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Community-based pain programs commissioned by primary health networks: key findings from an online survey and consultation with program managers
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In: Australian Journal of Primary Health (2022)
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Community-based pain programs commissioned by primary health networks: key findings from an online survey and consultation with program managers
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Evolution of hoteliers' organizational crisis communication in the time of mega disruption
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Using rank-frequency and type-token statistics to compare morphological typology in the Celtic languages
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Units and constituency in prosodic analysis:a quantitative assessment
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Evidence for a comprehensive approach to Aboriginal tobacco control to maintain the decline in smoking: An overview of reviews among Indigenous peoples
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Chamberlain, Catherine; Perlan, Susan; Brennan, Sue; Rychetnik, Lucie; Thomas, David; Maddox, Raglan; Alam, Noore; Banks, Emily; Wilson, Andrew; Eades, Sandra
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In: Medical Papers and Journal Articles (2017)
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Abstract:
Background: Tobacco smoking is a leading cause of disease and premature mortality among Aboriginal and Torres Strait Islander (Indigenous) Australians. While the daily smoking prevalence among Indigenous Australians has declined significantly from 49% in 2001, it remains about three times higher than that of non-Indigenous Australians (39 and 14%, respectively, for age ≥15 years in 2014–15). This overview of systematic reviews aimed to synthesise evidence about reducing tobacco consumption among Indigenous peoples using a comprehensive framework for Indigenous tobacco control in Australia comprised of the National Tobacco Strategy (NTS) and National Aboriginal and Torres Strait Islander Health Plan (NATSIHP) principles and priorities. Methods: MEDLINE, EMBASE, systematic review and Indigenous health databases were searched (2000 to Jan 2016) for reviews examining the effects of tobacco control interventions among Indigenous peoples. Two reviewers independently screened reviews, extracted data, and assessed review quality using Assessing the Methodological Quality of Systematic Reviews. Data were synthesised narratively by framework domain. Reporting followed the PRISMA statement. Results: Twenty-one reviews of varying quality were included. There was generally limited Indigenous-specific evidence of effective interventions for reducing smoking; however, many reviewers recommended multifaceted interventions which incorporate Indigenous leadership, partnership and engagement and cultural tailoring. Under the NTS priority areas, reviewers reported evidence for brief smoking cessation interventions and pharmacological support, mass media campaigns (on knowledge and attitudes) and reducing affordability and regulation of tobacco sales. Aspects of intervention implementation related to the NATSIHP domains were less well described and evidence was limited; however, reviewers suggested that cultural tailoring, holistic approaches and building workforce capacity were important strategies to address barriers. There was limited evidence regarding social media and mobile applications, for Indigenous youth, pregnant women and prisoners, and no evidence regarding interventions to protect communities from industry interference, the use of electronic cigarettes, interventions for people experiencing mental illness, juvenile justice, linguistic diversity or ‘pubs, clubs and restaurants’. Conclusions: There is limited Indigenous-specific evidence for most tobacco interventions. A ‘comprehensive approach’ incorporating NTS and NATSIHP Principles and Priorities of partnership and engagement, evidence from other settings, programme logic and responsive evaluation plans may improve intervention acceptability, effectiveness and implementation and mitigate risks of adapting tobacco evidence for Indigenous Australians.
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Keyword:
Aboriginal; framework; Indigenous; Medicine and Health Sciences; overview; smoking; systematic review; tobacco
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URL: https://researchonline.nd.edu.au/cgi/viewcontent.cgi?article=1863&context=med_article
https://researchonline.nd.edu.au/med_article/860
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Continuous modelling of verse lengths in Welsh and Gaelic metrical psalmody
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| 14 |
The Inevitable Student: Composition Theory, Pedagogy, and the Politics of the Student Writer
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Synthetism and analytism in the Celtic languages:applying some newer typological indicators based on rank-frequency statistics
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Sports utility semiotics:a semantic differential study of symbolic potential in automobile design
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