Wula (Voices) of Aboriginal women on barriers to accepting smoking cessation support during pregnancy: findings from a qualitative study

Bovill, M., Gruppetta, M., Cadet-James, Y., Clarke, M., Bonevski, B., and Gould, G.S. (2018) Wula (Voices) of Aboriginal women on barriers to accepting smoking cessation support during pregnancy: findings from a qualitative study. Women and Birth, 31 (1). pp. 10-16.

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Abstract

Aim: To gather Aboriginal women's stories of smoking and becoming pregnant to identify the barriers in accepting smoking cessation support during pregnancy.

Methods: Qualitative data were collected through use of yarning methodology between August 2015 and January 2016 by an Aboriginal Researcher with experience in social and community services. A short on-line survey was used to collect quantitative data. Interviews only recorded the therapeutic yarning process, which ranged from 9 to 45 min duration, averaging 30 min. Audio-recorded interviews were transcribed and independently coded. A general inductive analysis was used to determine emergent themes.

Results: Twenty Aboriginal women between 17-38 years of age, who were pregnant or recently given birth, living in the Hunter New England (HNE) area took part. Eleven women were still smoking; nine had quit. Most were highly aware of the implications of smoking for their babies. Major themes identified for accepting support were: ambivalence towards a need for support, health professional advice, reduction in smoking, and attitudes to Nicotine Replacement Therapy (NRT). Women reported being advised to cut down, rather than to quit; reducing consumption may be a barrier to accepting NRT. Women recommended enhanced clinical support and Aboriginal community engagement in cessation care.

Discussion/conclusions: Aboriginal women in the HNE area reported quitting or reducing their cigarette intake during pregnancy. Health Professionals working with Aboriginal women during pregnancy should give consistent messages to quit smoking completely, and offer increased, ongoing and extensive smoking cessation support to Aboriginal mothers. Clinical practices could partner with Aboriginal communities to support the delivery of smoking cessation services. (c) 2017 Australian College of Midwives.

Item ID: 53419
Item Type: Article (Research - C1)
ISSN: 1878-1799
Keywords: smoking, pregnancy, women, aboriginal health, qualitative
Copyright Information: Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
Funders: University of Newcastle (UoN), Australian Heart Foundation Indigenous Scholarships
Projects and Grants: Australian Heart Foundation Indigenous Scholarships 101555
Date Deposited: 21 Mar 2018 07:32
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 100%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920304 Maori Health - Determinants of Health @ 100%
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