Connect
MJA
MJA

Smoking cessation advice and non-pharmacological support in a national sample of Aboriginal and Torres Strait Islander smokers and ex-smokers

David P Thomas, Pele T Bennet, Viki L Briggs, Sophia Couzos, Jennifer M Hunt, Kathryn S Panaretto, Matthew Stevens and Ron Borland
Med J Aust 2015; 202 (10): 73-77. || doi: 10.5694/mja15.00293

Summary

Objectives: To describe recall among a national sample of Aboriginal and Torres Strait Islander smokers and recent ex-smokers of having received advice to quit smoking and referral to non-pharmacological cessation support from health professionals, and their association with quit attempts.

Design, setting and participants: The Talking About The Smokes project used a quota sampling design to recruit 1721 smokers and ex-smokers who had quit ≤ 12 months previously from communities served by 34 Aboriginal community-controlled health services and one community in the Torres Strait. Baseline surveys were conducted from April 2012 to October 2013. Results for daily smokers were compared with 1412 Australian daily smokers surveyed by the International Tobacco Control Policy Evaluation Project between 2006 and 2011.

Main outcome measures: Participants' recall of having been: seen by a health professional in the past year, asked if they smoke, advised to quit, and referred to other cessation support services; and having made a quit attempt in the past year.

Results: Compared with other Australian daily smokers, higher proportions of Aboriginal and Torres Strait Islander daily smokers saw a health professional in the past year (76% v 68.1%) and were advised to quit smoking (75% v 56.2% of those seen). Most Aboriginal and Torres Strait daily smokers who saw a health professional recalled being asked if they smoke (93%). Aboriginal and Torres Strait Islander daily smokers who had been advised to quit were more likely to have made a quit attempt in the past year than those who had not (odds ratio, 2.00; 95% CI, 1.58–2.52). Among all Aboriginal and Torres Strait Islander smokers and recent ex-smokers who had been advised to quit, 49% were given a pamphlet or brochure on how to quit, but fewer were referred to the telephone Quitline (28%), a quit-smoking website (27%) or a local quit course, group or clinic (16%).

Conclusion: Most Aboriginal and Torres Strait Islander daily smokers recalled being recently advised by a health professional to quit, which was associated with making a quit attempt.

Please login with your free MJA account to view this article in full

  • David P Thomas1
  • Pele T Bennet2
  • Viki L Briggs3
  • Sophia Couzos4
  • Jennifer M Hunt5
  • Kathryn S Panaretto6
  • Matthew Stevens1
  • Ron Borland7

  • 1 Menzies School of Health Research, Darwin, NT.
  • 2 Queensland Aboriginal and Islander Health Council, Brisbane, QLD.
  • 3 University of Melbourne, Melbourne, VIC.
  • 4 James Cook University, Townsville, QLD.
  • 5 Aboriginal Health & Medical Research Council, Sydney, NSW.
  • 6 University of South Australia, Adelaide, SA.
  • 7 Cancer Council Victoria, Melbourne, VIC.


Acknowledgements: 

The full list of acknowledgements is available in Appendix 3.

Competing interests:

No relevant disclosures.

