Establishing smoke-free homes in the Indigenous populations of Australia, New Zealand, Canada and the United States: a systematic literature review

Stevenson, Leah, Campbell, Sandy, Bohanna, India, Gould, Gillian S., Robertson, Jan, and Clough, Alan R. (2017) Establishing smoke-free homes in the Indigenous populations of Australia, New Zealand, Canada and the United States: a systematic literature review. International Journal of Environmental Research and Public Health, 14 (11). 1382.

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A smoke-free home can have multiple benefits by reducing exposure to secondhand smoke (SHS), supporting quit attempts among active smokers, and discouraging adolescents from taking up smoking. The aim of this review was to summarize the literature on the establishment of smoke-free homes in Indigenous populations and identify the supporting influences and barriers, using the Social Cognitive Theory lens. A search of the Medline, CINAHL, Cochrane Collaboration and PyscINFO databases and manual searches of relevant peer-reviewed literature was completed, focusing on Indigenous populations in developed economies of North America and Oceania. Of 2567 articles identified, 15 studies were included. Ten studies included Indigenous participants only, and of these just three focused entirely on SHS in the home. Knowledge of the harms associated with SHS was the most common theme represented in all the studies. This knowledge fueled parents' motivation to protect their children from SHS by establishing smoke-free homes. Individuals who approached implementation with confidence, coupled with clear communication about smoke-free home rules were more successful. Barriers included challenges for families with multiple smokers living in the same dwelling. There is limited research regarding managing smoking behaviors in the home among Indigenous populations, even though this approach is a successful catalyst for smoking prevention and cessation. Research to understand the influences that support the establishment of smoke-free homes is required for better-informed intervention studies.

Item ID: 51880
Item Type: Article (Research - C1)
ISSN: 1660-4601
Keywords: Indigenous populations, smoke-free homes, second-hand smoke, tobacco prevention, Oceania, America
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Funders: Australian Post Graduate Award, National Health and Medical Research Council (NHMRC), Cancer Institute NSW (CI)
Projects and Grants: NHMRC grant no. 1071889, NHMRC APP1092028, CI Early Career Research Fellowship 15/ECF/1-52
Date Deposited: 27 Dec 2017 07:31
FoR Codes: 45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450412 Aboriginal and Torres Strait Islander men’s health and wellbeing @ 100%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920301 Aboriginal and Torres Strait Islander Health - Determinants of Health @ 100%
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