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Uruguayan secondary school students speak up about tobacco: results from focus group discussions in and around Montevideo

机译:乌拉圭中学学生讲关于烟草:蒙得维的亚及其周围地区的焦点小组讨论结果

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摘要

This qualitative research study investigated intrapersonal, interpersonal, and environmental factors that shape young adolescent tobacco use behaviors in Uruguay. Focus groups were conducted in the summer of 2012 and fall of 2013 in four secondary schools in Montevideo, Uruguay, including two private schools and two public schools. A total of four focus groups were led in each school, composed of 4-6 students each, 16 focus groups in total. Data analysis utilized NVivo software and included deductive and inductive content analysis. Overwhelmingly, students reported that the onset of smoking occurred in the second year of secondary school. The primary intrapersonal factors that were found to be universal among respondents identified that smoking was a performance in groups, to garner attention from their peers. Students interviewed most often stated that the greatest interpersonal factors for smoking were to look older, as a rite of passage, and for group membership. Environmental factors cited most often indicate that they smoked during unsupervised time, either at night or around the short Uruguayan school day. Focus group interviews revealed that adolescents had easy access to cigarettes for purchase through small family owned grocery stores, even though laws exist preventing the sale of cigarettes to minors. Few differences were cited between strata related to cigarette use in adolescents. The differences that do exist are most apparent across gender, though there were a few observed differences when stratified by public and private school. Findings from this study indicate that key factors across ecological levels (intrapersonal, interpersonal, and environmental) should be taken into consideration when designing tobacco prevention programs for youth in Uruguay. A multiple-component approach which addresses risk factors at all of these levels, implemented in schools, may be particularly well-suited to this setting.
机译:这种定性研究研究调查了在乌拉圭塑造了年轻青少年烟草使用行为的顽固性,人际关系。焦点小组在2012年夏天进行,2013年秋季在乌拉圭蒙得维的亚四所中学进行,其中包括两所私立学校和两所公立学校。每所学校共有四个焦点小组,总共由4-6名焦点小组组成。数据分析利用NVIVO软件并包括演绎和归纳内容分析。压倒性地,学生报告说,吸烟的发病发生在中学的第二年。发现普遍在受访者中发现的主要内部因素发现,吸烟是群体的表现,从同龄人那里得到关注。大多数人接受采访的学生们认为吸烟最大的人际因素是看起来更老,作为段落的仪式,以及团体成员。引用的环境因素最常表明他们在无人监督期间吸烟,无论是在晚上还是周围的乌拉圭学校日。焦点小组访谈揭示了青少年通过小家族拥有的杂货店轻松获得购买的卷烟,即使法律存在防止未成年人的卷烟。与青少年卷烟有关的地层之间引用了几个差异。在性别方面存在的差异是最明显的,尽管在公共和私立学校分类时存在一些观察到的差异。本研究的调查结果表明,在乌拉圭青年设计的烟草预防计划时,应考虑到生态水平(内脏,人际关系和环境)的关键因素。一种解决学校实施的所有这些水平的风险因素的多组成方法可能特别适合这个环境。

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