年轻女性对吸烟和乳腺癌风险信息的反应。
Young women's responses to smoking and breast cancer risk information.
机构信息
Institute for Healthy Living.hronic Disease Prevention, University of British Columbia Okanagan, Kelowna, BC, Canada.
出版信息
Health Educ Res. 2010 Aug;25(4):668-77. doi: 10.1093/her/cyp067. Epub 2010 Jan 15.
Current evidence confirms that young women who smoke or who have regular long-term exposure to secondhand smoke (SHS) have an increased risk of developing premenopausal breast cancer. The aim of this research was to examine the responses of young women to health information about the links between active smoking and SHS exposure and breast cancer and obtain their advice about messaging approaches. Data were collected in focus groups with 46 women, divided in three age cohorts: 15-17, 18-19 and 20-24 and organized according to smoking status (smoking, non-smoking and mixed smoking status groups). The discussion questions were preceded by information about passive and active smoking and its associated breast cancer risk. The study findings show young women's interest in this risk factor for breast cancer. Three themes were drawn from the analysis: making sense of the information on smoking and breast cancer, personal susceptibility and tobacco exposure and suggestions for increasing awareness about tobacco exposure and breast cancer. There was general consensus on framing public awareness messages about this risk factor on 'protecting others' from breast cancer to catch smokers' attention, providing young women with the facts and personal stories of breast cancer to help establish a personal connection with this information and overcome desensitization related to tobacco messages, and targeting all smokers who may place young women at risk. Cautions were also raised about the potential for stigmatization. Implications for raising awareness about this modifiable risk factor for breast cancer are discussed.
目前的证据证实,吸烟或长期经常接触二手烟(SHS)的年轻女性罹患绝经前乳腺癌的风险增加。本研究旨在探讨年轻女性对有关主动吸烟和 SHS 暴露与乳腺癌之间关联的健康信息的反应,并征求她们对信息传递方法的建议。研究数据来自于 46 名女性的焦点小组,她们被分为三个年龄组:15-17 岁、18-19 岁和 20-24 岁,并根据吸烟状况(吸烟、不吸烟和混合吸烟状况组)进行分组。在提出关于被动和主动吸烟及其与乳腺癌风险关联的讨论问题之前,先提供了相关信息。研究结果表明,年轻女性对这一乳腺癌风险因素很感兴趣。通过分析得出了三个主题:理解关于吸烟和乳腺癌的信息、个人易感性和烟草暴露以及提高对烟草暴露和乳腺癌的认识的建议。在围绕这一风险因素制定公共意识信息时,存在着将“保护他人免受乳腺癌侵害”作为框架以引起吸烟者的注意的共识,为年轻女性提供乳腺癌的事实和个人故事,以帮助她们与这些信息建立个人联系并克服与烟草信息相关的脱敏,以及针对所有可能使年轻女性处于风险之中的吸烟者。同时也对可能出现的污名化问题提出了警告。讨论了提高对这一可改变的乳腺癌风险因素的认识的意义。