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Smoking in young adult African Americans
Author(s) -
Jones Pamela R.,
Cohen Marlene Z.,
McIlvain Helen E.,
Siahpush Mohammad,
Scott Alexis,
Okafor Kingsley
Publication year - 2014
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12272
Subject(s) - young adult , smoking cessation , medicine , context (archaeology) , tobacco use , qualitative research , quit smoking , psychology , gerontology , environmental health , population , paleontology , social science , pathology , sociology , biology
Aim The aim of this study was to describe factors that influence decisions of young African Americans to start smoking. Background Young adult African Americans have a high risk for becoming regular smokers, but little is understood about their smoking. This knowledge is needed because understanding young adults' smokers will help develop effective tobacco cessation and prevention strategies. Design Qualitative study. Method The study consisted of 22 in‐depth interviews with African Americans between the ages of 19–25. Data were collected between 2009–2010. Smokers, former smokers and non‐smokers were included. Results/findings Results indicated that smoking identity of young adults was influenced by their limited and discounted knowledge of health risks and the stigma associated with the type of tobacco smoked. The importance of cost was discussed as was the effect of smoking on relationships and vice versa. Marijuana was the primary reason they started smoking tobacco. Their transition into adulthood and views of smoking, adulthood and success all influenced smoking. Additionally, self‐reflection on personal choices around smoking was important and may be useful in effective smoking cessation programmes for this group. Conclusion Nurses are in an ideal position to promote effective smoking cessation in young adults. Direct, culturally relevant messages are needed that fit into the context of the young adults' lives by addressing concurrent use of marijuana, self‐esteem and success in life.