'It had to be my choice' Indigenous smoking cessation and negotiations of risk, resistance and resilience

Bond, Chelsea, Brough, Mark, Spurling, Geoffrey and Hayman, Noel (2012) 'It had to be my choice' Indigenous smoking cessation and negotiations of risk, resistance and resilience. Health, Risk and Society, 14 6: 565-581.

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Author Bond, Chelsea
Brough, Mark
Spurling, Geoffrey
Hayman, Noel
Title 'It had to be my choice' Indigenous smoking cessation and negotiations of risk, resistance and resilience
Journal name Health, Risk and Society   Check publisher's open access policy
ISSN 1369-8575
1469-8331
Publication date 2012-09
Sub-type Article (original research)
DOI 10.1080/13698575.2012.701274
Volume 14
Issue 6
Start page 565
End page 581
Total pages 17
Place of publication Abingdon, Oxon, England
Publisher Routledge
Collection year 2013
Language eng
Abstract While Australia is considered a world leader in tobacco control, smoking rates within the Aboriginal and Torres Strait Islander population have not declined at the same rate. This failure highlights an obvious shortcoming of mainstream anti-smoking efforts to effectively understand and engage with the socio-cultural context of Indigenous smoking and smoking cessation experiences. The purpose of this article is to explore the narrative accounts of 20 Indigenous ex-smokers within an urban community and determine the motivators and enablers for successful smoking cessation. Our findings indicated that health risk narratives and the associated social stigma produced through anti-smoking campaigns formed part of a broader apparatus of oppression among Indigenous people, often inspiring resistance and resentment rather than compliance. Instead, a significant life event and supportive relationships were the most useful predictors of successful smoking cessation acting as both a motivator and enabler to behavioural change. Indigenous smoking cessation narratives most commonly involved changing and reordering a person's life and identity and autonomy over this process was the critical building block to reclaiming control over nicotine addiction. Most promisingly, at an individual level, we found the important role that individual health professionals played in encouraging and supporting Indigenous smoking cessation through positive rather than punitive interactions. More broadly, our findings highlighted the central importance of resilience, empowerment and trust within health promotion practice.
Keyword Public health
Stigma
Risk
Trust
Indigenous
Smoking cessation
Smoking
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
Official 2013 Collection
School of Medicine Publications
 
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Created: Tue, 25 Sep 2012, 12:44:46 EST by Matthew Lamb on behalf of School of Medicine