Wyndow Paula, Walker Roz, Reibel Tracy
Telethon Kids Institute, University of Western Australia, Perth 6872, WA, Australia.
Healthcare (Basel). 2018 Jan 23;6(1):10. doi: 10.3390/healthcare6010010.
Tobacco smoking during pregnancy contributes to a range of adverse perinatal outcomes; but is a potentially modifiable behavior. In Australia Aboriginal and Torres Strait Islander women face a range of barriers that hinder; rather than support smoking cessation. Few smoking cessation programs consider the broader social determinants of women's lives; the gendered nature of these or the complexities which impinge on behavior change in the presence of social and economic disadvantage and substantial individual and intergenerational trauma. Drawing on the salient gender and trauma-informed literature this paper describes the rationale underpinning formative research which will inform the design of a localized, culturally meaningful smoking cessation program for Aboriginal women living in the Hedland and Western Desert communities of the remote Pilbara region of Western Australia. We contend that a women-centered, trauma-informed approach to smoking cessation has much to offer those seeking to address this critical public health issue.
孕期吸烟会导致一系列不良围产期结局；但这是一种潜在可改变的行为。在澳大利亚，原住民和托雷斯海峡岛民女性面临一系列阻碍，这些阻碍不利于而非有助于她们戒烟。很少有戒烟项目考虑到女性生活的更广泛社会决定因素、这些因素的性别特征，或在存在社会和经济劣势以及严重个人和代际创伤的情况下影响行为改变的复杂性。借鉴显著的性别和创伤知情文献，本文描述了形成性研究的基本原理，该研究将为为居住在西澳大利亚皮尔巴拉地区偏远地区黑德兰和西部沙漠社区的原住民女性设计一个本地化、具有文化意义的戒烟项目提供信息。我们认为，以女性为中心、基于创伤知情的戒烟方法对那些试图解决这一关键公共卫生问题的人有很大帮助。