  • 1. Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years' observations on male British doctors. BMJ 2004; 328: 1519.
  • 2. Stead LF, Buitrago D, Preciado N, et al. Physician advice for smoking cessation. Cochrane Database Syst Rev 2013; (5): CD000165.
  • 3. Cahill K, Stevens S, Perera R, Lancaster T. Pharmacological interventions for smoking cessation: an overview and network meta-analysis. Cochrane Database Syst Rev 2013; (5): CD009329.
  • 4. Stead LF, Hartmann-Boyce J, Perera R, Lancaster T. Telephone counselling for smoking cessation. Cochrane Database Syst Rev 2013; (8): CD002850.
  • 5. Civljak M, Stead LF, Hartmann-Boyce J, et al. Internet-based interventions for smoking cessation. Cochrane Database Syst Rev 2013; (7): CD007078.
  • 6. Hartmann-Boyce J, Lancaster T, Stead LF. Print-based self-help interventions for smoking cessation. Cochrane Database Syst Rev 2014; (6): CD001118.
  • 7. Stead LF, Lancaster T. Group behaviour therapy programmes for smoking cessation. Cochrane Database Syst Rev 2005; (2): CD001007.
  • 8. Lancaster T, Stead LF. Individual behavioural counselling for smoking cessation. Cochrane Database Syst Rev 2005; (2): CD001292.
  • 9. Cooper J, Borland R, Yong HH. Australian smokers increasingly use help to quit, but number of attempts remains stable: findings from the International Tobacco Control Study 2002-09. Aust N Z J Public Health 2011; 35: 368-376.
  • 10. Harris MF, Fanaian M, Jayasinghe UW, et al. What predicts patient-reported GP management of smoking, nutrition, alcohol, physical activity and weight? Aust J Prim Health 2012; 18: 123-128.
  • 11. Borland R, Li L, Driezen P, et al. Cessation assistance reported by smokers in 15 countries participating in the International Tobacco Control (ITC) policy evaluation surveys. Addiction 2012; 107: 197-205.
  • 12. Australian Bureau of Statistics. Australian Aboriginal and Torres Strait Islander Health Survey: updated results, 2012–13. Canberra: ABS, 2014. (ABS Cat. No. 4727.0.55.006.)
  • 13. Winstanley M (updated by van der Sterren A, Knoche D). Tobacco use among Aboriginal people and Torres Strait Islanders. In: Scollo MM, Winstanley MH, editors. Tobacco in Australia: facts and issues. 4th ed. Melbourne: Cancer Council Victoria, 2012. http://www.tobaccoinaustralia.org.au/chapter-8-aptsi (accessed Apr 2015).
  • 14. Calma T. Tackling Indigenous smoking. Of Substance 2011; 9: 28-29.
  • 15. Thomas DP, Briggs VL, Couzos S, et al. Use of nicotine replacement therapy and stop-smoking medicines in a national sample of Aboriginal and Torres Strait Islander smokers and ex-smokers. Med J Aust 2015; 202 (10 Suppl): S78-S84. <MJA full text>
  • 16. Thomas DP, Briggs VL, Couzos S, et al. Research methods of Talking About The Smokes: an International Tobacco Control Policy Evaluation Project study with Aboriginal and Torres Strait Islander Australians. Med J Aust 2015; 202 (10 Suppl): S5-S12. <MJA full text>
  • 17. Couzos S, Nicholson AK, Hunt JM, et al. Talking About The Smokes: a large-scale, community-based participatory research project. Med J Aust 2015; 202 (10 Suppl): S13-S19. <MJA full text>
  • 18. International Tobacco Control Policy Evaluation Project. Surveys. http://www.itcproject.org/surveys (accessed Apr 2015).
  • 19. StataCorp. Stata survey data reference manual: release 13. College Station, Tex: StataCorp, 2013. http://www.stata.com/manuals13/svy.pdf (accessed Apr 2015).
  • 20. Passey M, Sanson-Fisher RW. Provision of antenatal smoking cessation support: a survey with pregnant Aboriginal and Torres Strait Islander women. Nicotine Tob Res 2015: 17: 746-749.
  • 21. Hearn S, Nancarrow H, Rose M, et al. Evaluating NSW SmokeCheck: a culturally specific smoking cessation training program for health professionals working in Aboriginal health. Health Promot J Austr 2011; 22: 189-195.
  • 22. Harvey D, Tsey K, Cadet-James Y, et al. An evaluation of tobacco brief intervention training in three indigenous health care settings in north Queensland. Aust N Z J Public Health 2002; 26: 426-431.
  • 23. Johnston V, Thomas DP. What works in Indigenous tobacco control? The perceptions of remote Indigenous community members and health staff. Health Promot J Austr 2010; 21: 45-50.
  • 24. Bond C, Brough M, Spurling G, Hayman N. “It had to be my choice” Indigenous smoking cessation and negotiations of risk, resistance and resilience. Health Risk Soc 2012; 14: 565-581.
  • 25. Robertson J, Conigrave K, Ivers R, et al. Addressing high rates of smoking in remote Aboriginal communities — new evidence for GPs. Aust Fam Physician 2013; 42: 492-496.
  • 26. Marley JV, Atkinson D, Kitaura T, et al. The Be Our Ally Beat Smoking (BOABS) study, a randomised controlled trial of an intensive smoking cessation intervention in a remote Aboriginal Australian health care setting. BMC Public Health 2014; 14: 32.
  • 27. Cosh S, Maksimovic L, Ettridge K, et al. Aboriginal and Torres Strait Islander utilisation of the Quitline service for smoking cessation in South Australia. Aust J Prim Health 2013; 19: 113-118.
  • 28. Balmford J, Borland R. What does it mean to want to quit? Drug Alcohol Rev 2008; 27: 21-27.

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Responses are now closed for this article.