Greaves Lorraine
British Columbia Centre of Excellence for Women's Health, E311-4500 Oak Street, Vancouver, BC V6H 3N1, Canada.
Int J Environ Res Public Health. 2015 Jan 27;12(2):1449-65. doi: 10.3390/ijerph120201449.
Smoking cigarettes is a gendered activity with sex- and gender-specific uptake trends and cessation patterns. While global male smoking rates have peaked, female rates are set to escalate in the 21st century, especially in low and middle income countries. Hence, smoking cessation for women will be an ongoing issue and requires refreshed attention. Public health and health promotion messages are being challenged to be increasingly tailored, taking gender into account. Women-centred approaches that include harm-reduction, motivational interviewing and trauma-informed elements are the new frontiers in interventions to encourage smoking cessation for women. Such approaches are linked to the meanings of smoking to women, the adaptive function of, and the overall role of smoking cigarettes in the context of women's lives. These approaches respect gender and sex-related factors that affect smoking and smoking cessation and respond to these issues, not by reinforcing destructive or negative gender norms, but with insight. This article discusses a women-centred approach to smoking cessation that could underpin initiatives in clinical, community or public health settings and could inform campaigns and messaging.
吸烟是一种具有性别差异的行为,在吸烟率的上升趋势和戒烟模式方面存在性别差异。虽然全球男性吸烟率已达到峰值,但女性吸烟率在21世纪将呈上升趋势,尤其是在低收入和中等收入国家。因此,女性戒烟将是一个持续存在的问题,需要重新引起关注。公共卫生和健康促进信息正面临越来越大的挑战,需要考虑性别因素进行更有针对性的调整。以女性为中心的方法,包括减少危害、动机性访谈和创伤知情要素,是鼓励女性戒烟干预措施的新前沿。这些方法与吸烟对女性的意义、吸烟的适应功能以及吸烟在女性生活背景中的整体作用相关联。这些方法尊重影响吸烟和戒烟的性别及与性别相关的因素,并对这些问题做出回应,不是通过强化破坏性或负面的性别规范,而是通过洞察力。本文讨论了一种以女性为中心的戒烟方法,该方法可为临床、社区或公共卫生环境中的倡议提供支持,并为宣传活动和信息传递提供参考。