Nichter Mimi, Nichter Mark, Muramoto Myra, Adrian Shelly, Goldade Kate, Tesler Laura, Thompson Jennifer
Department of Anthropology, University of Arizona, Tucson, AZ 85721, USA.
Health Educ Behav. 2007 Oct;34(5):748-64. doi: 10.1177/1090198106290397. Epub 2006 Dec 15.
This article presents findings from a qualitative study of 53 low-income women who were smokers at the onset of pregnancy. Study participants were interviewed during pregnancy to document smoking trajectories and factors contributing to, or undermining, harm reduction and quit attempts. Thirty percent of women quit smoking completely, 43% engaged in sustained harm reduction, and 26% reduced their smoking levels intermittently. Case studies of women are presented to illustrate reasons for quitting, harm reduction practices, and factors influencing relapse and smoking continuation. Women's motivations to quit are highlighted. Moral identity as a mother was found to be a key motivating factor behind women's quit attempts. Future programs targeting this population would do well to acknowledge moral identity as an issue and recognize the challenges of quitting for women with limited social support and little control over their immediate environment.
本文介绍了一项针对53名在怀孕初期吸烟的低收入女性的定性研究结果。研究参与者在孕期接受了访谈，以记录她们的吸烟轨迹以及促成或妨碍减少危害和戒烟尝试的因素。30%的女性完全戒烟，43%持续减少吸烟危害，26%间歇性地降低了吸烟量。文中呈现了女性的案例研究，以说明戒烟原因、减少危害的做法以及影响复吸和继续吸烟的因素。文中强调了女性戒烟的动机。发现母亲的道德身份是女性戒烟尝试背后的关键激励因素。未来针对这一人群的项目最好承认道德身份这一问题，并认识到对于社会支持有限且对自身直接环境几乎无法掌控的女性而言，戒烟所面临的挑战。
