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Young smokers' narratives: Public health, disadvantage and structural violence

机译：青年吸烟者的叙述：公共卫生，不利条件和结构性暴力

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This research article on youth smoking in disadvantaged communities is the product of a qualitative study to understand the issues faced by young smokers - and those trying not to be smokers - in such communities. Environmental factors and peer influence are widely recognised influences on adolescents' take-up and continuation of smoking but less is known about whether, what, how and why circumstances in disadvantaged communities affect young people's pathways towards and away from smoking. Focusing on a youth club in a disadvantaged neighbourhood in the North East of England, narratives about young people's relationships with tobacco provide an ethnographically rich, thick description of the experiences of a group that is too often easily ignored. We argue that young people are caught between competing domains that together exert a form of structural violence. These are, first, the economic and political structures that have overseen de-industrialisation; second, the media structures that create desire for what they cannot afford; third the structures of international organised crime that conspire to provide them with the means to consume from which 'legitimate' structures effectively exclude them. Rather than expecting young people to comply with the health imperative, interventions need to bridge issues of agency and critical consciousness, which structural violence otherwise insidiously erodes.
机译：这篇关于弱势社区青年吸烟的研究文章是一项定性研究的产物，旨在了解此类社区中年轻吸烟者和那些不想成为吸烟者的人所面临的问题。环境因素和同伴的影响是公认的青少年吸烟和持续吸烟的影响因素，但对于弱势社区的状况是否，如何，如何以及为什么影响年轻人吸烟和远离吸烟的途径知之甚少。聚焦于英格兰东北部一个处境不利的社区中的青年俱乐部，有关年轻人与烟草的关系的叙述提供了一个民族志丰富的，厚实的描述，该描述经常容易被忽略。我们认为，年轻人被夹在相互竞争的领域之间，这些领域共同构成一种结构性暴力。首先，这些是监督去工业化的经济和政治结构;其次，媒体结构产生了人们对自己负担不起的东西的渴望;第三，国际有组织犯罪的结构共同企图为他们提供消费手段，而“合法”结构则有效地将其排除在外。干预措施并不能指望年轻人遵守健康当务之急，而是需要架起代理和批判意识的问题，否则结构性暴力就会对其进行侵蚀。

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