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Study protocol--Indigenous Australian social networks and the impact on smoking policy and programs in Australia: protocol for a mixed-method prospective study.

Maddox R, Davey R, Cochrane T, Lovett R, van der Sterren A - BMC Public Health (2013)

Bottom Line: Comprehensive tobacco control has reduced smoking rates in Australia from approximately 34 per cent in 1980 to 15 per cent in 2010.The evidence of effective tobacco control strategies for Indigenous Australians is relatively scarce.This will add to the evidence-base, identifying influential factors to tobacco use and the effectiveness and influence of a multi-component tobacco control strategy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre for Research and Action in Public Health, University of Canberra, University Drive, Canberra, ACT 2606, Australia. Raglan.Maddox@canberra.edu.au.

ABSTRACT

Background: Tobacco use is the most preventable cause of morbidity and mortality in Australia. Comprehensive tobacco control has reduced smoking rates in Australia from approximately 34 per cent in 1980 to 15 per cent in 2010. However, 46 per cent of Aboriginal and Torres Strait Islander people (Indigenous Australians) smoke on a daily basis, more than double the rate of non-Indigenous Australians. The evidence of effective tobacco control strategies for Indigenous Australians is relatively scarce. The aim of this study is to (i) explore the influences of smoking in Indigenous Australian people and to (ii) help inform and evaluate a multi-component tobacco control strategy. The study aims to answer the following questions:--do individuals' social networks influence smoking behaviours;--is there an association between various social and cultural factors and being a smoker or non-smoker; and--does a multi-component tobacco control program impact positively on tobacco behaviours, attitudes and beliefs in Indigenous Australians.

Methods and design: Our prospective study will use a mixed-method approach (qualitative and quantitative), including a pre- and post-test evaluation of a tobacco control initiative. The study will explore the social and cultural context underlying Indigenous Australian tobacco use and associated factors which influence smoking behaviour. Primary data will be collected via a panel survey, interviews and focus groups. Secondary data will include de-identified PBS items related to smoking and also data collected from the Quitlines call service. Network analysis will be used to assess whether social networks influence smoking behaviours. For the survey, baseline differences will be tested using chi(2) statistics for the categorical and dichotomous variables and t-tests for the continuous variables, where appropriate. Grounded theory will be used to analyse the interviews and focus groups. Local Aboriginal community controlled organisations will partner in the study.

Discussion: Our study will explore the key factors, including the influence of social networks, that impact on tobacco use and the extent to which smoking behaviours transcend networks within the Indigenous Australian community in the ACT. This will add to the evidence-base, identifying influential factors to tobacco use and the effectiveness and influence of a multi-component tobacco control strategy.

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Network infrastructure.
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Figure 3: Network infrastructure.

Mentions: The interviews will follow an interview guide―informed by components of the National Aboriginal and Torres Strait Islander Social Survey, Health Survey and the National Drug Strategy Household Survey to address the research aim and objectives―to ensure methodological consistency. The interviews will be transcribed verbatim from electronic recordings. The transcripts will be coded using QSR Nvivo 10 and crosschecked with field notes. QSR Nvivo 10 will be utilised in coding each sentence according to meaning and content, supporting the thematic synthesis. As outlined in Figure 3, the text and codes will contribute to capturing the meaning and content of the interviews and each sentence. This will assist to identify similarities and differences, as abstract and analytical themes emerge, grouping the codes in a rational structure. The interview guide and the research objectives will also be utilised to group the sentences to ensure comprehensive analysis. This cyclical process will be repeated until no new themes emerge; adequately describing and explaining the aim and objectives of the research [37,103-106]. As outlined in Figure 4, the use of sentence coding will also assist to synthesize the qualitative research and recognise the concepts from individual interviews [37].


Study protocol--Indigenous Australian social networks and the impact on smoking policy and programs in Australia: protocol for a mixed-method prospective study.

Maddox R, Davey R, Cochrane T, Lovett R, van der Sterren A - BMC Public Health (2013)

Network infrastructure.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3852627&req=5

Figure 3: Network infrastructure.
Mentions: The interviews will follow an interview guide―informed by components of the National Aboriginal and Torres Strait Islander Social Survey, Health Survey and the National Drug Strategy Household Survey to address the research aim and objectives―to ensure methodological consistency. The interviews will be transcribed verbatim from electronic recordings. The transcripts will be coded using QSR Nvivo 10 and crosschecked with field notes. QSR Nvivo 10 will be utilised in coding each sentence according to meaning and content, supporting the thematic synthesis. As outlined in Figure 3, the text and codes will contribute to capturing the meaning and content of the interviews and each sentence. This will assist to identify similarities and differences, as abstract and analytical themes emerge, grouping the codes in a rational structure. The interview guide and the research objectives will also be utilised to group the sentences to ensure comprehensive analysis. This cyclical process will be repeated until no new themes emerge; adequately describing and explaining the aim and objectives of the research [37,103-106]. As outlined in Figure 4, the use of sentence coding will also assist to synthesize the qualitative research and recognise the concepts from individual interviews [37].

Bottom Line: Comprehensive tobacco control has reduced smoking rates in Australia from approximately 34 per cent in 1980 to 15 per cent in 2010.The evidence of effective tobacco control strategies for Indigenous Australians is relatively scarce.This will add to the evidence-base, identifying influential factors to tobacco use and the effectiveness and influence of a multi-component tobacco control strategy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre for Research and Action in Public Health, University of Canberra, University Drive, Canberra, ACT 2606, Australia. Raglan.Maddox@canberra.edu.au.

ABSTRACT

Background: Tobacco use is the most preventable cause of morbidity and mortality in Australia. Comprehensive tobacco control has reduced smoking rates in Australia from approximately 34 per cent in 1980 to 15 per cent in 2010. However, 46 per cent of Aboriginal and Torres Strait Islander people (Indigenous Australians) smoke on a daily basis, more than double the rate of non-Indigenous Australians. The evidence of effective tobacco control strategies for Indigenous Australians is relatively scarce. The aim of this study is to (i) explore the influences of smoking in Indigenous Australian people and to (ii) help inform and evaluate a multi-component tobacco control strategy. The study aims to answer the following questions:--do individuals' social networks influence smoking behaviours;--is there an association between various social and cultural factors and being a smoker or non-smoker; and--does a multi-component tobacco control program impact positively on tobacco behaviours, attitudes and beliefs in Indigenous Australians.

Methods and design: Our prospective study will use a mixed-method approach (qualitative and quantitative), including a pre- and post-test evaluation of a tobacco control initiative. The study will explore the social and cultural context underlying Indigenous Australian tobacco use and associated factors which influence smoking behaviour. Primary data will be collected via a panel survey, interviews and focus groups. Secondary data will include de-identified PBS items related to smoking and also data collected from the Quitlines call service. Network analysis will be used to assess whether social networks influence smoking behaviours. For the survey, baseline differences will be tested using chi(2) statistics for the categorical and dichotomous variables and t-tests for the continuous variables, where appropriate. Grounded theory will be used to analyse the interviews and focus groups. Local Aboriginal community controlled organisations will partner in the study.

Discussion: Our study will explore the key factors, including the influence of social networks, that impact on tobacco use and the extent to which smoking behaviours transcend networks within the Indigenous Australian community in the ACT. This will add to the evidence-base, identifying influential factors to tobacco use and the effectiveness and influence of a multi-component tobacco control strategy.

Show MeSH