Phillips Anastasia, Monaem Abdul, Newman Christine
Centre for Population Health, Western Sydney Local Health District, Gungurra Building (68), Cumberland Hospital East Campus, 5 Fleet Street, North Parramatta, NSW 2151, Australia.
Formerly of Centre for Population Health, Western Sydney Local Health District, Gungurra Building (68), Cumberland Hospital East Campus, 5 Fleet Street, North Parramatta NSW 2151, Australia.
Health Promot J Austr. 2015 Apr;26(1):10-15. doi: 10.1071/HE14030.
Smoking rates are high among Arabic-speaking populations, particularly men, and there is limited evidence to formulate effective tobacco-control strategies in this group. This study explored smoking within an Arabic-speaking community in Sydney, focusing on men's smoking in the context of their families.
We conducted six focus groups with a total of 60 Arabic-speaking participants recruited through health workers, counsellors and community leaders in Western Sydney, Australia. The focus groups, conducted in Arabic or English, discussed smoking experiences, family issues and quit attempts. Focus group data were recorded, transcribed and analysed for emerging themes.
Male smoking was normalised in home, social and religious settings. There was concern about children's exposure to environmental tobacco smoke (ETS), but less concern for adults, particularly wives. Smoking created conflict within families and quit attempts were often made without assistance. There was a lack of enthusiasm for telephone support services with participants suggesting free Nicotine Replacement Therapy (NRT) and programs in religious settings as potential strategies.
Smoking is normalised in Arabic-speaking society and is socially acceptable. Strategies to de-normalise smoking, particularly among men, are critical. Ongoing ETS exposure of wives is concerning and suggests the need to empower women to control their exposure. There is an opportunity to create locally tailored interventions by engaging leaders in religious settings and to improve perceptions of telephone support services. SO WHAT?: Culturally appropriate strategies to de-normalise smoking for Arabic-speaking male smokers are needed together with novel approaches that incorporate families and involve community leaders.
讲阿拉伯语人群，尤其是男性的吸烟率很高，而针对该群体制定有效控烟策略的证据有限。本研究探讨了悉尼一个讲阿拉伯语社区内的吸烟情况，重点关注男性在家庭环境中的吸烟情况。
我们通过澳大利亚悉尼西部的卫生工作者、顾问和社区领袖招募了60名讲阿拉伯语的参与者，开展了6个焦点小组。焦点小组以阿拉伯语或英语进行，讨论了吸烟经历、家庭问题和戒烟尝试。记录、转录并分析焦点小组数据以找出新出现的主题。
男性吸烟在家庭、社交和宗教环境中被视为正常。人们担心儿童接触环境烟草烟雾（ETS），但对成年人，尤其是妻子的担忧较少。吸烟在家庭内部引发冲突，戒烟尝试往往在没有帮助的情况下进行。参与者对电话支持服务缺乏热情，他们建议提供免费尼古丁替代疗法（NRT）以及在宗教场所开展相关项目作为潜在策略。
吸烟在讲阿拉伯语的社会中被视为正常且在社会上是可接受的。使吸烟不再被视为正常，尤其是在男性中，这一策略至关重要。妻子持续接触环境烟草烟雾令人担忧，这表明需要增强女性控制自身接触的能力。通过让宗教场所的领袖参与进来以及改善对电话支持服务的看法，有机会制定适合当地情况的干预措施。那又如何？：需要针对讲阿拉伯语的男性吸烟者制定符合文化习惯的策略，使吸烟不再被视为正常，同时需要采用将家庭纳入其中并让社区领袖参与的新方法。
