Registed Nurses' Association of Ontario

Promoting Nicotine Free Health and Wellness in Indigenous Parents, Families and Communities (working title)

Type of Guideline: 
Publication date: 
In Progress
Expected date of revised BPG: 
December, 2021
About this Guideline:

Smoking (commercial tobacco use) during pregnancy is the most important modifiable risk factor linked to adverse pregnancy and long-term health outcomes for both mother and child.  In Canada and worldwide, there is a higher prevalence of commercial tobacco use among perinatal Indigenous women, which is linked to a number of Indigenous and social determinants of health, including colonization. It is likely that most health providers have (or will) encounter Indigenous persons in their daily practice. Identifying respectful strategies to effectively reduce commercial tobacco use with perinatal Indigenous women and persons is a health system priority. Understanding the many complexities that influence the use of commercial tobacco in Indigenous persons of reproductive age is essential for all health providers and students entering health professions. 

The purpose of this BPG is to provide nurses and the interprofessional team with evidence-based recommendations on culturally safe and meaningful ways to support smoking reduction and cessation with Indigenous peoples of reproductive age, their support networks and communities to improve health and wellness. This BPG recognizes that the context in which Indigenous persons of reproductive age (including adolescents, women and persons who are pregnant or in the prenatal phase, and parents) live is in relationship to their support network and greater community.  The scope of the guideline will include all relevant health sectors where women and persons in the pre and post natal period access care, as well as Indigenous based health and social service organizations and communities.

BPG Status

Topic Selection Panel of Experts Systematic Review Recommendation Development Stakeholder Review Complete
In Progress

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