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对受污名化状态的提醒可能有助于吸烟者戒烟。

Reminders of a Stigmatized Status Might Help Smokers Quit.

作者信息

Helweg-Larsen Marie, Pyakuryal Mihir, Pisinger Charlotta

机构信息

Dickinson College, Carlisle, PA.

Centre for Clinical Research and Prevention, Copenhagen, Denmark.

出版信息

Stigma Health. 2020 Aug;5(3):273-283. doi: 10.1037/sah0000197. Epub 2019 Oct 24.

Abstract

As members of a devalued group, it is not surprising that smokers experience stigmatization and discrimination. But it is not clear if smokers react to these experiences by moving toward or away from their group membership and identity as smokers. Guided by the identity threat model of stigma (Major and O'Brien, 2005) we examined the process of stigmatization and its emotional, cognitive, attitudinal, and behavioral consequences. We experimentally examined how reading a stigmatizing newspaper article or a control article (Experiment 1) and recalling one's experience with smoking discrimination or a control prompt (Experiment 2) affected smokers' responses. We also examined the role of cultural contexts (U.S. vs. Denmark; only in Experiment 1) and smoking identity. In Experiment 1, we used a community sample of smokers from the U.S. ( = 111) and Denmark ( = 111). We found that reading the stigmatizing article (compared to the control) caused more rejection sensitivity (U.S. participants only) and more intentions to quit smoking (both U.S. and Danish participants) for smokers low in smoking identity. In Experiment 2, we used an online sample of 194 U.S. smokers and found that recalling instances of mistreatment made smokers more stressed, rejection sensitive, and interested in smoking cessation, when smokers appraised the stigma cue as threatening. Thus, we generally found that identity threat moved smokers toward leaving their stigmatized group (e.g., quitting smoking) rather than away from it. Our studies highlight the importance of understanding psychological process by which smokers distance themselves from their spoiled identity.

摘要

作为一个被贬低群体的成员,吸烟者遭受污名化和歧视并不奇怪。但尚不清楚吸烟者是通过趋向还是远离其作为吸烟者的群体成员身份和认同来应对这些经历。在污名的身份威胁模型(梅杰和奥布赖恩,2005年)的指导下,我们研究了污名化过程及其情感、认知、态度和行为后果。我们通过实验研究了阅读一篇带有污名化的报纸文章或一篇对照文章(实验1)以及回忆自己遭受吸烟歧视的经历或一个对照提示(实验2)如何影响吸烟者的反应。我们还研究了文化背景(美国与丹麦;仅在实验1中)和吸烟身份的作用。在实验1中,我们使用了来自美国(n = 111)和丹麦(n = 111)的吸烟者社区样本。我们发现,对于吸烟身份认同较低的吸烟者,阅读污名化文章(与对照相比)会导致更多的拒绝敏感性(仅美国参与者)和更多的戒烟意愿(美国和丹麦参与者均有)。在实验2中,我们使用了194名美国吸烟者的在线样本,发现当吸烟者将污名线索评估为具有威胁性时,回忆受虐事件会使吸烟者更加紧张、对拒绝敏感并对戒烟更感兴趣。因此,我们总体上发现身份威胁会促使吸烟者趋向于离开他们被污名化的群体(例如戒烟)而不是远离它。我们的研究强调了理解吸烟者与他们受损身份保持距离的心理过程的重要性。

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