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

Bond, Chelsea, Brough, Mark, Spurling, Geoffrey, & 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), pp. 565-581.

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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.

Impact and interest:

18 citations in Scopus
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17 citations in Web of Science®

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ID Code: 55329
Item Type: Journal Article
Refereed: Yes
Keywords: Smoking, Smoking cessation, Indigenous, Risk, Trust, Stigma, Public health, Aboriginal and Torres Strait Islander
DOI: 10.1080/13698575.2012.701274
ISSN: 1469-8331
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Aboriginal and Torres Strait Islander Health (111701)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health Promotion (111712)
Divisions: Current > QUT Faculties and Divisions > Chancellery
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2012 Taylor and Francis
Copyright Statement: This is a preprint of an article submitted for consideration in the Health, Risk and Society © 2012 [copyright Taylor & Francis]; Health, Risk and Society is available online at: www.tandfonline.com
Deposited On: 10 Dec 2012 01:17
Last Modified: 25 Feb 2015 02:46

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