Menzies School of Health Research, Charles Darwin University, Casuarina, Australia.
Glob Public Health. 2020 Jan;15(1):111-120. doi: 10.1080/17441692.2019.1649446. Epub 2019 Aug 4.
In remote Aboriginal communities in East Arnhem Land, Northern Territory of Australia, the Yolŋu people, traditional owners of this remote and isolated region, have a long tradition of [tobacco] use, which is commemorated within funeral ceremony, as [songlines] and [dancing]. Today, smoking is very prevalent and a highly normalised social activity among Yolŋu. There are concerns that tobacco control activities aiming to denormalise smoking may lead to stigma in already disadvantaged communities with high smoking prevalence. Interviews were conducted from August 2014 until December 2015 to ascertain whether smokers may have experienced smoking-related stigma through their interactions and engagement with health services and regional tobacco control activities including denormalisation strategy. Informants described their experiences, observations and perceptions of smokefree environments, television and media advertising, and smoking cessation support. We found that while tobacco control denormalisation is not leading to stigma in these communities, some clinical consultations and interactions may have led to feelings of smoking-related shame among Yolŋu health workers who smoked. However, we found that caring, trusting relationships and having the right people communicating the right messages respectfully enabled raising the issue of smoking in clinical consultations without causing shame.
在澳大利亚北领地东埃罗曼加地区偏远的原住民社区，作为这片偏远和与世隔绝地区的传统所有者，约鲁巴人有着长期使用烟草的传统，这在葬礼仪式中得以纪念，包括歌唱和舞蹈。如今，吸烟在约鲁巴人中非常普遍，也是一种高度正常化的社交活动。有人担心，旨在使吸烟正常化的控烟活动可能会导致在吸烟率较高的已经处于不利地位的社区中产生耻辱感。从 2014 年 8 月至 2015 年 12 月进行了访谈，以确定吸烟者是否通过与卫生服务机构以及区域控烟活动（包括去正常化战略）的互动和参与而经历了与吸烟相关的耻辱。受访者描述了他们在无烟环境、电视和媒体广告以及戒烟支持方面的经历、观察和看法。我们发现，尽管控烟去正常化在这些社区没有导致耻辱感，但一些临床咨询和互动可能导致吸烟的约鲁巴卫生工作者产生与吸烟相关的羞耻感。然而，我们发现，关怀、信任的关系以及由合适的人以尊重的方式传达正确的信息，使在临床咨询中提出吸烟问题而不会引起羞耻感成为可能。
