Snus user identity and addiction. A Swedish focus group study on adolescents

Edvardsson, Ingrid; Troein, Margareta; Ejlertsson, Göran; Lendahls, Lena

doi:10.1186/1471-2458-12-975

Cited by 13 publications

(9 citation statements)

References 24 publications

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“…There was a lack of insight into the problem of addiction, even if they understood that smoking was a way to handle difficult times in life. A similar attitude was found in a study of how adolescents using snus saw smokers [17].…”

Section: Results Discussionsupporting

confidence: 79%

Experiences of Being Non-Smoking among Adolescents in a Smoking Context

Edvardsson¹,

Geisler²,

Lendahls³

2014

Health

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Introduction: A study among Greenlandic 13-year-old showed that 68 percent for boys and 55 percent for girls, and at age 15, 46 percent of the boys and 32 percent of the girls were non-smokers. A literature review showed that the behaviour of parents and peers, attitudes and expectations were crucial factors for the smoking habits of adolescents. Young adults would more likely start smoking if their parents, older siblings and/or friends were smokers. Parental support has been proven to be a preventive factor against smoking, especially if the school and leisure centers get involved. Group pressure, directly or indirectly, is often described as the most important reason why adolescents start smoking. The purpose was to study why some adolescents choose to be smoke-free in a society where the norm is to smoke. Methods: Adolescents who were non-smokers were interviewed in focus groups. The material was analysed using content analysis. Results: The contents analysis of the text resulted in eleven categories. Based on these, four themes were developed. These themes covered areas on the reasons for being smoke-free; how the smoke-free adolescents generally felt about smokers from a society or environment perspective, and also specifically from an individual perspective, such as how smokers took up space and did not show any consideration. There was a feeling among non-smokers of not belonging and of ambivalence, as well as a perspective of the future for adolescents in Greenland and an uncertainty about what would be required for a smoke-free environment. Conclusions: In a context where the norm is to smoke, the adolescents need to make a conscious choice to be smoke-free, and there were different reasons for this choice. This choice means becoming an outsider in their group of peers as well as the overall social culture. Smokers were seen as taking up too much space, as their needs ruled and this was deemed inconsiderate.

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Section: Results Discussionsupporting

confidence: 79%

Experiences of Being Non-Smoking among Adolescents in a Smoking Context

Edvardsson¹,

Geisler²,

Lendahls³

2014

Health

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“…We identified one study that experimentally tested women-oriented pack designs 21 and a cross-sectional study that rated packs based on ‘concern with image’ 12 . Globally, there are similar findings, including about emerging products 24 - 26 .…”

Section: Introductionsupporting

confidence: 58%

Qualitative assessment of a Context of Consumption Framework to inform regulation of cigarette pack design in the U.S.

Lee¹,

Averett²,

Blanchflower³

et al. 2018

Tob. Induc. Dis.

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INTRODUCTION Researchers and regulators need to know how changes to cigarette packages can influence population health. We sought to advance research on the role of cigarette packaging by assessing a theory-informed framework from the fields of design and consumer research. The selected Context of Consumption Framework posits cognitive, affective, and behavioral responses to visual design. To assess the Framework’s potential for guiding research on the visual design of cigarette packaging in the U.S., this study seeks to understand to what extent the Context of Consumption Framework converges with how adult smokers think and talk about cigarette pack designs. METHODS Data for this qualitative study came from six telephone-based focus groups conducted in March 2017. Two groups consisted of lesbian, gay, and bisexual participants; two groups of participants with less than four years college education; one group of LGB and straight identity; and one group the general population. All groups were selected for regional, gender, and racial/ethnic diversity. Participants (n=33) represented all nine U.S. Census divisions. We conducted a deductive qualitative analysis. RESULTS Cigarette package designs captured the participants’ attention, suggested the characteristics of the product, and reflected (or could be leveraged to convey) multiple dimensions of consumer identity. Particular to the affective responses to design, our participants shared that cigarette packaging conveyed how the pack could be used to particular ends, created an emotional response to the designs, complied with normative expectations of a cigarette, elicited interest when designs change, and prompted fascination when unique design characteristics are used. CONCLUSIONS Use of the Context of Consumption Framework for cigarette product packaging design can inform regulatory research on tobacco product packaging. Researchers and regulators should consider multiple cognitive, affective, and behavioral responses to cigarette pack design.

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“…Young smokers did not see themselves smoking in the future, without stating exactly how far away that would be. They are not aware (unknowing) of their nicotine addiction, but they believe it is possible to quit when they want to themselves, that they are in control [6,7].…”

Section: Results Discussionmentioning

confidence: 99%

“…Adolescents select friends with similar attitudes and behavior regarding smoking as themselves [4]. Addiction to nicotine is developed early, [5,6] but the adolescents themselves were often unaware that their symptoms were caused by abstinence problems [7]. Adolescents are probably thinking that they only intend to smoke or use snus for a short time period and overestimate their personal ability thinking they can quit before they become addicted, or become adults.…”

Section: Introductionmentioning

confidence: 99%

Tobacco cessation – as we want it! An interview study with young people.

Aurin¹,

Haraldsson

Lendahls³

2019

Preprint

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Background Smoking is still common among teenagers and young adults, and about every third young smoker states that he/she wants to quit smoking. There are no obvious evidence-based methods for tobacco cessation for young adults, and therefore, the same methods are used for adolescents and adults. The aim was to study adolescents’ and young adult’s experiences and views about what support they would like for smoking cessation. Methods A qualitative content study using a descriptive and exploratory design was conducted. Young smokers 16 - 29 years old (n=25) were interviewed in five focus groups in southern Sweden. Data were analyzed by content analysis. Results The results illuminate young people’s suggestions to develop a model for tobacco cessation. Four themes emerged; Finding your own motivation – a prerequisite for taking the first step towards giving up smoking. Existing support rejected - existing apps, support by SMS, and self-help brochures did not appeal to the adolescents. Agreement between friends – To sign an agreement between two friends, which included a fee for relapses. Supportive environment - To organize the model with duo groups and give adapted support, and create the opportunity to win simple prizes to celebrate achieved interim goals. Conclusions The participants suggested that the model for tobacco cessation should contain adult support and involve an agreement between friends, as well as have elements of celebration and competition. The challenge will be to implement this model into environments where they live.

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Snus user identity and addiction. A Swedish focus group study on adolescents

Cited by 13 publications

References 24 publications

Experiences of Being Non-Smoking among Adolescents in a Smoking Context

Experiences of Being Non-Smoking among Adolescents in a Smoking Context

Qualitative assessment of a Context of Consumption Framework to inform regulation of cigarette pack design in the U.S.

Tobacco cessation – as we want it! An interview study with young people.

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