Health Promotion Service, South Western Sydney Local Health District, Campbelltown, NSW, Australia.
Aboriginal Medical Service Redfern, Redfern, NSW, Australia.
Health Promot J Austr. 2020 Jan;31(1):26-37. doi: 10.1002/hpja.251. Epub 2019 May 3.
A partnership between three Aboriginal Community Controlled Organisations and a mainstream health service was formed to develop, implement and evaluate a comprehensive and culturally appropriate social marketing project which aimed to encourage smokers to quit smoking. The project also supported quit attempts and promoted denormalisation of smoking.
The project was evaluated through baseline (n = 427) and follow-up (n = 611) surveys carried out face-to-face with Aboriginal and/or Torres Strait Islander participants 18 years and older recruited through convenience sampling at community events and venues during 2010-2011 and 2015.
The proportion of participants who had made one or more quit attempts increased significantly between baseline and follow-up surveys (54%, 101 out of 187; vs 64%, 189 out of 297; P < 0.05). Participants who had intended to quit within 6 months (AOR, 3.29; 95% CI 1.90-5.68; P < 0.01); and participants disagreeing with the statement "I don't mind if people smoke inside my home" (AOR, 1.74; 95% CI 1.06-2.84; P < 0.05) were significantly more likely to have made one or more quit attempts compared to the respective reference groups.
Study findings demonstrate that the project was associated with increased quit attempts. Intention to quit and attitude were found to be the predictors of making a quit attempt. SO WHAT?: Many studies suggest the need to denormalise smoking; this study demonstrated both change in attitudes and an increase in quit attempts. It is recognised that many quit attempts may be needed for long-term smoking cessation.
三个土著社区控制组织与一个主流卫生服务机构建立了伙伴关系，以制定、实施和评估一项全面而文化适宜的社会营销项目，旨在鼓励吸烟者戒烟。该项目还支持戒烟尝试，并促进吸烟行为的去正常化。
该项目通过 2010-2011 年和 2015 年期间在社区活动和场所通过方便抽样招募的 18 岁及以上的土著和/或托雷斯海峡岛民参与者进行的基线（n=427）和随访（n=611）面对面调查进行评估。
与基线调查相比，随访调查中报告有一次或多次戒烟尝试的参与者比例显著增加（54%，187 人中的 101 人；64%，297 人中的 189 人；P<0.05）。有在 6 个月内戒烟意向的参与者（AOR，3.29；95%CI 1.90-5.68；P<0.01）和不同意“我不介意别人在我家里吸烟”这一说法的参与者（AOR，1.74；95%CI 1.06-2.84；P<0.05）与各自的参考组相比，更有可能有一次或多次戒烟尝试。
研究结果表明，该项目与戒烟尝试的增加有关。研究发现，戒烟意向和态度是戒烟尝试的预测因素。这意味着什么？许多研究表明需要去正常化吸烟行为；本研究证明了态度的改变和戒烟尝试的增加。人们认识到，需要多次戒烟尝试才能实现长期戒烟。
