Does Moralization Motivate Smokers to Quit? A Longitudinal Study of Representative Samples of Smokers in the United States and Denmark

Does Moralization Motivate Smokers to Quit? A Longitudinal Study of Representative Samples of Smokers in the United States and Denmark
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DOI:
10.1093/ntr/ntu091
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发表时间:
2014-10-01
影响因子:
4.7
通讯作者:
Helweg-Larsen, Marie
Helweg-Larsen, Marie
中科院分区:
医学2区
文献类型:
--
作者:
Helweg-Larsen, Marie

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引言:道德化是指事物或活动从道德中立到道德蔑视的渐进的文化和个人过程。研究表明,吸烟者对成为道德目标的反应存在重要的跨文化差异。然而,研究还没有研究同意吸烟道德化情绪的吸烟者是否更愿意戒烟或减少吸烟。方法:在本研究中,丹麦(吸烟宽松国家,N=429)和美国(禁烟国,N=431)吸烟者的代表性样本相隔6个月完成调查。结果:正如预期的那样,丹麦吸烟者(与美国吸烟者相比)道德说教较少,估计他们患肺癌的个人风险较小。此外,T1时的道德说教预测T2时感知的个人风险增加(丹麦吸烟者和美国吸烟者略有增加),吸烟行为减少(仅对丹麦吸烟者),戒烟意向增加(仅丹麦吸烟者略有)。结论:对于丹麦吸烟者来说,道德说教会增加他们感知的个人风险,增加戒烟意向,减少吸烟行为,特别是对于丹麦的样本。未来的研究应该考察道德教化在不同文化背景下的效果。
Introduction: Moralization refers to the gradual cultural and personal process by which objects or activities move from being morally neutral to morally contemptuous. Research suggests important cross-cultural differences in how smokers react to being targets of moralization. However, research has not examined whether smokers who agree with moralized sentiments about smoking are more willing to quit or reduce their smoking. Additionally, the mediating role of perceived personal risk has not been examined.Methods: In this study, representative samples of smokers in Denmark (a smoking lenient country; N = 429) and the United States (a smoking prohibitive country; N = 431) completed surveys 6 months apart.Results: As expected, Danish smokers (compared to U. S. smokers) moralized less and estimated that their personal risk of lung cancer was smaller. Furthermore, moralization at T1 predicted an increase in perceived personal risk at T2 (for Danish smokers and marginally for U. S. smokers), a decrease in smoking behaviors (for Danish smokers only), and an increase in quitting intentions (marginally for Danish smokers only). For Danish smokers, perceived personal risk mediated the relationship between moralization and quitting intentions.Conclusions: Moralization predicted an increase in perceived personal risk, an increase in quitting intentions, and a reduction in smoking behaviors, especially for the Danish sample. Future research should examine the effects of moralization in different cultural contexts.