Menzies School of Health Research, Darwin, NT, Australia.
Aboriginal Health Service, Tasmanian Aboriginal Centre, Hobart, TAS, Australia.
Med J Aust. 2015 Jun 1;202(10):S85-9. doi: 10.5694/mja14.01523.
To examine smoking among Aboriginal and Torres Strait Islander staff of Aboriginal community-controlled health services (ACCHSs).
DESIGN, SETTING AND PARTICIPANTS: The Talking About The Smokes (TATS) project surveyed 374 Aboriginal and Torres Strait Islander staff at a national sample of 31 ACCHSs, from April 2012 to October 2013. We made comparisons with adult participants in the 2008 National Aboriginal and Torres Strait Islander Social Survey (NATSISS) and with 1643 smokers in a community sample of 2522 Aboriginal and Torres Strait Islander people also surveyed in the TATS project.
Smoking status, smoking behaviour at work, quitting behaviour, attitudes and beliefs about smoking and quitting.
Aboriginal and Torres Strait Islander ACCHS staff had a lower smoking prevalence than among all Aboriginal and Torres Strait Islander adults surveyed in the NATSISS (38% v 49.8%), but this difference was smaller when compared with only employed adults (38% v 44.8%). Staff smokers had higher odds than smokers in their communities of ever trying to quit (odds ratio [OR], 2.1; 95% CI, 1.1-3.7), of having often noticed anti-smoking advertising (OR, 2.8; 95% CI, 1.4-5.6), and of having used stop-smoking medications (OR, 3.0; 95% CI, 1.6-5.7), often with the support of their ACCHS. There was a significant association (P < 0.001) between the smoking status of Aboriginal and Torres Strait Islander staff and their confidence in talking to others about smoking and quitting; ex-smokers were most likely to report being confident. Most Aboriginal and Torres Strait Islander staff who smoked (74%) agreed that being a non-smoker sets a good example to patients at their health service, and most did not smoke with patients or at work where patients could see them.
Smoking prevalence among Aboriginal and Torres Strait Islander ACCHS staff is only modestly lower than among other employed Aboriginal and Torres Strait Islander people. Given that ex-smokers feel more confident to help others quit than any other group, smoking cessation in ACCHS staff is a useful contributor to reducing community smoking rates.
调查原住民和托雷斯海峡岛民控制的社区卫生服务机构（ACCHS）工作人员的吸烟情况。
设计、地点和参与者：“谈论吸烟”（TATS）项目调查了来自全国 31 个 ACCHS 的 374 名原住民和托雷斯海峡岛民工作人员，调查时间为 2012 年 4 月至 2013 年 10 月。我们将结果与 2008 年全国原住民和托雷斯海峡岛民社会调查（NATSISS）中成年参与者进行了比较，并与 TATS 项目中对 2522 名原住民和托雷斯海峡岛民社区样本进行调查的 1643 名吸烟者进行了比较。
吸烟状况、工作时吸烟行为、戒烟行为、对吸烟和戒烟的态度和信念。
原住民和托雷斯海峡岛民 ACCHS 工作人员的吸烟率低于 NATSISS 调查的所有原住民和托雷斯海峡岛民成年人（38%比 49.8%），但与仅就业成年人相比，这一差异较小（38%比 44.8%）。与社区吸烟者相比，员工吸烟者尝试戒烟的可能性更高（比值比 [OR]，2.1；95%CI，1.1-3.7），经常注意到反吸烟广告（OR，2.8；95%CI，1.4-5.6），并且更有可能使用戒烟药物（OR，3.0；95%CI，1.6-5.7），而且通常得到他们所在的 ACCHS 的支持。原住民和托雷斯海峡岛民工作人员的吸烟状况与他们对与他人谈论吸烟和戒烟的信心之间存在显著关联（P<0.001）；前吸烟者最有可能报告对自己有信心。大多数吸烟的原住民和托雷斯海峡岛民工作人员（74%）同意，作为医疗服务机构的非吸烟者为患者树立了良好的榜样，而且大多数人不在患者面前或在患者可以看到的地方吸烟。
原住民和托雷斯海峡岛民 ACCHS 工作人员的吸烟率略低于其他就业的原住民和托雷斯海峡岛民。鉴于前吸烟者比任何其他群体都更有信心帮助他人戒烟，因此在 ACCHS 工作人员中戒烟是降低社区吸烟率的一个有用贡献。
