Tane Moana P, Hefler Marita, Thomas David P
Menzies School of Health Research, Member Australian Association of Smoking Cessation Professionals, Fitzroy Crossing, WA, Australia.
Menzies School of Health Research, Casuarina, NT, Australia.
Health Promot J Austr. 2018 Apr;29(1):10-17. doi: 10.1002/hpja.1. Epub 2018 Jan 6.
Smoking prevalence estimated between 65% and 84% has been reported among the Yolŋu peoples of East Arnhem Land, Northern Territory. We report on findings of an evaluation of the Yaka Ŋarali' Tackling Indigenous Smoking program in East Arnhem Land.
Qualitative interviews with Yolŋu (N = 23) and non-Yolŋu (N = 7) informants were conducted in seven communities between June 2014 and September 2015, with the support of Cultural Mentors, in homeland communities throughout East Arnhem Land. The data was coded using NVivo software, analysed line-by-line and categorised by the researcher (MT) under three a priori categories established as evaluation parameters. In addition, the meanings of ŋarali' and Yolŋu cultural obligations to ŋarali' were analysed using an inductive process.
Data were coded under three a priori themes: Yolŋu trying to quit smoking (interest in quitting, access to support); the Yaka Ŋarali program (efficacy and recognition); Yolŋu workforce (roles and responsibilities). Yolŋu informants, including Elders and leaders, both smokers and non-smokers uniformly acknowledged the deep cultural and traditional connection with ŋarali' attributing this relationship with its introduction by the Macassans and its subsequent adoption into ceremony.
Given the strong cultural and traditional connection to ŋarali', care must be taken to ensure tobacco control measures maintain congruence with local values and expectations. SO WHAT?: Tailored, localised programs, developed in consultation with communities, Elders and leaders are needed to respect and accommodate the tight connection that the Yolŋu have with ŋarali', maintained over hundreds of years.
据报道，北领地东阿纳姆地的约鲁巴族吸烟率估计在65%至84%之间。我们报告了对东阿纳姆地的“雅卡·纳拉利应对原住民吸烟”项目的评估结果。
在2014年6月至2015年9月期间，在东阿纳姆地各地的家园社区，在文化导师的支持下，对约鲁巴族（N = 23）和非约鲁巴族（N = 7）的 informant 进行了定性访谈。数据使用NVivo软件进行编码，逐行分析，并由研究人员（MT）根据预先确定的三个作为评估参数的类别进行分类。此外，使用归纳法分析了“纳拉利”的含义和约鲁巴族对“纳拉利”的文化义务。
数据根据三个预先确定的主题进行编码：约鲁巴族尝试戒烟（戒烟兴趣、获得支持）；雅卡·纳拉利项目（效果和认可度）；约鲁巴族劳动力（角色和责任）。约鲁巴族的 informant，包括长老和领导人，无论吸烟者还是非吸烟者，都一致承认与“纳拉利”有着深厚的文化和传统联系，将这种关系归因于马卡萨人的引入及其随后被纳入仪式。
鉴于与“纳拉利”有着强烈的文化和传统联系，必须注意确保烟草控制措施与当地价值观和期望保持一致。那又如何？：需要与社区、长老和领导人协商制定量身定制的本地化项目，以尊重和约鲁巴族与“纳拉利”数百年来保持的紧密联系。
