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Predictors of wanting to quit in a national sample of Aboriginal and Torres Strait Islander smokers

Smoking kills one in five Aboriginal and Torres Strait Islander people.1 Encouragingly, there was a steady decrease in the prevalence of daily smoking in the decade to 2012–2013, from 49% to 42% in those aged 15 years or older.2 The 2008 National Aboriginal and Torres Strait Islander Social Survey (NATSISS) found that 62% of smokers had either cut down or attempted to quit smoking in the previous year,3 indicating high levels of motivation to quit.

However, smoking in remote areas has not declined to the same degree as in other areas, and the difference between smoking rates of Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians has not diminished.4 Factors reported to contribute to the high prevalence of smoking among Aboriginal and Torres Strait Islander peoples include ongoing effects of colonisation and dispossession, normalisation of smoking, socioeconomic inequalities and a lack of access to services that support quitting.59 Smoking has also been associated with high rates of psychological distress, experiences of racism and binge drinking among Aboriginal and Torres Strait Islander peoples.10,11 Where…