Introduction People living with mental health conditions (MH+) are more likely to smoke cigarettes than people without mental health conditions (MH−) and to experience tobacco-related disparities. The Tips From Former Smokers® (Tips®) campaign is a proven population-level strategy for motivating smokers to quit. In 2016, Tips included ads featuring Rebecca, a former smoker with depression. We evaluated self-reported frequency of exposure to the Rebecca and other Tips ads in association with quit intentions and quit attempts among MH+ and MH− smokers. Methods Intentions to quit and past 6-month quit attempts lasting at least 24 hours were reported from a two-wave longitudinal online survey conducted before and after the 2016 Tips campaign with a nationally representative sample of US adult cigarette smokers with (MH+, N = 777) and without (MH−, N = 1806) lifetime mental health conditions. Results In 2016, among MH+ respondents, greater exposure to the Rebecca ads was significantly associated with increased odds of intending to quit in the next 30 days (adjusted odds ratio [AOR] = 1.40, p < .05) and with reporting a quit attempt in the past 6 months (AOR = 1.25, p < .05). Among MH− respondents, greater exposure to the other Tips ads was associated with increased odds of making a quit attempt (AOR = 1.19, p < .05). Conclusions Exposure to the Rebecca ads was associated with a greater likelihood of intentions to quit and quit attempts among MH+ smokers; whereas, exposure to the other (non-mental-health-related) Tips ads was associated with a greater likelihood of quit attempts among MH− smokers. Implications National media campaigns are an important population-level strategy for reaching specific population groups who are experiencing tobacco-related disparities. The findings support the inclusion of ads featuring people living with mental health conditions in national tobacco education media campaigns, such as Tips.
Resumen La investigación en la que se funda este artículo tuvo como objetivo comprender cómo se construye la identidad sexual en hombres gay jóvenes, entre 18 y 29 años de edad, de la ciudad de Antofagasta, en el norte de Chile. El enfoque de la investigación fue cualitativo y la selección de los participantes fue de carácter intencional. La técnica de producción de información fue la entrevista semi-estructurada. Se identificaron tres categorías que inciden en la construcción de la identidad sexual de los jóvenes entrevistados: a) la socialización de género; b) la discriminación; y c) la "salida del armario" (revelación de la orientación sexual a otros). Los ejes mencionados son importantes en cómo los entrevistados perciben, viven y aceptan (o no) su orientación sexual. Igualmente, un hallazgo importante es la significación otorgada por los jóvenes entrevistados a la homofobia internalizada, proceso que se sustenta en la construcción e internalización de rígidos roles de género, siendo este tipo de homofobia una de las causas de la discriminación y auto-discriminación que existe entre homosexuales.
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