"Tell them you smoke, you'll get more breaks": a qualitative study of occupational and social contexts of young adult smoking in Scotland

"Tell them you smoke, you'll get more breaks": a qualitative study of occupational and social contexts of young adult smoking in Scotland
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DOI:
10.1136/bmjopen-2018-023951
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发表时间:
2018-12-01
期刊:
影响因子:
2.9
通讯作者:
Amos, Amanda
Amos, Amanda
中科院分区:
医学3区
文献类型:
--
作者:
Delaney, Hannah;MacGregor, Andrew;Amos, Amanda

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目的在一个烟草控制先进的国家,探讨年轻人对吸烟的看法和经验,以及他们在社会和职业历史和转型背景下的吸烟轨迹。设计深入的定性访谈,使用日常和生活网格,探讨参与者的吸烟行为和轨迹与他们的教育,职业和社会的历史和过渡。设置苏格兰。参与者15个年龄在2016- 2017年20-24岁的吸烟者。结果参与者有各种各样的和复杂的教育/就业历史。成为和/或保持吸烟者往往与社会背景和教育/职业转变有关。在一些情况下,吸烟和成为吸烟者有明显的好处。这些包括获得工作休息和处理压力和无聊,这在参与者从事的低薪,非技术性工作中很常见。在某些社会背景下,吸烟被用作超时和sociability.Conclusions的标记,而增加烟草控制,包括无烟政策,和社会不赞成吸烟劝阻吸烟的吸收和增加动机戒烟的年轻人,在一些社会和职业环境中吸烟仍然有感知的好处。这一发现有助于解释为什么吸烟持续到25岁左右。它还强调了政策的重要性,这些政策降低了人们对吸烟的期望,为年轻人创造了更积极的工作环境,解决了可能鼓励吸烟的工作时间和条件。
Objective To explore young adults' perceptions and experiences of smoking and their smoking trajectories in the context of their social and occupational histories and transitions, in a country with advanced tobacco control.Design Indepth qualitative interviews using day and life grids to explore participants' smoking behaviour and trajectories in relation to their educational, occupational and social histories and transitions.Setting Scotland.Participants Fifteen ever-smokers aged 20-24 years old in 2016-2017.Results Participants had varied and complex educational/employment histories. Becoming and/or remaining a smoker was often related to social context and educational/occupational transitions. In several contexts smoking and becoming a smoker had perceived benefits. These included getting work breaks and dealing with stress and boredom, which were common in the low-paid, unskilled jobs undertaken by participants. In some social contexts smoking was used as a marker of time out and sociability.Conclusions The findings indicate that while increased tobacco control, including smokefree policies, and social disapproval of smoking discourage smoking uptake and increase motivations to quit among young adults, in some social and occupational contexts smoking still has perceived benefits. This finding helps explain why smoking uptake continues into the mid-20s. It also highlights the importance of policies that reduce the perceived desirability of smoking and that create more positive working environments for young adults which address the types of working hours and conditions that may encourage smoking.