Research methods of Talking About The Smokes: an International Tobacco Control Policy Evaluation Project study with Aboriginal and Torres Strait Islander Australians

Thomas, D.; Briggs, Viki; Couzos, Sophie; Davey, Maureen; Hunt, Jennifer; Panaretto, Kathryn S; Sterren, Anke E van der; Stevens, Matthew; Nicholson, Anna; Borland, Ron

doi:10.5694/mja14.00874

Cited by 28 publications

(69 citation statements)

References 8 publications

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“…The baseline sample closely matched the sample distribution of the 2008 National Aboriginal and Torres Strait Islander Social Survey (NATSISS) by age, sex, jurisdiction and remoteness, and also number of cigarettes smoked per day for current daily smokers. However, there were inconsistent differences in some socioeconomic indicators: our sample had higher proportions of unemployed people, but also higher proportions who had completed Year 12 and who lived in more advantaged areas 25 …”

Section: Methodssupporting

confidence: 91%

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Smoking‐related knowledge and health risk beliefs in a national sample of Aboriginal and Torres Strait Islander people

Nicholson

Borland

Couzos

et al. 2015

Medical Journal of Australia

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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 non‐daily 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.

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Section: Methodssupporting

confidence: 91%

“…A single survey of health service activities, including whether there were dedicated tobacco control resources, was completed for each site. The project was approved by three Aboriginal human research ethics committees (HRECs) and two HRECs with Aboriginal subcommittees () 25 …”

Section: Methodssupporting

confidence: 90%

Smoking‐related knowledge and health risk beliefs in a national sample of Aboriginal and Torres Strait Islander people

Nicholson

Borland

Couzos

et al. 2015

Medical Journal of Australia

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“…In the first of these waves, 2522 community members and 645 ACCHS staff were surveyed from April 2012 to October 2013. The research methods and baseline sample are described elsewhere 18 …”

Section: Introductionmentioning

confidence: 99%

“…The TATS project is one of many studies within the International Tobacco Control Policy Evaluation Project (ITC Project) to follow nationally representative cohorts of smokers, to measure psychosocial and behavioural impacts of tobacco control policies 17 . However, it is the first to sample only a high‐prevalence subpopulation within a country 18 …”

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confidence: 99%

Talking About The Smokes: a large‐scale, community‐based participatory research project

Couzos

Nicholson

Hunt

et al. 2015

Medical Journal of Australia

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Objective: To describe the Talking About The Smokes (TATS) project according to the World Health Organization guiding principles for conducting community‐based participatory research (PR) involving indigenous peoples, to assist others planning large‐scale PR projects. Design, setting and participants: The TATS project was initiated in Australia in 2010 as part of the International Tobacco Control Policy Evaluation Project, and surveyed a representative sample of 2522 Aboriginal and Torres Strait Islander adults to assess the impact of tobacco control policies. The PR process of the TATS project, which aimed to build partnerships to create equitable conditions for knowledge production, was mapped and summarised onto a framework adapted from the WHO principles. Main outcome measures: Processes describing consultation and approval, partnerships and research agreements, communication, funding, ethics and consent, data and benefits of the research. Results: The TATS project involved baseline and follow‐up surveys conducted in 34 Aboriginal community‐controlled health services and one Torres Strait community. Consistent with the WHO PR principles, the TATS project built on community priorities and strengths through strategic partnerships from project inception, and demonstrated the value of research agreements and trusting relationships to foster shared decision making, capacity building and a commitment to Indigenous data ownership. Conclusions: Community‐based PR methodology, by definition, needs adaptation to local settings and priorities. The TATS project demonstrates that large‐scale research can be participatory, with strong Indigenous community engagement and benefits.

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“…Ongoing cohort study. Specifically, this could include cohort studies that have tobacco questions, including the Talking about the Smokes, 30 the Longitudinal Study of Indigenous Children 31 and Mayi Kuwayu longitudinal study. 32 3.…”

Section: Options For Improving Data Quality For Regional Analysismentioning

confidence: 99%

Enhancing national data to align with policy objectives: Aboriginal and Torres Strait Islander smoking prevalence at finer geographic levels

Wright

Lovett

Roe

2018

Aust. Health Review

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Objectives. The aim of the study was to assess the utility of national Aboriginal survey data in a regional geospatial analysis of daily smoking prevalence for Aboriginal and Torres Strait Islander Australians and discuss the appropriateness of this analysis for policy and program impact assessment.Methods. Data from the last two Australian Bureau of Statistics (ABS) national surveys of Aboriginal and Torres Strait Islander people, the National Aboriginal and Torres Strait Islander Social Survey 2014-15 (n = 7022 adults) and the National Aboriginal and Torres Strait Islander Health Survey 2012-13 (n = 10 896 adults), were used to map the prevalence of smoking by Indigenous regions.Results. Daily smoking prevalence in 2014-15 at Indigenous regions ranges from 27.1% (95%CI 18.9-35.3) in the Toowoomba region in Queensland to 68.0% (95%CI 58.1-77.9) in the Katherine region in the Northern Territory. The confidence intervals are wide and there is no significant difference in daily smoking prevalence between the two time periods for any region.Conclusion. There are significant limitations with analysing national survey data at finer geographical scales. Given the national program for Indigenous tobacco control is a regional model, evaluation requires finer geographical analysis of smoking prevalence to inform public health progress, policy and program effects. Options to improve the data currently collected include increasing national survey sample sizes, implementing a smoking status question in census surveys, investing in current cohort studies focused on this population or implementing localised surveys. What is known about the topic?The last geospatial analysis of Aboriginal and Torres Strait Islander smoking prevalence was undertaken in 1997.

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Research methods of Talking About The Smokes: an International Tobacco Control Policy Evaluation Project study with Aboriginal and Torres Strait Islander Australians

Cited by 28 publications

References 8 publications

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

Talking About The Smokes: a large‐scale, community‐based participatory research project

Enhancing national data to align with policy objectives: Aboriginal and Torres Strait Islander smoking prevalence at finer geographic levels

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