Low-income Franco-Ontarian women have a higher prevalence of smoking than the general population. Smoking cessation programmes specifically designed for low-income women and in the French language are not offered in the Champlain region of Eastern Ontario. In order to redress inequities in delivery of French language services, a culturally sensitive smoking cessation programme for low income Franco-Ontarian women was designed. The following three studies were conducted: 1) a systematic review of the effects of smoking cessation interventions for low-income women; 2) an exploration study on the meaning of smoking to disadvantaged Franco-Ontarian women and their programme needs; 3) a narrative synthesis that informed the development of a logic model for a culturally sensitive smoking cessation programme for the population of interest.
The first study, the systematic review, no evidence was found to support that smoking cessation interventions were effective in a population of low-income pregnant women. In addition, there was limited evidence that smoking cessation interventions were effective in low-income non-pregnant women. Overall, this systematic review was inconclusive: there were few studies included in this review, and several studies had limitations. This review has important implications for future research, suggesting that further attention should be given to the design of smoking cessation interventions by including outcome measures of cessation at 6-month and 12-month as well as biochemical validation of self-reported cessation. In addition, interventions should be tailored to meet the specific needs of low-income women and target the underlying causes of smoking.
The second study provided new and important contextual information surrounding a population of low-income and Franco-Ontarian female smokers that are living in the community of Vanier.
The third study involved a narrative synthesis which integrated several forms of knowledge and informed the development of a logic model. The logic model explains the pathways for a culturally sensitive smoking cessation program for low-income Franco-Ontarian women. The main levers of the intervention are to improve coping strategies/mechanisms, improve self-esteem while providing social support within a working group. Potential programme components were recommended: a gender-centered, holistic and culturally competent approach; the inclusion of empowerment, skill building and self-care; as well as community involvement.
| Identifer | oai:union.ndltd.org:uottawa.ca/oai:ruor.uottawa.ca:10393/30031 |
| Date | January 2010 |
| Creators | Laplante, Denise M |
| Publisher | University of Ottawa (Canada) |
| Source Sets | Université d’Ottawa |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | 268 p. |
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