“这只是一种融入的方式”：烟草使用与阿巴拉契亚地区女同性恋、男同性恋和双性恋者的生活经历
"It's just a way of fitting in:" Tobacco use and the lived experience of lesbian, gay, and bisexual appalachians.
作者信息
Bennett Keisa, Ricks JaNelle M, Howell Britteny M
出版信息
J Health Care Poor Underserved. 2014 Nov;25(4):1646-66. doi: 10.1353/hpu.2014.0186.
UNLABELLED
Lesbian, gay, and bisexual (LGB) people are affected by multiple health disparities and risk factors, including tobacco use. Few studies to date have examined tobacco use specifically in rural LGB populations, and none has investigated the intersections of identity, rural LGB culture, and tobacco. The purpose of this study was to explore the perspective of Appalachian LGB people regarding tobacco use.
METHODS
. Nineteen LGB-identified Appalachian residents participated in audiotaped, semi-structured interviews. Two authors analyzed and coded transcripts through constant comparison, and determined themes through consensus.
RESULTS
Five themes emerged: the convergence of Appalachian and LGB identities, tacit awareness of LGB identity by others, culture and tobacco use, perceived associations with tobacco use, and health beliefs and health care.
CONCLUSIONS
LGB Appalachians connect stress and culture to tobacco, but seem less aware that partial concealment of their identity might be a source of the stress that could influence their smoking.
未标注
女同性恋、男同性恋和双性恋（LGB）群体受到多种健康差异和风险因素的影响，包括烟草使用。迄今为止，很少有研究专门考察农村LGB人群的烟草使用情况，而且没有一项研究调查过身份认同、农村LGB文化与烟草之间的交叉关系。本研究的目的是探讨阿巴拉契亚LGB人群对烟草使用的看法。
方法
19名自我认同为LGB的阿巴拉契亚居民参与了录音的半结构化访谈。两位作者通过持续比较对访谈记录进行分析和编码，并通过达成共识确定主题。
结果
出现了五个主题：阿巴拉契亚身份与LGB身份的融合、他人对LGB身份的默契认知、文化与烟草使用、对烟草使用的认知关联以及健康观念与医疗保健。
结论
阿巴拉契亚的LGB人群将压力和文化与烟草联系起来，但似乎不太意识到部分隐瞒自己的身份可能是导致压力的一个来源，而这种压力可能会影响他们吸烟。
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