Issue 5
Monday, 06 July 2020
Charles Darwin University
Public health researcher Dr Moana Tane
Public health researcher Dr Moana Tane

Smoking and stigma study clears the air

By Patrick Nelson

A public health study into the effectiveness of tobacco control strategies in East Arnhem Land has found no evidence of smoking-related stigma among Yolgnu people.

Dr Moana Tane from the Menzies School of Health Research said the finding was significant for Yolgnu communities who maintained strong cultural connections with tobacco use and where smoking prevalence was as high as 75%.

“I was interested in the effects associated with stigmatisation as an unintended consequence of denormalisation strategies,” Dr Tane said.

“Denormalisation, which seeks to erode community acceptance and tolerance for smoking, has become a cornerstone of the global tobacco control movement. My concern was that denormalisation and the associated stigmatisation of already vulnerable people may be seen to represent a modern-day tool of oppression that inspired resistance and resentment rather than compliance.”

Dr Tane said she interviewed 29 people in seven very remote communities, to explore the perceptions and understandings of tobacco (gnarali) from traditional and socio-cultural perspectives.

The study also confirmed that the Yolgnu did not wish to put aside their valued and traditional connection to gnarali; an important part of the sacred practices of funeral ceremonies.

“Nonetheless, tobacco is the single most preventable cause of death in the world today, and Yolgnu communities have expressed their need for help to quit smoking.

“A key finding was the importance of caring, trusting relationships between health professionals, Yolgnu staff and Yolgnu smokers, and having the right people communicating the right message to smokers. This approach was essential to mitigate the risk of causing shame when raising the issue of smoking in clinical consultations with Yolgnu smokers.”

Dr Tane said that while the study found experiences of shame and embarrassment among some health service staff, there was no evidence of smoking-related stigma.