"It's a big conversation": Views of service personnel on systemic barriers to preventing smoking relapse among pregnant and postpartum Aboriginal and Torres Strait Islander women - A qualitative study

Tabassum Rahman; Jessica Bennett; Michelle Kennedy; Amanda L Baker; Gillian Gould

doi:10.1016/j.midw.2024.104163

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"It's a big conversation": Views of service personnel on systemic barriers to preventing smoking relapse among pregnant and postpartum Aboriginal and Torres Strait Islander women - A qualitative study

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"It's a big conversation": Views of service personnel on systemic barriers to preventing smoking relapse among pregnant and postpartum Aboriginal and Torres Strait Islander women - A qualitative study

Tabassum Rahman, Jessica Bennett, Michelle Kennedy, Amanda L Baker and Gillian Gould

Midwifery, Vol.139, p.104163

01/12/2024

DOI: https://doi.org/10.1016/j.midw.2024.104163

PMID: 39243596

Appears in Recent Faculty of Health Publications

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Abstract

Smoking cessation

Policy

Pregnancy - treatment and intervention

Relapse prevention

Aboriginal and Torres Strait Islander women

Health services

Health systems

Aboriginal and Torres Strait Islander health services

Aboriginal and Torres Strait Islander health promotion

Aboriginal and Torres Strait Islander health system performance

Aboriginal and Torres Strait Islander determinants of health

Background Providing smoking cessation care has not successfully prevented women who quit smoking during pregnancy from relapsing due to multi-level barriers. Aim This paper explores systemic barriers to providing smoking cessation care, focusing on relapse prevention among pregnant and postpartum Aboriginal and Torres Strait Islander women (hereafter Aboriginal). Methods Twenty-six interviews were conducted between October 2020 and July 2021 with health professionals, health promotion workers and managers working in Aboriginal smoking cessation across six Australian states and territories. Data were thematically analysed. Findings Themes emerging from the data included: a) limited time, competing priorities and shortage of health professionals; b) a need for more knowledge and skills for health professionals; c) influences from funding allocations and current models of smoking cessation care; d) lack of relevance of anti-tobacco messages to pregnancy and postpartum relapse; and e) ways forward. Several barriers emerged from policies influencing access to resources and approaches to smoking cessation care for Aboriginal women. Individual-level maternal smoking cessation care provision was often under-resourced and time-constrained to adequately meet Aboriginal women's needs. Identified needs for health professionals included more time, knowledge and skills, better cultural awareness for non-Indigenous health professionals, and salient anti-tobacco messages for pregnant women related to long-term cessation. Conclusion To drive smoking cessation in pregnant and postpartum Aboriginal women, we recommend adequately reimbursing midwives and Aboriginal Health Workers/Professionals to allow them to provide intensive support, build confidence in Quitline, continue health professionals’ capacity-building and allocate consistent funding to initiatives that have been efficacious with Aboriginal women.

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Title: "It's a big conversation": Views of service personnel on systemic barriers to preventing smoking relapse among pregnant and postpartum Aboriginal and Torres Strait Islander women - A qualitative study
Creators: Tabassum Rahman - University of Melbourne
Jessica Bennett - University of Newcastle Australia
Michelle Kennedy - University of Newcastle Australia
Amanda L Baker - University of New South Wales
Gillian Gould - Southern Cross University, Faculty of Health
Publication Details: Midwifery, Vol.139, p.104163
Publisher: Churchill Livingstone; London
Number of pages: 9
Grant note: TR conducted this study as part of her doctoral research project. She received PhD scholarship awarded from the Supporting Indigenous Smokers To Assist Quitting (SISTAQUIT) program in conjunction with the Research Training Program, University of Newcastle, Australia. Dissemination of the study was supported by Royal Australian College of General Practitioners Foundation for funding this study through the Bank of Queensland Specialist Grant 2019. Open access costs have been covered under an open access publishing agreement between the University of Melbourne and Elsevier.
Identifiers: 991013218513802368
Academic Unit: Faculty of Health
Language: English
Resource Type: Journal article

"It's a big conversation": Views of service personnel on systemic barriers to preventing smoking relapse among pregnant and postpartum Aboriginal and Torres Strait Islander women - A qualitative study

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