Lawson E J
College of Medicine, Department of Behavioral Science, Lexington 40536-0086.
Adolescence. 1994 Spring;29(113):61-79.
This study examined the role of cigarette smoking in the lives of low-income, pregnant adolescents. Based on in-depth interviews, subjects' beliefs and attitudes toward smoking are described. The findings indicate that this population smoked to cope with increased weight gain; to deliver smaller infants which in turn would decrease the duration of labor and reduce the pain of delivery; to counteract anxiety arising from feelings of abandonment; and to establish an identity separate from their parents' and peers' drug abuse. These results suggest that low-income, pregnant adolescents perceive immediate benefits from cigarette smoking that outweigh long-term health consequences. It is argued that smoking-prevention programs based on an inaccurate understanding of the social context in which smoking occurs can reinforce the use of tobacco among high-risk, pregnant adolescents. Suggestions are offered to improve prevention programs targeted at low-income, pregnant teenagers.
本研究调查了吸烟在低收入怀孕青少年生活中的作用。基于深入访谈，描述了受试者对吸烟的信念和态度。研究结果表明，这一群体吸烟是为了应对体重增加；为了生出体重较小的婴儿，这反过来会缩短产程并减轻分娩痛苦；为了抵消因被抛弃感而产生的焦虑；以及为了确立一种与父母和同龄人吸毒情况不同的身份。这些结果表明，低收入怀孕青少年认为吸烟带来的直接益处超过了长期健康后果。有人认为，基于对吸烟发生的社会背景的不准确理解而开展的吸烟预防项目，可能会强化高危怀孕青少年对烟草的使用。文中针对低收入怀孕青少年的预防项目提出了改进建议。
