青年澳大利亚女性对吸烟和戒烟的描述：一项使用视觉方法的定性研究
2018/01/19
摘要
背景：尽管澳洲整体吸烟率逐步下降，但下降趋势逐步减缓。青年女性吸烟比例引起特别关注，也成为公共卫生联盟的关注重点。后结构主义理论被成功应用于探寻青年女性戒烟方法。然而，女性戒烟经验后结构主义分析尚无研究。本研究旨在弥补这一空白。
方法：研究对27位澳洲青年女性烟民和既往吸烟者进行采访。其中18位女性参与拍照和跟踪采访。所有数据进行福柯话语分析。
结果：通过分析发现三种表述，吸烟行为不负责任：戒烟是负责任的行为；戒烟的难度: 吸烟成瘾；下定戒烟的决心；吸烟是一种选择。与这些表述相关的内容还有受试者在责任感、抵抗力，成瘾性等方面相互矛盾。而这些矛盾点也导致青年女性主观判断力的改变，以及参与戒烟的方式和决心。
结论：本研究指出青年女性烟民其吸烟和戒烟内在复杂而又矛盾的特征。研究结果可以作为青年女性烟民控烟政策改善和戒烟支持项目的参考。
Young Australian women's accounts of smoking and quitting: a qualitative study using visual methods.
BMC Womens Health. 2018 Jan 5;18(1):5. doi: 10.1186/s12905-017-0500-1.
Triandafilidis Z, Ussher JM, Perz J, Huppatz K.
Abstract
BACKGROUND:Although the overall rate of smoking in Australia continues to decline, the rate of decline has begun to slow. Rates of smoking among young women in Australia have been a particular concern, which has led to the development of targeted public health campaigns. Poststructuralist theory has successfully been used in research to explore the way in which young women experience smoking. However, there is an absence of poststructuralist analysis of young women's experiences of quitting. This study aims to address this gap.
METHODS:We carried out 27 interviews with young Australian women smokers and ex-smokers. Eighteen of those women then participated in a photography activity and follow-up interviews. A Foucauldian discourse analysis of the data was conducted.
RESULTS:Through our analysis, we identified three discourses: 'The irresponsibility of smoking: Quitting as responsible', 'The difficulties of quitting: Smoking as addictive', and 'Making a decision to quit: Smoking as a choice'. In relation to these discourses, participants took up contradictory positions of responsibility and resistance, addiction and agency. Taking up these positions had implications for young women's subjectivity, and the way they engaged with tobacco controls and cessation support.
CONCLUSIONS:The analysis highlights the complex and contradictory nature of young women's experiences with smoking and quitting. The study's findings are considered in relation to the improvement of tobacco control policies and cessation support programmes targeted at young women.
背景：尽管澳洲整体吸烟率逐步下降，但下降趋势逐步减缓。青年女性吸烟比例引起特别关注，也成为公共卫生联盟的关注重点。后结构主义理论被成功应用于探寻青年女性戒烟方法。然而，女性戒烟经验后结构主义分析尚无研究。本研究旨在弥补这一空白。
方法：研究对27位澳洲青年女性烟民和既往吸烟者进行采访。其中18位女性参与拍照和跟踪采访。所有数据进行福柯话语分析。
结果：通过分析发现三种表述，吸烟行为不负责任：戒烟是负责任的行为；戒烟的难度: 吸烟成瘾；下定戒烟的决心；吸烟是一种选择。与这些表述相关的内容还有受试者在责任感、抵抗力，成瘾性等方面相互矛盾。而这些矛盾点也导致青年女性主观判断力的改变，以及参与戒烟的方式和决心。
结论：本研究指出青年女性烟民其吸烟和戒烟内在复杂而又矛盾的特征。研究结果可以作为青年女性烟民控烟政策改善和戒烟支持项目的参考。
（上海交通大学医学院附属瑞金医院呼吸与危重症医学科 周剑平 万欢英 摘译）
（BMC Womens Health. 2018 Jan 5;18(1):5. doi: 10.1186/s12905-017-0500-1.）
（BMC Womens Health. 2018 Jan 5;18(1):5. doi: 10.1186/s12905-017-0500-1.）
Young Australian women's accounts of smoking and quitting: a qualitative study using visual methods.
BMC Womens Health. 2018 Jan 5;18(1):5. doi: 10.1186/s12905-017-0500-1.
Triandafilidis Z, Ussher JM, Perz J, Huppatz K.
Abstract
BACKGROUND:Although the overall rate of smoking in Australia continues to decline, the rate of decline has begun to slow. Rates of smoking among young women in Australia have been a particular concern, which has led to the development of targeted public health campaigns. Poststructuralist theory has successfully been used in research to explore the way in which young women experience smoking. However, there is an absence of poststructuralist analysis of young women's experiences of quitting. This study aims to address this gap.
METHODS:We carried out 27 interviews with young Australian women smokers and ex-smokers. Eighteen of those women then participated in a photography activity and follow-up interviews. A Foucauldian discourse analysis of the data was conducted.
RESULTS:Through our analysis, we identified three discourses: 'The irresponsibility of smoking: Quitting as responsible', 'The difficulties of quitting: Smoking as addictive', and 'Making a decision to quit: Smoking as a choice'. In relation to these discourses, participants took up contradictory positions of responsibility and resistance, addiction and agency. Taking up these positions had implications for young women's subjectivity, and the way they engaged with tobacco controls and cessation support.
CONCLUSIONS:The analysis highlights the complex and contradictory nature of young women's experiences with smoking and quitting. The study's findings are considered in relation to the improvement of tobacco control policies and cessation support programmes targeted at young women.
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基于文本的戒烟干预在农村老年烟民中的可行性
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烟草使用混乱和处理：新的挑战和机遇
