Aboriginal Australians, including Aboriginal Health Workers (AHWs), smoke at rates double the non-Aboriginal population. This study utilized concept mapping methodology to identify and prioritize culturally relevant strategies to promote smoking cessation in AHWs. Stakeholder participants included AHWs, other health service employees and tobacco control personnel. Smoking cessation strategies (n = 74) were brainstormed using 34 interviews, 3 focus groups and a stakeholder workshop. Stakeholders sorted strategies into meaningful groups and rated them on perceived importance and feasibility. A concept map was developed using multi-dimensional scaling and hierarchical cluster analyses. Ten unique clusters of smoking cessation strategies were depicted that targeted individuals, family and peers, community, workplace and public policy. Smoking cessation resources and services were represented in addition to broader strategies addressing social and environmental stressors that perpetuate smoking and make quitting difficult. The perceived importance and feasibility of clusters were rated differently by participants working in health services that were government-coordinated compared with community-controlled. For health service workers within vulnerable populations, these findings clearly implicate a need for contextualized strategies that mitigate social and environmental stressors in addition to conventional strategies for tobacco control. The concept map is being applied in knowledge translation to guide development of smoking cessation programs for AHWs.

译文

:包括澳大利亚原住民卫生工作者(AHWs)在内的澳大利亚原住民吸烟率是非原住民人口的两倍。这项研究利用概念图方法论来确定和优先考虑与文化相关的策略,以促进AHW中的戒烟。利益相关者的参与者包括AHW,其他卫生服务员工和烟草控制人员。通过34次访谈,3个焦点小组和一个利益相关者研讨会,集体讨论了戒烟策略(n = 74)。利益相关者将策略分为有意义的组,并根据感知到的重要性和可行性对它们进行评级。使用多维缩放和层次聚类分析开发了概念图。描绘了十个独特的戒烟策略组,这些策略针对个人,家庭和同龄人,社区,工作场所和公共政策。除更广泛的策略解决了使吸烟永久化和使戒烟困难的社会和环境压力外,还代表了戒烟资源和服务。在政府协调的卫生服务机构与社区控制的卫生服务机构中,参与者对集群的重要性和可行性的看法有所不同。对于脆弱人群中的卫生服务工作者,这些发现显然暗示着除了传统的烟草控制策略外,还需要有针对性的策略来减轻社会和环境压力。概念图已应用于知识翻译中,以指导针对AHW的戒烟计划的开发。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录