- Title
- Perspectives about smoking cessation during pregnancy and beyond of Aboriginal women in Australia: A qualitative analysis using the COM-B model
- Creator
- Rahman, Tabassum; Foster, Joley; Hera Fuentes, Gina L.; Cameron, Liz; Gould, Gillian S.
- Relation
- International Journal of Gynecology and Obstetrics Vol. 155, Issue 2, p. 282-289
- Publisher Link
- http://dx.doi.org/10.1002/ijgo.13854
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2021
- Description
- Objective: Aboriginal and Torres Strait Islander women (hereafter Aboriginal) and their babies experience poor health outcomes for which smoking is a major risk factor. This paper explores Aboriginal women's perspectives on and experiences of smoking cessation, within and outside pregnancy, and their use of smoking cessation services using the COM-B (Capability, Opportunity, Motivation as determinants of Behaviour) model to understand Aboriginal women's capabilities, opportunities, and motivation for smoking cessation. Methods: Data came from 11 focus groups conducted in regional New South Wales, Australia, with 80 women aged between 16 and 68 years. Thematic analysis was performed following the COM-B model. Results: Seven themes related to capability, opportunity, motivation, and smoking cessation behaviors were identified. The themes highlighted that agency, knowledge, and self-efficacy (as capability), a supportive social environment, and access to culturally appropriate services and resources (as opportunities), together with automatic and reflective motivations for quitting, may enable short- or long-term smoking cessation. Conclusion: Smoking cessation interventions may be more effective if the dynamics of the COM-B factors are considered. Policy and practice changes for further enhancing regional Aboriginal women's psychological capability and supportive social environments, and making smoking cessation services culturally appropriate are warranted.
- Subject
- Aboriginal and Torres Strait Islander; Capability, Opportunity, Motivation as determinants of Behaviour (COM-B); health services; maternal health; pregnancy-treatment and intervention; smoking cessation; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1476916
- Identifier
- uon:49884
- Identifier
- ISSN:0020-7292
- Language
- eng
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