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Explaining the social gradient in smoking and cessation: the peril and promise of social mobility

机译：解释吸烟和停止的社会渐变：危险和社会流动的承诺

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Abstract Smoking in high‐income countries is now concentrated in poor communities whose relatively high smoking prevalence is explained by greater uptake but above all by lower quit rates. Whilst a number of barriers to smoking cessation have been identified, this is the first paper to situate cessation itself as a classed and cultural practice. Drawing on ethnographic research carried out in a working‐class community in the North of England between 2012 and 2015, I theorise smoking cessation as a symbolic practice in relation to the affective experience of class and social mobility. I show that ambivalence about upward mobility as separation and loss translated into ambivalence about smoking cessation. The reason for this was that the social gradient in smoking operated dynamically at the level of the individual life course, i.e. smoking cessation followed upward mobility. A serious health problem was an appropriate reason to quit but older women continued to smoke despite serious health problems. This was linked to historical gender roles leading to women placing a low priority on their own health as well as the intergenerational reproduction of smoking through close affective links with smoking parents.
机译：摘要在高收入国家的吸烟现在集中在贫困的社区中，其较高的患病率是通过更高的吸收来解释的，而是通过较低的戒烟率来解释。虽然已经确定了许多吸烟的障碍，但这是第一份将戒烟本身视为课堂和文化实践的论文。 2012年至2015年间英格兰北部的工人级社区绘制了民族规界研究，我理解停止吸烟作为与阶级和社会流动性的情感经验相关的象征性实践。我展示了对向上流动性的矛盾，因为分离和损失转化为关于戒烟的矛盾。其原因是，吸烟的社会梯度在各个寿命课程的水平上动态运行，即吸烟跟随途径。严重的健康问题是戒烟的适当理由，但老年妇女仍然继续吸烟，尽管健康问题。这与历史性别角色有关，导致妇女对自己的健康持续低得优先考虑，以及通过与吸烟父母的密切情感联系的吸烟的代际复制。

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