinent role of social influence and stress in the lives of young urban Aboriginal Australian smokers.
澳大利亚原住民年轻人中的吸烟率大大超过了澳大利亚年轻人总体的吸烟率，但针对澳大利亚原住民年轻人吸烟所处社会环境的研究却很有限。2009年，针对居住在城市地区、年龄在15至29岁的南澳大利亚原住民吸烟者开展了4个焦点小组访谈（n = 32），以调查围绕吸烟及戒烟的态度和经历。澳大利亚原住民年轻人开始吸烟并持续吸烟的主要原因是压力、社会影响和无聊。戒烟的动机包括怀孕和/或有孩子、运动表现（仅针对男性）、费用问题以及程度较轻的健康原因。戒烟的障碍包括社会影响、认为戒烟是遥远的事情以及不愿寻求戒烟支持。然而，社会影响和压力似乎是澳大利亚原住民年轻人持续吸烟的特别突出的因素。针对居住在城市地区的澳大利亚原住民年轻吸烟者的戒烟干预措施应旨在利用怀孕和/或有孩子、运动表现（仅针对男性）、费用问题以及程度较轻的健康原因等动机来增强戒烟动力，同时认识到社会影响和压力在居住在城市地区的澳大利亚原住民年轻吸烟者生活中的相关作用。
