Smoking Flashcards
GBD 2019 TOBACCO COLLABORATORS (2021): BURDEN OF DISEASE
- globally (2019) 1.14 billion (95% uncertainty interval) individuals = current smokers; consumed 7.41 trillion cigarette-equivalents of tobacco
- smoking prevalence decreased sig since 1990 among both males/females aged 15y+; BUT population growth -> sig increase in total smokers (.99 billion = 1990)
- globally (2019) tobacco use = 7.69 million deaths & 200 million disability-adjusted life-years; leading risk factor for death among males; 6.68/7.69 million deaths attributable to smoking tobacco = among current smokers
THE LANCET PUBLIC HEALTH (2021)
- globally 1/5 young men & 1/20 young women = smokers
- 82.6% of current smokers began between 14-25y; 18.5% smoked regularly before 15y
DOMINANT MODELS OF SMOKING
ADDICTION
POOR MENTAL HEALTH
PEER PRESSURE
JARVIS (2004): ADDICTION
- cigarette smoking = primarily manifestation of nicotine addiction
- explanation = poorer smoker have higher lvls of nicotine intake aka. substantially more dependent on it
- smokers have individually characteristic prefs for nicotine intake lvl; regulate way they puff/inhale to achieve desired dose
- link w/nicotine addiction DOESN’T imply that pharmacological factors drive smoking beh in simple way to exclusion of other influences
- aka. social/economic/personal/political influences all play important part in determining smoking prevalence/cessation patterns
SMOKING = RISK FACTOR FOR PEOPLE W/POOR MENTAL HEALTH
- smoking prevalence in adults:
1. 16.4% = all adults
2. 28% = anxiety/depression
3. 34% = long term mental health condition
4. 40.5% = serious mental illness
LINKS POOR MENTAL HEALTH & SMOKING
- 3 dominant explanations for link between poor mental health & smoking:
KENDLER ET AL. (1993) - smoking/poor mental health = common causes (ie. genetics/familial factors)
KHANTZIAN (1996) - smoking helps people regulate feelings (ie. low mood/anxiety) & stabilise anxiety symptoms (ie. stress)
TAYLOR ET AL. (2014) - smoking may exacerbate poor mental health; studies show reductions in symptoms when people stop
SCHNEIDERMAN ET AL. (2005): STRESS & POOR HEALTH
- stress = key cause for poor health (both bio/psych mechanisms)
- stress “causes” = incl. violence experience in childhood/adulthood (ie. war)
- linked to issues w/divorce
SHERMAN & MEHTA (2020): STRESS & POOR HEALTH
- health impacts of stress
1. bio impacts (ie. increased cortisol)
2. cardio-vascular impacts
3. worsened mental health
4. unhealthy coping strategies - also how hierarchies shape stress experience
GUTHRIE ET AL. (2002): RACIAL DISCRIMINATION (BACKGROUND)
- stress = patterned by social structure/status/roles
- racial discrimination = key cause of stress; causing stress may -> substance use (incl. smoking) as way to reduce anxiety (aka. avoidance coping)
- set out to assess whether experiences of racial discrimination associated w/smoking among 11-19y African American girls
GUTHRIE ET AL. (2002): RACIAL DISCRIMINATION (EXPERIENCES IN METHOD)
- you received poorer serrvice than others at restaurants/stores (27%)
- you’re treated w/less courtesy than others (26%)
- people act as if they’re better than you (13%)
- you’re called names/insulted (10%)
- you’re treated w/less respect than others (9%)
- people act like they think you’re not smart (7%)
- you’re threatened/harassed (3%)
ZUKER & LANDRY (2007): SEXISM & SMOKING
- sex roles
- smoking = pleasurable/relaxing
- not simply “coping strategy” BUT also way of making meaning/building identity in context of powerlessness
MACDONAL & WRIGHT (2002): SEXISM & SMOKING
- powerlessness
- found girls w/less power in school/home = more likely to smoke
JACOBSEN (1986): SEXISM & SMOKING
- smoking to remain in control
- dealing w/lack of power; worried about losing control/being unfeminine
- use smoking to calm down
MICHELL & AMOS (1997): SEXISM & SMOKING
- girls & pecking order w/smoking
- worked w/36 11ys & 40 13y students
- focus groups w/small friendship networks; found complex relations between social status/smoking:
1. 30-40% = top groups
2. 40-50% = middle groups
3. rest = troublemakers/low groups/loners - aka. smoking associated w/high status girls/troublemakers (boys)/low status pupils (mainly girls)
MICHELL & AMOS (1997): SEXISM & SMOKING (STATUS DEFINITIONS)
HIGH STATUS
- girls = pressure to be cool/adult; focussed on discussing boys/looks/social lives; coercive pressure
- boys = twin pressures of being cool BUT also sport/health; had other activity options (computers/sport)
LOW STATUS
- girls = not popular; some pressure/force to smoke
- aka. smoking varies by social status/hierarchy & gender; social identity may be more important for girls > boys in smoking terms