A Practice Theory Approach to Understanding Poly-Tobacco Use in the United States.
A Practice Theory Approach to Understanding Poly-Tobacco Use in the United States.
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DOI：
10.1080/09581596.2018.1541226
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发表时间：
2020
影响因子：
2.8
通讯作者：
Ling P
中科院分区：
文献类型：
--
作者：
McQuoid J;Keamy-Minor E;Ling P
本文使用实践理论来探讨一个鲜为人知的现象与重要的健康影响：如何以及为什么越来越多的年轻美国人经常使用多种烟草产品。实践理论是一个有前途的替代传统的公共卫生框架理解与健康有关的日常活动。它扩大了分析的重点，从个人的特点，以查看实践有自己的生命，在竞争，赢得和失去的从业者。我们对21名经常使用香烟、电子尼古丁输送系统（ENDS）和/或无烟烟草的年轻人（年龄18-29岁;加州）进行了深入访谈。参与者描述了他们的日常生活。我们研究了每种烟草产品使用实践的特征要素以及每种烟草产品在参与者日常生活中的作用。我们发现，每种产品都包含不同的物质使用实践，在不同的情况和背景下发挥不同的作用。值得注意的是，许多参与者在不同产品之间轮换或调节使用，作为减少烟草相关危害的策略。香烟具有独特的能力来帮助日常活动的时空组织和应对危机，而ENDS和无烟烟草则为尼古丁消费开辟了时间和空间。这种方法有助于我们理解和预测烟草使用实践的演变，因为新产品和法规的引入。
This paper uses practice theory to explore a poorly understood phenomenon with important health implications: How and why an increasing number of young Americans regularly use multiple tobacco products. Practice theory is a promising alternative to traditional public health frameworks for understanding everyday activities related to health. It broadens the analytic focus from characteristics of individuals to viewing practices as having lives of their own in competing for, winning, and losing practitioners. We drew from in-depth interviews with 21 young adults (ages 18–29; California) who regularly use cigarettes, electronic nicotine delivery systems (ENDS), and/or smokeless tobacco. Participants described their everyday routines. We examined the characterizing elements of each tobacco product use practice and the roles of each within participants’ routines. We found that each product comprises a distinct substance use practice with different roles to play in different situations and contexts. Notably, many participants rotated between or modulated use of different products as a strategy for reducing perceived tobacco-related harms. Cigarettes are uniquely capable of aiding in the space-time organization of everyday activities and coping with crisis, while ENDS and smokeless tobacco open up times and spaces for nicotine consumption. This kind of approach aids our understanding and anticipation of the evolution of tobacco use practices as new products and regulations are introduced.
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