为处于生育年龄的原住民和托雷斯海峡岛民妇女提供戒烟支持策略：来自“Which Way？”研究的发现。
Smoking cessation support strategies for Aboriginal and Torres Strait Islander women of reproductive age: findings from the Which Way? study.
机构信息
University of Newcastle, Newcastle, NSW.
Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW.
出版信息
Med J Aust. 2022 Jul 18;217 Suppl 2(Suppl 2):S19-S26. doi: 10.5694/mja2.51631.
OBJECTIVE
To identify smoking cessation support strategies that resonate with Aboriginal and Torres Strait Islander women.
DESIGN, SETTING AND PARTICIPANTS: A national cross-sectional survey of Aboriginal and Torres Strait Islander women aged 16-49 years who were smokers or ex-smokers was conducted online during the period July to October 2020.
MAIN OUTCOME MEASURES
Preferred strategies, providers and locations for smoking cessation support.
RESULTS
Among a total of 428 women who participated in the survey, group-based support and holistic support were the most preferred strategies (preferred by 31.8% and 22.2% of women, respectively). Use of an Aboriginal health service was positively associated with choosing holistic support programs (prevalence ratio, 1.14 [95% CI, ≥ 1.00-1.28]). Women with high or moderate nicotine dependency were more likely to consider group-based support to be helpful (prevalence ratio, 1.13 [95% CI, ≥ 1.00-1.27]) than those with low nicotine dependency. The most preferred providers for smoking cessation support were Aboriginal health workers (64.3%). Most women (73.4%) preferred face-to-face support at an Aboriginal health service, 38.8% preferred online support and 34.8% preferred phone support. A higher percentage of older women (≥ 35 years) preferred online or phone support (prevalence ratio, 1.70 [95% CI, 1.03-2.80]) compared with younger women (16-20 years). Use of an Aboriginal health service was positively associated with preference for an Aboriginal health worker (prevalence ratio, 1.35 [95% CI, 1.12-1.62]), and receiving face-to-face support at an Aboriginal health service (prevalence ratio, 1.28 [95% CI, 1.10-1.49]).
CONCLUSION
Aboriginal and Torres Strait Islander women prefer a range of cessation supports, with most women preferring group support and holistic approaches. Cessation supports that resonated with women varied by age, remoteness, nicotine dependence, and whether participants used an Aboriginal health service. Women want support to quit smoking from the Aboriginal health workers at their Aboriginal health service, at their health care providers and in their community. Comprehensive, multifaceted supports are required. Online support and phone-based support are also preferred by some women, which helps to increase accessibility. Appropriate models of care - including sufficient funding for Aboriginal health services and Aboriginal health workers - are required and should be developed in partnership with communities to implement meaningful and culturally safe cessation care. This research demonstrates the need for and importance of multifaceted, comprehensive cessation support strategies.
目的
确定与原住民和托雷斯海峡岛民女性产生共鸣的戒烟支持策略。
设计、地点和参与者：2020 年 7 月至 10 月期间，对年龄在 16-49 岁的吸烟或曾吸烟的原住民和托雷斯海峡岛民女性进行了一项全国性的横断面在线调查。
主要结果测量
戒烟支持的首选策略、提供方和地点。
结果
在总共 428 名参与调查的女性中，团体支持和整体支持是最受欢迎的策略（分别有 31.8%和 22.2%的女性选择）。使用原住民健康服务与选择整体支持方案呈正相关（优势比，1.14 [95%CI，≥1.00-1.28]）。尼古丁依赖程度较高或中度的女性更有可能认为团体支持会有所帮助（优势比，1.13 [95%CI，≥1.00-1.27]），而尼古丁依赖程度较低的女性则不然。戒烟支持的最受欢迎提供方是原住民健康工作者（64.3%）。大多数女性（73.4%）希望在原住民健康服务机构获得面对面的支持，38.8%希望获得在线支持，34.8%希望获得电话支持。与年轻女性（16-20 岁）相比，年龄较大的女性（≥35 岁）更倾向于选择在线或电话支持（优势比，1.70 [95%CI，1.03-2.80]）。使用原住民健康服务与偏好原住民健康工作者（优势比，1.35 [95%CI，1.12-1.62]）和在原住民健康服务机构接受面对面支持（优势比，1.28 [95%CI，1.10-1.49]）呈正相关。
结论
原住民和托雷斯海峡岛民女性偏好多种戒烟支持方式，大多数女性更喜欢团体支持和整体方法。对女性有影响的戒烟支持方式因年龄、偏远程度、尼古丁依赖程度以及参与者是否使用原住民健康服务而异。女性希望从原住民健康服务机构的原住民健康工作者、她们的医疗服务提供者和她们的社区中获得戒烟支持。需要提供全面、多方面的支持。一些女性也喜欢在线支持和电话支持，这有助于提高可及性。适当的护理模式——包括为原住民健康服务和原住民健康工作者提供充足的资金——是必要的，应该与社区合作制定，以实施有意义和文化安全的戒烟护理。这项研究表明需要并强调了多方面、全面的戒烟支持策略的重要性。
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