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Occasional smoking in college: who, what, when and why?

机译:高校偶尔吸烟:谁,什么,什么时候以及为什么?

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INTRODUCTION: The majority of college students who smoke do so on an occasional basis and generally do not define themselves as smokers. This represents a considerable challenge for public health efforts to prevent escalation of use and to promote cessation. Strengthening such efforts will require further examination of the motivations behind occasional smoking within this vulnerable group. METHODS: Based within a priori identified content areas, we conducted eight focus groups of occasional smokers (N=53) at two demographically diverse colleges in the southeastern U.S. RESULTS: Few participants self-identified as a smoker and few had immediate desire to quit. Most identified extrinsic motivations for future quitting, including college graduation and parenthood. Although participants acknowledged smoking-related health risks, they minimized them as being personally irrelevant. Participants highlighted social (i.e., alcohol and other smokers) and stress-related smoking triggers. They also described how they carefully managed the situations in which they would, and would not smoke in order to preserve their identity. CONCLUSIONS: College students who smoke occasionally appear to engage in impression management, taking effort to shape their personal image to not appear as a smoker. They use smoking mainly as a social engagement tool, but also to alleviate negative emotions. They express minimal desire to quit and believe they are immune to the health risks of smoking. Public health messages should address this common pattern of smoking among young adults differently than regular smoking patterns by highlighting the social, emotional, and health consequences of occasional smoking before nicotine dependence has fully developed.
机译:简介:大多数吸烟的大学生偶尔会这样做,并且通常不会将自己定义为吸烟者。这对于防止使用量的增加和促进戒烟的公共卫生工作构成了巨大的挑战。加强这种努力将需要进一步研究这一弱势群体中偶尔吸烟的动机。方法:在先验确定的内容范围内,我们在美国东南部的两所人口统计学差异的学院中进行了八个偶尔吸烟者焦点小组(N = 53)。结果:很少有被自我识别为吸烟者的参与者,很少有人立即戒烟。大多数人确定了未来退出的外部动机,包括大学毕业和父母身份。尽管参与者承认与吸烟有关的健康风险,但他们将与个人无关的风险降到最低。与会者强调了社交(即酒精和其他吸烟者)和与压力有关的吸烟诱因。他们还描述了他们如何谨慎处理自己会吸烟和不吸烟的情况,以维护自己的身份。结论:偶尔吸烟的大学生偶尔会从事印象管理,努力塑造自己的个人形象,使自己不显得像吸烟者。他们主要将吸烟用作社会参与工具,但也减轻了负面情绪。他们表达了最小的戒烟意愿,并相信自己可以抵抗吸烟对健康的危害。公共卫生信息应强调尼古丁依赖性完全发展之前偶尔吸烟的社会,情感和健康后果,从而应对年轻人中这种常见的吸烟方式,而不是常规吸烟方式。

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