Australian and New Zealand Indigenous mothers’ report respect for smoking bans in homes

Substance misuse intervention research in remote Indigenous Australian communities since the NHMRC ‘Roadmap’

“…Project A3 found that infants of breastfeeding mothers had higher exposure to tobacco smoke, despite successful and willing management of smoke‐free homes and cars 30,31 . Encouraging behaviours reported qualitatively but not captured objectively by the designed outcome measures were high willingness to participate in A2 23 , A3 28,29 and B2 30 and the value of local ownership, flexibility and cultural safety in A1 31 …”

“…measures were high willingness to participate in A2 23, A3 28,29 and B2 30 and the value of local ownership, flexibility and cultural safety in A1. 31 It appeared that in all contexts, participants' home environments and local relationships exerted powerful influences that were difficult for intervention components to influence, even with the use of local trained health workers and face-to-face counselling or home visits.…”

Challenges in Enforcing Home Smoking Rules in a Low-Income Population: Implications for Measurement and Intervention Design

“…The situations that made it difficult to enforce bans were similar to those reported in our past qualitative research and other studies, including parties, bad weather, and special guests. 9,10,19,27 Future research should examine whether exceptions to rules are common as rules are newly integrated into family norms or if they indicate a household likely to return to former indoor smoking practices. Similar to legislative policies to ban SHS in public areas and worksites, it is important for homes instituting bans to identify and handle exceptions or enforcement challenges.…”

“…Several factors may make the enforcement of these rules difficult such as having visitors who smoke, being uncomfortable asking visitors to refrain from smoking in the home, and resistance from smokers living in the home. [9][10][11] Concern over leaving young children alone inside the home may be another barrier, as may outdoor conditions such as bad weather or darkness. 9,[12][13][14] The purpose of the present study is to describe exceptions to household smoking rules and enforcement challenges and to examine predictors of enforcement challenges.…”

Pediatricians Do Not Ask Routinely About Parental Smoking Habits

“…This value is surprisingly low compared to other countries (data in preparation). In Australia, up to 96% of respondents claim that they prohibit smoking in the car (6). In Wales, only 9% of the respondents agree for smoking inside the vehicle which is used by the child (7).…”