Abstract

This review summarized literature about knowledge, attitudes, and beliefs of Aboriginal and Torres Strait Islander women from Australia who smoke during pregnancy, then examined the extent that existing health promotion materials and media messages aligned with evidence on smoking cessation for pregnant Aboriginal and Torres Strait Islander women. Knowledge, attitudes, and beliefs of pregnant Aboriginal women who smoke tobacco were identified in the literature. Health promotion campaigns were retrieved from a grey literature search with keywords and social and professional networks. Key themes from peer-reviewed papers were compared against the content of health promotion campaigns using the Aboriginal Social and Emotional Wellbeing Model, the Behavior Change Wheel and thematic analysis. Eleven empirical studies and 17 campaigns were included. Empirical studies highlighted women sought holistic care that incorporated nicotine replacement therapy, engaged with their family and community and the potential for education about smoking cessation to empower a woman. Health promotion campaigns had a strong focus on ‘engagement with family and community’, ‘knowledge of risks of smoking,’ ‘giving up vs cutting down’ and ‘culture in language and arts’. There were similarities and variances in the key themes in the research evidence and promotion materials. Topics highly aligned included risks from smoking and quitting related issues.

Highlights

  • MethodsDatabaseOvid/MEDLINE, Embase, CINAHL, PubMed, Google Scholar KeywordPregnancy AND (health promotion OR (health messages OR health knowledge OR attitudes OR practices)) AND (Aboriginal ORAboriginal and Torres Strait Islander OR Indigenous Australians OROceanic Ancestry Group AND Australia) AND (smoking OR smoking cessation)Inclusion criteriaPublications from 2008 to 2019Women pregnant with an Aboriginal and/or Torres Strait Islander baby who smoke, Australia, original researchExclusion criteriaPublished pre-2008, not based in Australia, not exclusive to women pregnant with an Aboriginal and/or Torres Strait Islander baby, grey literature, not original research (e.g., reviews, opinion pieces)

  • We present a critical reflection of these findings and make recommendations to inform the development of social media campaigns for smoking cessation amongst pregnant Aboriginal and Torres Strait Islander women in Australia and internationally

  • There was significant variance in the alignment of the domains of the Aboriginal Social and Emotional Wellbeing Model and the COM-B constructs in the research evidence and health promotion materials

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Summary

Methods

DatabaseOvid/MEDLINE, Embase, CINAHL, PubMed, Google Scholar KeywordPregnancy AND (health promotion OR (health messages OR health knowledge OR attitudes OR practices)) AND (Aboriginal ORAboriginal and Torres Strait Islander OR Indigenous Australians OROceanic Ancestry Group AND Australia) AND (smoking OR smoking cessation)Inclusion criteriaPublications from 2008 to 2019Women pregnant with an Aboriginal and/or Torres Strait Islander baby who smoke, Australia, original researchExclusion criteriaPublished pre-2008, not based in Australia, not exclusive to women pregnant with an Aboriginal and/or Torres Strait Islander baby, grey literature, not original research (e.g., reviews, opinion pieces). Ovid/MEDLINE, Embase, CINAHL, PubMed, Google Scholar Keyword. Pregnancy AND (health promotion OR (health messages OR health knowledge OR attitudes OR practices)) AND Aboriginal and Torres Strait Islander OR Indigenous Australians OR. Oceanic Ancestry Group AND Australia) AND (smoking OR smoking cessation). Women pregnant with an Aboriginal and/or Torres Strait Islander baby who smoke, Australia, original research. Published pre-2008, not based in Australia, not exclusive to women pregnant with an Aboriginal and/or Torres Strait Islander baby, grey literature, not original research (e.g., reviews, opinion pieces)

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