Tobacco cessation in adolescent females in Appalachian communities.
Tobacco cessation in adolescent females in Appalachian communities.
复制标题
阿巴拉契亚社区青少年女性戒烟。
DOI：
10.1097/00003727-200404000-00010
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发表时间：
2004
影响因子：
2.3
通讯作者：
Toborg,MaryA
中科院分区：
文献类型：
--
作者：
Denham,SharonA;Meyer,MichaelG;Toborg,MaryA
生活在烟草种植区的青少年吸烟年龄较早，而且比其他青少年更频繁。这些青少年和所有烟草使用者一样，有许多健康风险。为了取得成功，针对这些青少年的戒烟努力必须反映烟草在其社区的文化、社会和经济意义。六个焦点小组与12至14岁的女孩谁住在阿巴拉契亚俄亥俄州，田纳西州和弗吉尼亚州的烟草种植社区和20个关键的线人进行了采访。被调查者发现的障碍包括烟草使用的社区规范、家庭烟草使用、学校做法和政策、同伴影响、青少年态度以及戒烟计划工作的后勤困难。主要研究结果表明：（1）烟草种植社区的社会群体对烟草使用有显著影响;（2）家庭在烟草种植社区的年轻人中很重要，对戒烟有积极和消极的影响;（3）父母吸烟对吸烟有影响;（4）一些父母容忍甚至鼓励子女吸烟，但另一些父母则积极劝阻子女吸烟;及（5）关注年幼兄弟姐妹篇的健康，在讨论二手烟对健康的危害时，青少年有强烈的保护反应。烟草种植区的青年与其他人有许多相似之处，但他们在制定和实施戒烟计划方面也有独特的文化特征。
Adolescents who live in tobacco-growing areas use tobacco at earlier ages and more frequently than other youth. These adolescents, like all tobacco users, have many health risks. To be successful, cessation efforts targeting these youth must reflect the cultural, social, and economic import of tobacco in their communities. Six focus groups with girls aged 12 to 14 who lived in tobacco-growing communities in Appalachian Ohio, Tennessee, and Virginia and 20 interviews with key informants were conducted. Barriers identified by informants included community norms around tobacco use, family use of tobacco, school practices and policies, peer influences, youth attitudes, and logistical difficulties with cessation program efforts. Key findings indicated:(1) the social community in tobacco-growing communities is a significant influence in tobacco use;(2) family is important among young people in tobacco-growing communities and influences cessation positively and negatively;(3) parental smoking was an influence to smoke (4) some parents condone and even facilitate tobacco use by their children, but others actively discourage use; and (5) concern for the health of younger brothers and sisters elicits a strongly protective reaction from youth in discussions of health risks related to secondhand smoke. Youth in tobacco-growing regions have many similarities to others, but they also have unique cultural characteristics pertinent in the development and delivery of tobacco cessation programs.