Stressful life events, resources, and access: Key considerations in quitting smoking at an Aboriginal Medical Service

Michelle DiGiacomo, Patricia M. Davidson, Joyce Davison, Louise Moore, Penny Abbott

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


Objective: Aboriginal and Torres Strait Islander people experience adverse health outcomes and have high rates of smoking and related illnesses. This brief report describes stress as a barrier to quitting smoking derived from reflections within an Aboriginal Medical Service and makes recommendations for intervention development. Methods: A high-intensity smoking cessation program was conducted within a suburban Aboriginal Medical Service in Western Sydney, Australia, over a 10-month period. The intervention included weekly cessation counselling sessions and dispensation of free nicotine replacement therapy (NRT). Results: During the observation period, 32 clients made quit attempts. To date, three clients (9%) have quit smoking. Chronic and intercurrent life stressors were noted to be the main barriers to smoking cessation described by participants. Conclusions: Achieving smoking cessation among Indigenous people is made significantly more complex because of multiple life stressors experienced. Implications: Future interventions targeting Indigenous Australians should take greater account of stressful life events and their impact on quitting smoking.

Original languageEnglish (US)
Pages (from-to)174-176
Number of pages3
JournalAustralian and New Zealand Journal of Public Health
Issue number2
StatePublished - Apr 2007
Externally publishedYes


  • Indigenous health services
  • Life change events
  • Psychological stress
  • Smoking cessation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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