Research Consultant, Mount Claremont, Perth, WA 6010, Australia.
Telethon Kids Institute, University of Western Australia, Perth Children's Hospital, 15 Hospital Ave, Nedlands, Perth, WA 6009, Australia.
Int J Environ Res Public Health. 2020 Dec 17;17(24):9461. doi: 10.3390/ijerph17249461.
(1) Background: To explore the function of smoking in Aboriginal women's lives from a trauma-informed, women-centred approach in order to inform the design of a culturally meaningful smoking cessation program for women living in the Pilbara, Western Australia; (2) Methods: Qualitative and Community Based Participatory Action Research (CBPAR) was used to discover what Aboriginal women know about smoking, the specific contextual issues that influence their smoking, and what community supports are available to help them quit smoking. Inductive analysis was used to determine key themes; (3) Results: 25 Aboriginal women (smokers, non-smokers, and ex-smokers) participated in focus groups or individual interviews. Women smoked to deal with stress, trauma and for maintaining social connections. Women who stopped smoking did so on their own when the reason was important enough or when they saw alternative ways of living. Creating safe places to bring women together to yarn about women's business and link with health services was identified as critical to support women to stop smoking. Conclusions: Strategies to address smoking need to bring community, culture and health together in a meaningful way for women and their families; build on existing community strengths; and educate communities about the effects of smoking, and health professionals about how to support women to stop smoking.
(1) 背景：从创伤知情、以妇女为中心的方法探讨吸烟在土著妇女生活中的作用，以便为西澳大利亚皮尔巴拉地区的妇女设计一个具有文化意义的戒烟计划提供信息；(2) 方法：定性和社区参与行动研究（CBPAR）用于发现土著妇女对吸烟的了解、影响她们吸烟的具体背景问题，以及可以帮助她们戒烟的社区支持；采用归纳分析确定主要主题；(3) 结果：25 名土著妇女（吸烟者、非吸烟者和前吸烟者）参加了焦点小组或个人访谈。妇女吸烟是为了应对压力、创伤和维持社会联系。当原因足够重要或看到其他生活方式时，妇女自己就会戒烟。创建安全的场所，让妇女聚集在一起谈论妇女的事务，并与卫生服务机构联系，被认为是支持妇女戒烟的关键。结论：解决吸烟问题的策略需要以有意义的方式将社区、文化和健康结合起来，为妇女及其家庭服务；利用现有的社区优势；并教育社区吸烟的影响，以及卫生专业人员如何支持妇女戒烟。
