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Smokefree leadership among the Yolŋu peoples of East Arnhem Land, Northern Territory: a qualitative study
Journal article   Peer reviewed

Smokefree leadership among the Yolŋu peoples of East Arnhem Land, Northern Territory: a qualitative study

Marita Hefler, David P Thomas and Moana Pera Tane
Global health promotion, Vol.27(2), pp.100-108
06/2020
DOI: https://doi.org/10.1177/1757975919829405
PMID: 31232171

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Abstract

Adult Australia - epidemiology Child Consensus Cultural Characteristics Culture Female Health Personnel - statistics & numerical data Health Services, Indigenous - statistics & numerical data Humans Leadership Male Northern Territory - epidemiology Prevalence Qualitative Research Smoking - epidemiology Smoking Cessation - ethnology Smoking Cessation - methods Smoking Prevention - methods Social Environment Tobacco Smoke Pollution - prevention & control Tobacco Use - ethnology Tobacco Use - prevention & control Tobacco Use - psychology
This qualitative study examined smokefree leadership among the Yolŋu people, Indigenous landowners of East Arnhem Land. Despite disproportionately high smoking prevalence, the study found that most people enacted smokefree leadership within families and communities. While there was broad concern about not impinging on the autonomy of others, Indigenous health workers regularly advised clients, family and community members to quit smoking. This followed a general belief that the issue of smoking was best raised by health workers, rather than traditional leaders. Protecting children from second-hand smoke and preventing smoking initiation was important to all participants irrespective of their smoking status. An enduring and highly valued cultural connection to (tobacco) remains an essential part of the sacred practices of the funeral ceremony, an important and unique social utility. The study found consensus among participants that this would not change. Navigating traditional connections to ŋarali' in a context where most people are still addicted to commercial tobacco is challenging and requires respectful and culturally compelling approaches. Tobacco control initiatives with the Yolŋu should therefore utilise existing smokefree leaders within the social context in which ŋarali' is valued and used, an approach that may resonate with other Indigenous Australian nations and communities.

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