Background: Aboriginal and Torres Strait Islander women deserve improved smoking cessation support. Aboriginal health workers (AHW) and practitioners (AHP) can be central to the provision of culturally safe smoking cessation care (SCC). The objective of this study is to explore attitudes and the perceived role of AHWs/AHPs toward providing SCC to Aboriginal and Torres Strait Islander pregnant women. Method: A mixed-method study using quantitative and qualitative data was conducted among AHW/AHPs in 2021 across Australia. Descriptive and analytical statistics were used to characterise AHWs’/AHPs’ attitudes towards SCC and to evaluate the factors associated with perceptions of who is best placed to provide SCC. Results: From the total AHW/AHP workforce, 21.2% (223) completed the survey. Less than half (48.4%) believed that AHW/AHP were best placed to provide SCC for pregnant women. The majority believed that group-based supports (82.5%) and cultural support programs (63.7%) were the best strategies to support Aboriginal and Torres Strait Islander pregnant women to quit smoking. Conclusion: This study highlights the need to enhance SCC offered to Aboriginal and Torres Strait Islander pregnant women. A targeted workforce dedicated to smoking cessation should be resourced, including funding, standardised training, and ongoing SCC support tailored to Aboriginal and Torres Strait Islander pregnant women.
|Original language||American English|
|Journal||International Journal of Environmental Research and Public Health|
|State||Published - Jan 2023|
Bibliographical noteFunding Information:
The study is funded by the National Heart Foundation Aboriginal and Torres Strait Islander Award (award number 102458) and supported by funding from the HMRI Equity in Health and Wellbeing Research Program. M.K. is funded by an NHMRC Early Career Fellowship #1158670.
© 2022 by the authors.
- aboriginal health practitioners
- aboriginal health workers
- smoking cessation
- smoking in pregnancy
- tobacco control