Smoking-related knowledge and health risk beliefs in a national sample of Aboriginal and Torres Strait Islander people
Smoking-related knowledge and health risk beliefs in a national sample of Aboriginal and Torres Strait Islander people
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DOI：
10.5694/mja14.00877
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发表时间：
2015-06-01
影响因子：
11.4
通讯作者：
Thomas, David P.
中科院分区：
文献类型：
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作者：
Nicholson, Anna K.;Borland, Ron;Thomas, David P.
目的：描述土著居民和托雷斯海峡岛民对吸烟健康后果的一般知识和感知风险;评估吸烟者的知识是否不同，以及更高的知识和感知风险是否与戒烟相关。设计、设置和参与者：“谈论吸烟”项目采用配额抽样，从34个土著社区服务的社区招募参与者，控制卫生服务和一个社区在托雷斯海峡。从2012年4月至2013年10月收集了2522名土著和托雷斯海峡岛民成年人的基线调查数据。主要结果指标：吸烟的直接影响和二手烟危害（SHS）的知识，风险最小化，健康担忧，想要和试图戒烟。大多数每天吸烟的土著居民和托雷斯海峡岛民参与者都知道吸烟会导致肺癌（94%），心脏病（89%）和低出生体重（82%），但很少有人知道它会使糖尿病恶化（68%）。同样，几乎所有每天吸烟的人都知道SHS的危害：它对非吸烟者（90%）和儿童（95%）是危险的，它会导致儿童哮喘（91%）。每日吸烟者的知识水平低于非每日吸烟者，戒烟者和从不吸烟者。在吸烟者中，更大的知识SHS危害与健康的担忧，想戒烟，并试图戒烟，在过去的一年中，但知识吸烟的直接危害是不是.Conclusion：缺乏基本知识的健康后果吸烟是不是一个重要的障碍，试图戒烟的土著和托雷斯海峡岛民吸烟者。以涵盖他人健康的方式构建关于吸烟对健康的负面影响的新信息可能有助于土著和托雷斯海峡岛民设定目标和优先戒烟。
Objectives: To describe general knowledge and perceived risk of the health consequences of smoking among Aboriginal and Torres Strait Islander people; and to assess whether knowledge varies among smokers and whether higher knowledge and perceived risk are associated with quitting.Design, setting and participants: The Talking About The Smokes project used quota sampling to recruit participants from communities served by 34 Aboriginal community-controlled health services and one community in the Torres Strait. Baseline survey data were collected from 2522 Aboriginal and Torres Strait Islander adults from April 2012 to October 2013.Main outcome measures: Knowledge of direct effects of smoking and harms of second-hand smoke (SHS), risk minimisation, health worry, and wanting and attempting to quit.Results: Most Aboriginal and Torres Strait Islander participants who were daily smokers demonstrated knowledge that smoking causes lung cancer (94%), heart disease (89%) and low birthweight (82%), but fewer were aware that it makes diabetes worse (68%). Similarly, almost all daily smokers knew of the harms of SHS: that it is dangerous to non-smokers (90%) and children (95%) and that it causes asthma in children (91%). Levels of knowledge among daily smokers were lower than among nondaily smokers, ex-smokers and never-smokers. Among smokers, greater knowledge of SHS harms was associated with health worry, wanting to quit and having attempted to quit in the past year, but knowledge of direct harms of smoking was not.Conclusion: Lack of basic knowledge about the health consequences of smoking is not an important barrier to trying to quit for Aboriginal and Torres Strait Islander smokers. Framing new messages about the negative health effects of smoking in ways that encompass the health of others is likely to contribute to goal setting and prioritising quitting among Aboriginal and Torres Strait Islander people.