A qualitative analysis of ‘informed choice’ among young adult smokers

Gray, Rebecca; Hoek, Janet; Edwards, Richard

doi:10.1136/tobaccocontrol-2014-051793

Cited by 30 publications

(32 citation statements)

References 26 publications

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“…Their conclusions align with evidence from young adults themselves, which illustrates the role social and physical environments play in smoking uptake,12 13 20 and imply that education alone will not ensure smoking is an ‘informed choice’. Until the contradiction that sees a uniquely harmful product sold from numerous outlets is resolved, most participants thought it unreasonable to expect young people to appreciate fully the risks smoking poses 13 20…”

Section: Discussionmentioning

confidence: 60%

Smoking as an ‘informed choice’: implications for endgame strategies

et al. 2016

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Section: Discussionmentioning

confidence: 60%

Smoking as an ‘informed choice’: implications for endgame strategies

et al. 2016

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“… 42 Moreover, a knowledge test of smoking's dangers could reinforce the tobacco industry's framing of smoking as a choice made by fully informed consumers, deflecting attention from industry behavior; 42 new smokers could also have difficulty passing a test that assessed more than superficial levels of knowledge. 43 Given that smoking is increasingly concentrated among the poor, stigmatising them further as ‘registered addicts’ has social justice implications. 44 However, supporters consider the license to be akin to a prescription for access to pharmaceuticals, 41 or licenses to obtain medical marijuana.…”

Section: Resultsmentioning

confidence: 99%

The tobacco endgame: a qualitative review and synthesis

2015

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The tobacco endgame concept reorients discussion away from the persistent control of tobacco toward plans for ending the tobacco epidemic, and envisions a tobacco-free future. A variety of policy approaches have been proposed, with many offered prior to the introduction of the unifying term ‘endgame’. We conducted a qualitative synthesis of the literature on tobacco control endgames, and drew on media accounts and discussion of analogous ideas for illustrative purposes. We identified proposals focused on the product, user, market/supply or larger institutional structures. Research on public support for these proposals was limited, but suggestive of some public appetite for endgame ideas. Advocates should be encouraged to explore new policy options and consider the goal of a tobacco-free future.

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“…Finally, an R18 rating would minimise rather than eliminate exposure as some underage youth may (illegally) view R18 movies. Exposure to smoking in R18 movies may thus continue to influence late onset smoking (i.e., among those aged 18 and over), a behaviour pattern increasingly apparent in New Zealand [ 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Exposure to Smoking in Movies on Young Adult Smoking in New Zealand

et al. 2016

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Onscreen Smoking Is a Form of Tobacco MarketingTobacco advertising has been prohibited in New Zealand since 1990, and the government has set a goal of becoming a smokefree nation by 2025. However, tobacco marketing persists indirectly through smoking in motion pictures, and there is strong evidence that exposure to onscreen smoking causes young people to start smoking. We investigated the relationship between exposure to smoking in movies and youth smoking initiation among New Zealand young adults. Data from an online survey of 419 smokers and non-smokers aged 18 to 25 were used to estimate respondents’ exposure to smoking occurrences in 50 randomly-selected movies from the 423 US top box office movies released between 2008 and 2012. Analyses involved calculating movie smoking exposure (MSE) for each respondent, using logistic regression to analyse the relationship between MSE and current smoking behaviour, and estimating the attributable fraction due to smoking in movies.Effect of Smoking in Movies on New Zealand YouthExposure to smoking occurrences in movies was associated with current smoking status. After allowing for the influence of family, friends and co-workers, age and rebelliousness, respondents’ likelihood of smoking increased by 11% for every 100-incident increase in exposure to smoking incidents, (aOR1.11; p< .05). The estimated attributable fraction due to smoking in movies was 54%; this risk could be substantially reduced by eliminating smoking from movies currently rated as appropriate for youth. We conclude that exposure to smoking in movies remains a potent risk factor associated with smoking among young adults, even in a progressive tobacco control setting such as New Zealand. Harmonising the age of legal tobacco purchase (18) with the age at which it is legal to view smoking in movies would support New Zealand’s smokefree 2025 goal.

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A qualitative analysis of ‘informed choice’ among young adult smokers

Cited by 30 publications

References 26 publications

Smoking as an ‘informed choice’: implications for endgame strategies

Smoking as an ‘informed choice’: implications for endgame strategies

The tobacco endgame: a qualitative review and synthesis

Effect of Exposure to Smoking in Movies on Young Adult Smoking in New Zealand

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