Effective strategies to reduce commercial tobacco use in Indigenous communities globally: A systematic review

Minichiello, Alexa; Lefkowitz, Ayla R. F.; Firestone, Michelle; Smylie, Janet; Schwartz, Robert

doi:10.1186/s12889-015-2645-x

Cited by 40 publications

(87 citation statements)

References 71 publications

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“…The modest but consistent evidence reported from smoking cessation interventions illustrates the importance of smoking cessation being considered as part of a multifaceted strategy, and this has been concluded in numerous reviews [18–20, 22, 25, 29, 32, 33, 35, 36]. One review suggests not all interventions need to be culturally adapted, based on evidence demonstrating little difference in effectiveness [21].…”

Section: Resultsmentioning

confidence: 99%

“…Based on findings from the qualitative synthesis, Minichiello [32] suggested there is an increasing ‘community interest’ to prioritise tobacco and a sense of greater self-determination among Indigenous people about developing health interventions. Clifford [31] described the level of Indigenous involvement for each study and found there was involvement in 18 out of 20 studies.…”

Section: Resultsmentioning

confidence: 99%

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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

et al. 2017

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BackgroundTobacco 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.MethodsMEDLINE, 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.ResultsTwenty-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’.ConclusionsThere 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.Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-017-0520-9) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Evidence for a comprehensive approach to Aboriginal tobacco control to maintain the decline in smoking: an overview of reviews among Indigenous peoples

et al. 2017

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“…Researchers concluded there was little evidence that mass media campaigns were effective in reducing smoking rates among Indigenous Australians (Ivers 2011(Ivers , 2014Minichiello et al 2016), which may be due to lack of consistent messaging, difficulty in addressing remote communities, language barriers and so on. A number of campaigns using alternative media, such as apps, DVDs and Facebook ('Quit for you, quit for two', 'Blow away the smokes' and 'Sticking it up the smokes') advocated in the Closing the Gap policy have been initiated in Aboriginal and Torres Strait Islander communities since its declaration in 2009.…”

Section: Anti-smoking Mass Media Advertising Campaign Effectsmentioning

confidence: 99%

“…Such an approach in healthcare mirrors the best practice in customer relationship management (Buttle & Maklan 2015), where a targeted, comprehensive customer-centric (as opposed to organisation-centric) approach has been found successful. While some recommend mass media campaigns (Gould et al 2013), the weight of research tends to favour quit campaigns focused on face-to-face contact (Carson et al 2014;Minichiello et al 2016). In both approaches the campaigns must be culturally targeted.…”

Section: Recommendationsmentioning

confidence: 99%

Reducing smoking in Australia: how to include Aboriginal and Torres Strait Islander people

Williams

Allan

2019

CCS Journal

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Issue addressed: Australia has succeeded in lowering the overall prevalence of tobacco smoking in the last four decades and has enjoyed a worldwide reputation for innovative policy. However, this success has not extended to Indigenous Australians. Method: Narrative review and critique of literature from government, public health, health promotion, marketing and communication on smoking cessation in Australia. Main points: We first consider the history of government anti-smoking measures including legislation and communication initiatives including advertising and sponsorship bans, health warnings and ‘no smoking’ rules affecting anti-smoking norms, culminating in the banning of branding and the advent of tobacco plain packaging. We also review the effects of excise increases and smoking cessation aids such as quit lines and nicotine replacement therapy. For each type of intervention, both population-wide and those specifically directed at Indigenous people, we consider the probable reasons for the failure to reach Aboriginal and Torres Strait Islander people or alter their smoking patterns, and make suggestions for improvements in interventions and their evaluation. Conclusion: The history of anti-smoking initiatives in Australia suggests that community-based health initiatives are likely to be more effective in addressing Indigenous people and helping smokers to quit.

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“…Further, the incorporation of Indigenous leadership, long-term investment and the provision of culturally appropriate materials and activities is critical to further reducing tobacco use. 19,[23][24][25] …”

Section: Implications For Tobacco Controlmentioning

confidence: 99%

The Aboriginal and Torres Strait Islander smoking epidemic: what stage are we at, and what does it mean?

Lovett¹,

Thurber²,

Maddox³

2017

Public Health Res Pr

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Smoking is the leading contributor to the burden of disease among Aboriginal and Torres Strait Islander Australians, and there is considerable potential for change. Understanding the epidemic stage may provide insight into probable trends in smoking-attributable mortality, and inform program and policy development. Tobacco use among Aboriginal and Torres Strait Islander Australians has declined substantially, accompanied by declining tobaccorelated cardiovascular mortality. Based on the available evidence, we expect tobacco-related cancer mortality to remain high, but peak within the next decade; however, there is a critical need for improved evidence to make an accurate assessment. The continuation and expansion of comprehensive tobacco reduction measures is expected to further decrease tobacco use. Health gains will be observed over both the short and long term.

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Effective strategies to reduce commercial tobacco use in Indigenous communities globally: A systematic review

Cited by 40 publications

References 71 publications

Evidence for a comprehensive approach to Aboriginal tobacco control to maintain the decline in smoking: an overview of reviews among Indigenous peoples

Evidence for a comprehensive approach to Aboriginal tobacco control to maintain the decline in smoking: an overview of reviews among Indigenous peoples

Reducing smoking in Australia: how to include Aboriginal and Torres Strait Islander people

The Aboriginal and Torres Strait Islander smoking epidemic: what stage are we at, and what does it mean?

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