Tzelepis Flora, Daly Justine, Dowe Sarah, Bourke Alex, Gillham Karen, Freund Megan
School of Medicine and Public Health, University of Newcastle, Callaghan, Australia.
Hunter New England Population Health, Hunter New England Local Health District, Wallsend, Australia.
Nicotine Tob Res. 2017 May 1;19(5):642-646. doi: 10.1093/ntr/ntw286.
Tobacco use during pregnancy is substantially higher among Aboriginal women compared to non-Aboriginal women in Australia. However, no studies have investigated the amount or type of smoking cessation care that staff from Aboriginal antenatal and postnatal services provide to clients who smoke or staff confidence to do so. This study examined Aboriginal antenatal and postnatal staff confidence, perceived role and delivery of smoking cessation care to Aboriginal women and characteristics associated with provision of such care.
Staff from 11 Aboriginal Maternal and Infant Health Services and eight Aboriginal Child and Family Health services in the Hunter New England Local Health District in Australia completed a cross-sectional self-reported survey (n = 67, response rate = 97.1%).
Most staff reported they assessed clients' smoking status most or all of the time (92.2%). However, only a minority reported they offered a quitline referral (42.2%), provided follow-up support (28.6%) or provided nicotine replacement therapy (4.7%) to most or all clients who smoked. Few staff felt confident in motivating clients to quit smoking (19.7%) and advising clients about using nicotine replacement therapy (15.6%). Staff confident with talking to clients about how smoking affected their health had significantly higher odds of offering a quitline referral [OR = 4.9 (1.7-14.5)] and quitting assistance [OR = 3.9 (1.3-11.6)] to clients who smoke.
Antenatal and postnatal staff delivery of smoking cessation care to pregnant Aboriginal women or mothers with young Aboriginal children could be improved. Programs that support Aboriginal antenatal and postnatal providers to deliver smoking cessation care to clients are needed.
Aboriginal antenatal and postnatal service staff have multiple opportunities to assist Aboriginal women to quit smoking during pregnancy and postpartum. However, staff confidence and practices of offering various forms of smoking cessation support to pregnant Aboriginal women is unexplored. This is the first study to examine the amount and type of smoking cessation support Aboriginal antenatal and postnatal service staff provide to Aboriginal women, staff confidence and their perceived role in delivering smoking cessation care. This information is valuable for developing strategies that assist antenatal and postnatal staff to improve their delivery of smoking cessation care to Aboriginal women.
在澳大利亚，与非原住民女性相比，原住民女性孕期吸烟的比例要高得多。然而，尚无研究调查过原住民产前和产后服务机构的工作人员为吸烟的客户提供戒烟护理的数量或类型，以及他们提供此类护理的信心。本研究调查了原住民产前和产后服务人员对向原住民女性提供戒烟护理的信心、认知角色和服务提供情况，以及与提供此类护理相关的特征。
澳大利亚亨特新英格兰地方卫生区的11家原住民母婴健康服务机构和8家原住民儿童与家庭健康服务机构的工作人员完成了一项横断面自我报告调查（n = 67，回复率 = 97.1%）。
大多数工作人员报告称，他们大部分或所有时间都会评估客户的吸烟状况（92.2%）。然而，只有少数人报告说，他们会为大多数或所有吸烟的客户提供戒烟热线转介服务（42.2%）、提供后续支持（28.6%）或提供尼古丁替代疗法（4.7%）。很少有工作人员对激励客户戒烟（19.7%）和就使用尼古丁替代疗法向客户提供建议（15.6%）有信心。对与客户谈论吸烟如何影响其健康有信心的工作人员，为吸烟客户提供戒烟热线转介服务[比值比 = 4.9（1.7 - 14.5）]和戒烟援助[比值比 = 3.9（1.3 - 11.6）]的几率显著更高。
可以改进产前和产后工作人员为怀孕的原住民女性或育有年幼原住民子女母亲提供戒烟护理的服务。需要开展相关项目来支持原住民产前和产后服务提供者为客户提供戒烟护理。
原住民产前和产后服务人员在孕期和产后有多个机会协助原住民女性戒烟。然而，工作人员向怀孕的原住民女性提供各种形式戒烟支持的信心和做法尚未得到研究。这是第一项调查原住民产前和产后服务人员为原住民女性提供戒烟支持的数量和类型、工作人员信心以及他们在提供戒烟护理中所认知角色的研究。这些信息对于制定策略以帮助产前和产后工作人员改善向原住民女性提供戒烟护理的服务很有价值。
