在低收入环境中重新思考吸烟和戒烟:对实践和政策产生影响的定性分析
Monique T Cano1,2,3, Oscar F Rojas Perez1, Sara Reyes4
1Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA.
由于社会决定因素,低收入成年人中吸烟率仍然很高. 定制的,以患者为中心的戒烟支持对于持续戒烟至关重要,解决独特的需求和背景.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康差异 在健康上的差异
背景情况:
- 美国的吸烟率整体下降,但在低收入人群中仍然很高.
- 健康的社会决定因素是导致持续吸烟的关键因素.
- 了解社会文化背景对于开发有效干预至关重要.
研究的目的:
- 质量地探索低收入成年人的吸烟和戒烟态度和行为.
- 确定影响吸烟和戒烟的社会文化背景.
- 为戒烟提供量身定制的公共卫生政策和方法.
主要方法:
- 对20名低收入成年吸烟者进行了深入的,半结构化的定性访谈.
- 从安全网初级保健诊所和社区网站招募了参与者.
- 利用专题分析来解释转录的采访数据.
主要成果:
- 确定了六个关键主题:"在健康和烟草使用之间陷入困境"",环境的细微差别"",戒烟的障碍"",没有运动的动机"",暂时的逃避"和"一个尺寸不适合所有人".
- 揭示了社会文化和环境因素的复杂相互作用,延续了吸烟行为.
- 突出了低收入人群中持续戒烟的重大障碍.
结论:
- 社会文化和环境因素在低收入人群中显著影响吸烟和戒烟.
- 一个适合所有人戒烟的方法对这个群体来说是无效的.
- 以患者为中心,根据个人生活经验量身定制的协作策略对于成功戒烟至关重要.
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