Faculty of Nursing, University of Manitoba, 89 Curry Place, Winnipeg, MB R3T 2N2, Canada.
BMC Public Health. 2012 Nov 12;12:965. doi: 10.1186/1471-2458-12-965.
Successful cancer prevention policies and programming for youth must be based on a solid understanding of youth's conceptualization of cancer and cancer prevention. Accordingly, a qualitative study examining youth's perspectives of cancer and its prevention was undertaken. Not surprisingly, smoking (i.e., tobacco cigarette smoking) was one of the dominant lines of discourse in the youth's narratives. This paper reports findings of how youth conceptualize smoking with attention to their perspectives on parental and family-related smoking issues and experiences.
Seventy-five Canadian youth ranging in age from 11-19 years participated in the study. Six of the 75 youth had a history of smoking and 29 had parents with a history of smoking. Youth were involved in traditional ethnographic methods of interviewing and photovoice. Data analysis involved multiple levels of analysis congruent with ethnography.
Youth's perspectives of parents and other family members' cigarette smoking around them was salient as represented by the theme: It's not fair. Youth struggled to make sense of why parents would smoke around their children and perceived their smoking as an unjust act. The theme was supported by four subthemes: 1) parenting the parent about the dangers of smoking; 2) the good/bad parent; 3) distancing family relationships; and 4) the prisoner. Instead of being talked to about smoking it was more common for youth to share stories of talking to their parents about the dangers of smoking. Parents who did not smoke were seen by youth as the good parent, as opposed to the bad parent who smoked. Smoking was an agent that altered relationships with parents and other family members. Youth who lived in homes where they were exposed to cigarette smoke felt like a trapped prisoner.
Further research is needed to investigate youth's perceptions about parental cigarette smoking as well as possible linkages between youth exposed to second hand smoke in their home environment and emotional and lifestyle-related health difficulties. Results emphasize the relational impact of smoking when developing anti-tobacco and cancer prevention campaigns. Recognizing the potential toll that second-hand smoke can have on youth's emotional well-being, health care professionals are encouraged to give youth positive messages in coping with their parents' smoking behaviour.
成功的癌症预防政策和青少年计划必须建立在对青少年对癌症和癌症预防的概念的深刻理解之上。因此，进行了一项定性研究，以检查青少年对癌症及其预防的看法。毫不奇怪，吸烟（即吸食香烟）是青少年叙述中的主要话题之一。本文报告了青少年对吸烟的看法，重点是他们对父母和家庭吸烟问题和经历的看法。
75 名年龄在 11-19 岁之间的加拿大青少年参与了这项研究。75 名青少年中有 6 名有吸烟史，29 名青少年的父母有吸烟史。青少年参与了传统的人种学访谈和摄影研究方法。数据分析涉及与民族志一致的多个层次的分析。
青少年对父母和其他家庭成员在他们周围吸烟的看法非常重要，这一主题表现为：这不公平。青少年努力理解为什么父母会在孩子周围吸烟，并认为他们的吸烟是不公正的行为。这一主题得到了四个子主题的支持：1）父母对吸烟危险的教育；2）好/坏父母；3）疏远家庭关系；4）囚徒。青少年更多地是分享与父母谈论吸烟危害的故事，而不是被谈论吸烟。不吸烟的父母被青少年视为好父母，而吸烟的父母则被视为坏父母。吸烟是改变与父母和其他家庭成员关系的因素。生活在吸烟环境中的青少年感到自己像一个被困的囚徒。
需要进一步研究青少年对父母吸烟的看法，以及他们在家中接触二手烟与情绪和生活方式相关健康问题之间可能存在的联系。研究结果强调了吸烟对人际关系的影响，在制定反烟草和癌症预防运动时应予以考虑。认识到二手烟对青少年情绪健康可能产生的影响，鼓励卫生保健专业人员向青少年传递积极的信息，以应对其父母的吸烟行为。
