Institute of Psychological Sciences, University of Leeds, Leeds, UK.
Psychol Health. 2009 Feb;24(2):203-20. doi: 10.1080/08870440701670570.
The focus of this article is on constructions of health and illness in relation to smoking. Specifically, we were interested in how culturally embedded health promotion messages were discussed and understood by our young smokers-and how continued smoking was rationalised in the context of a thoroughgoing anti-smoking climate. To investigate accounts of smoking maintenance, we conducted focus group discussions (N = 22 groups) with young adults from both high school and university settings. Techniques from discourse analysis were used to identify significant patterns of talk around health and smoking, and three main repertoires were elicited. First, the health risks of smoking were downplayed in several ways (e.g. by citing other risky activities). Second, the putative health benefits of smoking were emphasised (e.g. stress relief). Third, smoking was construed as a temporary, youthful phenomenon, which would cease upon entering responsible adulthood. The implications of these three interlocking repertoires are discussed in relation to smoking maintenance, and suggestions for targeted health promotion are made.
本文的重点是与吸烟有关的健康和疾病观念。具体来说，我们对年轻吸烟者如何讨论和理解文化背景下的健康促进信息以及在全面禁烟的氛围中如何为继续吸烟进行合理化感到好奇。为了调查吸烟持续的原因，我们对来自高中和大学环境的年轻人进行了焦点小组讨论（N = 22 组）。我们使用话语分析技术来确定围绕健康和吸烟的重要谈话模式，并引出了三个主要的表达模式。首先，以几种方式淡化了吸烟的健康风险（例如，引用其他危险活动）。其次，强调了吸烟的潜在健康益处（例如缓解压力）。第三，将吸烟描述为一种暂时的、年轻的现象，一旦进入负责任的成年期就会停止。本文将讨论这三个相互关联的表达模式对吸烟持续的影响，并提出有针对性的健康促进建议。
