The gendered experience of smoking stigma: implications for tobacco control
The gendered experience of smoking stigma: implications for tobacco control
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DOI：
10.1080/09581596.2016.1249825
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发表时间：
2017-01-01
影响因子：
2.8
通讯作者：
Young, Malisa
中科院分区：
文献类型：
--
作者：
Antin, Tamar M. J.;Annechino, Rachelle;Young, Malisa
烟草非正常化是一项被广泛接受的烟草控制战略，它影响着美国乃至全球的政策和计划。尽管人们普遍相信烟草非正常化方法的有效性，但人们对这些方法强调污名化表示关切。关于吸烟污名的社会科学研究提出了关于烟草非正常化方法的潜在医源性后果的问题。很少有研究考虑到不同的人，特别是那些由于其他社会归因的不平等制造者（如种族、族裔、性别、性取向）而经历污名化的人，如何以不同的方式内化吸烟污名化。多重耻辱的交叉可能会加剧一些人已经经历的社会孤立和边缘化。本文介绍了一项研究，调查吸烟相关的耻辱和烟草非正常化的方法在15个低收入的黑人妇女谁在旧金山弗朗西斯科湾区吸烟的看法焦点小组和访谈数据的模式水平分析的结果。我们的分析揭示了一个周期，黑人妇女的经历与结构性压迫导致压力和使用香烟来应对这种压力。虽然吸烟和压力之间的联系在以前的研究中有很好的记录，但我们的分析进一步揭示了吸烟的污名化的额外贡献，以及它如何加剧吸烟的黑人妇女的不平等。这些研究结果对烟草控制和预防的影响进行了讨论。
Tobacco denormalization is a widely accepted tobacco control strategy, shaping policies and programs throughout the United States as well as globally. In spite of widespread beliefs about the effectiveness of tobacco denormalization approaches, concerns about their emphasis on stigmatization have emerged. Social science research on smoking stigma raises questions about the potential iatrogenic consequences of tobacco denormalization approaches. Few studies have considered how smoking stigma may be internalized differently by different people, particularly those who experience stigmatization because of other socially ascribed makers of inequity (e.g. race, ethnicity, gender, sexuality). The intersection of multiple stigmas may work to intensify the social isolation and marginalization' that some people already experience. This paper presents results from a pattern-level analysis of focus group and interview data from a study investigating smoking-related stigma and perceptions of tobacco denormalization approaches among 15 low income Black women who smoke in the San Francisco Bay Area. Our analysis revealed a cycle where Black women's experiences with structural oppression resulted in stress and the use of cigarettes to cope with that stress. Though the connection between smoking and stress is well documented in previous research, our analysis further revealed the additional contribution of the stigmatization of smoking and how it intensifies inequity for Black women who smoke. Implications of these findings for tobacco control and prevention are discussed.