Menzies School of Health Research, Darwin, NT, Australia.
Cancer Council Victoria, Melbourne, VIC, Australia.
Med J Aust. 2015 Jun 1;202(10):S51-6. doi: 10.5694/mja14.01535.
To describe attitudes towards smoking in a national sample of Aboriginal and Torres Strait Islander smokers and recent quitters and assess how they are associated with quitting, and to compare these attitudes with those of smokers in the general Australian population.
DESIGN, SETTING AND PARTICIPANTS: The Talking About The Smokes project used a quota sampling design to recruit participants from communities served by 34 Aboriginal community-controlled health services and one community in the Torres Strait. We surveyed 1392 daily smokers, 251 non-daily smokers and 78 recent quitters from April 2012 to October 2013.
Personal attitudes towards smoking and quitting, wanting to quit, and attempting to quit in the past year.
Aboriginal and Torres Strait Islander daily smokers were less likely than daily smokers in the general Australian population to report enjoying smoking (65% v 81%) and more likely to disagree that smoking is an important part of their life (49% v 38%); other attitudes were similar between the two groups. In the Aboriginal and Torres Strait Islander sample, non-daily smokers generally held less positive attitudes towards smoking compared with daily smokers, and ex-smokers who had quit within the past year reported positive views about quitting. Among the daily smokers, 78% reported regretting starting to smoke and 81% reported spending too much money on cigarettes, both of which were positively associated with wanting and attempting to quit; 32% perceived smoking to be an important part of their life, which was negatively associated with both quit outcomes; and 83% agreed that smoking calms them down when stressed, which was not associated with the quitting outcomes.
Aboriginal and Torres Strait Islander smokers were less likely than those in the general population to report positive reasons to smoke and held similar views about the negative aspects, suggesting that factors other than personal attitudes may be responsible for the high continuing smoking rate in this population.
描述全国范围内土著和托雷斯海峡岛民吸烟者和近期戒烟者对吸烟的态度，并评估这些态度与戒烟的关联，同时将这些态度与澳大利亚一般人群中吸烟者的态度进行比较。
设计、地点和参与者：“谈论吸烟”项目采用配额抽样设计，从 34 个土著社区控制的卫生服务机构和托雷斯海峡的一个社区中招募参与者。我们于 2012 年 4 月至 2013 年 10 月期间调查了 1392 名每日吸烟者、251 名非每日吸烟者和 78 名近期戒烟者。
个人对吸烟和戒烟的态度、戒烟意愿以及过去一年尝试戒烟的情况。
与澳大利亚一般人群中的每日吸烟者相比，土著和托雷斯海峡岛民的每日吸烟者更不可能报告称享受吸烟（65%比 81%），而更有可能不同意吸烟是其生活重要组成部分（49%比 38%）；两组人群的其他态度相似。在土著和托雷斯海峡岛民样本中，非每日吸烟者对吸烟的态度通常比每日吸烟者更为消极，而在过去一年中成功戒烟的前吸烟者对戒烟的看法更为积极。在每日吸烟者中，78%的人表示后悔开始吸烟，81%的人表示在香烟上花费过多，这两个因素都与戒烟意愿和尝试戒烟呈正相关；32%的人认为吸烟是其生活的重要组成部分，这与戒烟结果呈负相关；83%的人同意吸烟可以在感到压力时使他们平静下来，这与戒烟结果无关。
与一般人群相比，土著和托雷斯海峡岛民的吸烟者更不可能报告吸烟的积极原因，对吸烟的负面影响也持有相似的观点，这表明除个人态度外，其他因素可能导致该人群中持续吸烟率居高不下。
