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Smoking Cessation in Indigenous Populations of Australia, New Zealand, Canada, and the United States: Elements of Effective Interventions
Centre for Cardiovascular and Chronic Care, University of Technology Sydney, Level 7, 235-253 Jones Street (P.O. Box 123), Broadway, NSW 2007, Australia
Curtin Health Innovation Research Institute (CHIRI), Curtin University, GPO Box U1987 Perth, Western Australia, 6845, Australia
Aboriginal Medical Service Western Sydney, 2 Palmerston Road, Mt. Druitt, New South Wales, 2770, Australia
Department of General Practice, School of Medicine, University of Western Sydney, Locked Bag 1797, Penrith South DC, New South Wales, 1797, Australia
Combined Universities Centre for Rural Health, University of Western Australia, P.O. Box 109, Geraldton, Western Australia, 6531, Australia
* Author to whom correspondence should be addressed.
Received: 30 November 2010; in revised form: 27 January 2011 / Accepted: 28 January 2011 / Published: 31 January 2011
Abstract: Indigenous people throughout the world suffer a higher burden of disease than their non-indigenous counterparts contributing to disproportionate rates of disability. A significant proportion of this disability can be attributed to the adverse effects of smoking. In this paper, we aimed to identify and discuss the key elements of individual-level smoking cessation interventions in indigenous people worldwide. An integrative review of published peer-reviewed literature was conducted. Literature on smoking cessation interventions in indigenous people was identified via search of electronic databases. Documents were selected for review if they were published in a peer-reviewed journal, written in English, published from 1990–2010, and documented an individual-level intervention to assist indigenous people to quit smoking. Studies that met inclusion criteria were limited to Australia, New Zealand, Canada, and the USA, despite seeking representation from other indigenous populations. Few interventions tailored for indigenous populations were identified and the level of detail included in evaluation reports was variable. Features associated with successful interventions were integrated, flexible, community-based approaches that addressed known barriers and facilitators to quitting smoking. More tailored and targeted approaches to smoking cessation interventions for indigenous populations are required. The complexity of achieving smoking cessation is underscored as is the need to collaboratively develop interventions that are acceptable and appropriate to local populations.
Keywords: tobacco; smoking cessation; indigenous; interventions
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DiGiacomo, M.; Davidson, P.M.; Abbott, P.A.; Davison, J.; Moore, L.; Thompson, S.C. Smoking Cessation in Indigenous Populations of Australia, New Zealand, Canada, and the United States: Elements of Effective Interventions. Int. J. Environ. Res. Public Health 2011, 8, 388-410.
DiGiacomo M, Davidson PM, Abbott PA, Davison J, Moore L, Thompson SC. Smoking Cessation in Indigenous Populations of Australia, New Zealand, Canada, and the United States: Elements of Effective Interventions. International Journal of Environmental Research and Public Health. 2011; 8(2):388-410.
DiGiacomo, Michelle; Davidson, Patricia M.; Abbott, Penelope A.; Davison, Joyce; Moore, Louise; Thompson, Sandra C. 2011. "Smoking Cessation in Indigenous Populations of Australia, New Zealand, Canada, and the United States: Elements of Effective Interventions." Int. J. Environ. Res. Public Health 8, no. 2: 388-410.