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


Autoria(s): Bond, Chelsea; Brough, Mark; Spurling, Geoffrey; Hayman, Noel
Data(s)

01/09/2012

Resumo

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.

Formato

application/pdf

Identificador

http://eprints.qut.edu.au/55329/

Publicador

Taylor and Francis

Relação

http://eprints.qut.edu.au/55329/2/55329.pdf

DOI:10.1080/13698575.2012.701274

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.

Direitos

Copyright 2012 Taylor and Francis

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

Fonte

Chancellery; Faculty of Health; Institute of Health and Biomedical Innovation; School of Public Health & Social Work

Palavras-Chave #111701 Aboriginal and Torres Strait Islander Health #111712 Health Promotion #Smoking #Smoking cessation #Indigenous #Risk #Trust #Stigma #Public health #Aboriginal and Torres Strait Islander
Tipo

Journal Article