Smoking and ill health: Does lay epidemiology explain the failure of smoking cessation programs among deprived populations?

Smoking and ill health: Does lay epidemiology explain the failure of smoking cessation programs among deprived populations?
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DOI:
10.2105/ajph.93.2.266
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发表时间:
2003-02-01
影响因子:
12.7
通讯作者:
Smith, GD
Smith, GD
中科院分区:
医学2区
文献类型:
--
作者:
Lawlor, DA;Frankel, S;Smith, GD

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弱势群体对反吸烟建议的抵制是显著的。关于不同文化的研究,有一个长期存在的学术传统,假设在特定的文化背景下,那些可能难以理解的行为确实是理性的。社会中最贫困的成员持续吸烟可能代表了他们对生活机会的理性反应,这是一个外行流行病学的信息。旨在减少这些群体成员吸烟的健康促进举措可能继续失败,除非首先改善这些人的总体健康和生活机会。
The resistance of disadvantaged groups to anti-smoking advice is remarkable. In relation to the study of differing cultures, there is a long-standing academic tradition assuming that behavior that may otherwise be difficult to understand is indeed rational within particular cultural contexts.Persistent smoking among the most deprived members of society may represent a rational response to their life chances informed by a lay epidemiology. Health promotion initiatives designed to reduce smoking among members of these groups may continue to fail unless the general health and life chances of such individuals are first improved.