Cameron Emilie, Freund Megan, Eades Sandra, Turner Nicole, Davis Robert, Heris Christina, Rumbel Jennifer, Clapham Matthew, Bryant Jamie
Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales, Australia.
Equity in Health and Wellbeing Program, Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.
Health Promot J Austr. 2025 Jan;36(1):e942. doi: 10.1002/hpja.942.
Smoking rates have been steadily declining among Aboriginal and Torres Strait Islander people. Examining the factors associated with not smoking in young people is crucial for understanding the motivations and influences that lead individuals to adopt healthy behaviours.
Secondary analysis was undertaken of data collected as part of the National Aboriginal and Torres Strait Islander Social Survey (NATSISS) 2014-15 (n = 1456). Factors associated with not smoking were explored with three multivariate regressions: (1) socio-demographic characteristics; (2) health, social and emotional factors; and (3) cultural identity characteristics.
Overall, 66% of Aboriginal and Torres Strait Islander young people aged 15-24 years did not smoke. Factors associated with not smoking included being younger, female, and engaged in study or employment. Those who lived with no smoking in the house, had lower illicit drug and alcohol use, and participated in Aboriginal or Torres Strait Islander sports carnivals were also more likely to be non-smokers.
Study findings reinforce the influence of social determinants on smoking behaviour. Efforts to reduce smoking among Aboriginal and Torres Strait Islander young people should focus on removing barriers to education and employment, promoting positive peer and family influences within households, taking a multi-drug approach to cessation, and considering cultural identity and its role in promoting healthy lifestyles. SO WHAT?: Understanding the protective factors associated with not smoking in young Aboriginal and Torres Strait Islander people will help with developing effective policies and initiatives to improve health outcomes.
澳大利亚原住民和托雷斯海峡岛民的吸烟率一直在稳步下降。研究与年轻人不吸烟相关的因素对于理解促使个人采取健康行为的动机和影响至关重要。
对作为2014 - 2015年全国原住民和托雷斯海峡岛民社会调查（NATSISS）一部分收集的数据（n = 1456）进行二次分析。通过三个多元回归探讨与不吸烟相关的因素：（1）社会人口特征；（2）健康、社会和情感因素；（3）文化身份特征。
总体而言，15 - 24岁的澳大利亚原住民和托雷斯海峡岛民年轻人中，66%不吸烟。与不吸烟相关的因素包括年龄较小、女性、正在学习或就业。那些家中无人吸烟、非法药物和酒精使用较少以及参加原住民或托雷斯海峡岛民体育嘉年华的人也更有可能不吸烟。
研究结果强化了社会决定因素对吸烟行为的影响。减少澳大利亚原住民和托雷斯海峡岛民年轻人吸烟的努力应集中在消除教育和就业障碍、促进家庭内部积极的同伴和家庭影响、采取多药物戒烟方法以及考虑文化身份及其在促进健康生活方式中的作用。那又如何？：了解与澳大利亚原住民和托雷斯海峡岛民年轻人不吸烟相关的保护因素将有助于制定有效的政策和举措以改善健康状况。
