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Wisdom and Influence of Elders: Possibilities for Health Promotion and Decreasing Tobacco Exposure in First Nations Communities (Quantitative Research) (Report)

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eBook details

  • Title: Wisdom and Influence of Elders: Possibilities for Health Promotion and Decreasing Tobacco Exposure in First Nations Communities (Quantitative Research) (Report)
  • Author : Canadian Journal of Public Health
  • Release Date : January 01, 2010
  • Genre: Law,Books,Professional & Technical,
  • Pages : * pages
  • Size : 302 KB

Description

High rates of maternal smoking during pregnancy and postpartum and exposure of infants and children to secondhand smoke (SHS) are persistent health concerns that contribute to health disparities between Aboriginal (encompassing First Nations, Metis and Inuit people)1 and non-Aboriginal Canadians. (2,3) Aboriginal women are about three times more likely to be smoking during pregnancy as non-Aboriginal women. (4,5) Aboriginal households report that 32% (compared to provincial rates of 18%) of households with children under age 11 experience daily or nearly daily exposure to SHS. (6) Similar to indigenous populations worldwide, rates of cigarette smoking and exposure to SHS in Canadian Aboriginal communities are influenced by levels of poverty and community resources, geographic isolation, and historical and ongoing colonization. In spite of the above, there have been few studies of antenatal smoking and indigenous women. (7) Interventions aimed at supporting behavioural change for individuals, such as drug therapy and quit-lines, have been studied in Canadian Aboriginal contexts, but shown to have limited impact, (8-11) and recent legal and taxation policies to curb tobacco sales have had limited success. (12-14) There has been little study to develop context-specific public health interventions. Contemporary Aboriginal communities are actively seeking health and revitalization, in part through emphasizing culture and tradition. (15,16) Members of the Gitxsan First Nations were interested in finding ways to protect pregnant women and those with young children from cigarette smoke and to support women's tobacco reduction efforts. This participatory ethnographic study examined the research questions in Table 1; this paper reports on one context-specific strategy. METHOD


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