'They don't live in my house every day': How understanding lives can aid understandings of smoking.
While the prevalence of smoking in western countries has substantially reduced following the introduction of comprehensive tobacco control programs, reduction strategies such as the introduction of smokefree legislation, media campaigns and individual and group support for people trying to quit have been less successful with people living on low income, suggesting the need for new ways to engage with people who smoke. We argue that, rather than focusing solely on researching smoking behaviors to generate new understandings of why people smoke, people working in the broad area of public health should look more widely at peoples' lives in order to understand their smoking. Using a biographical, narrative perspective as part of a wider ethnographic study of 12 families living in one community within Liverpool in 2006, we argue that understandings that position smoking purely as a harmful, deviant behavior, fail to capture the cultural complexity of the lives of smokers and the changing place and meaning of cigarettes over a person's lifetime, and may explain why smokers fail to engage with smoking cessation services and continue to smoke.
Jude
J
Robinson
Clare
C
Holdsworth
Smoking; critical public health; ethnography; narratives; tobacco
Health Educ Behav. 2007 Oct;34(5):748-64
17200098
Health Place. 2007 Dec;13(4):894-903
17499542
Sociol Health Illn. 2008 Nov;30(7):1086-100
18564973
Tob Control. 2012 Mar;21(2):287-8
22345269
BMJ. 2007 Sep 15;335(7619):553
17827488
Addiction. 2004 Jan;99(1):77-81
14678065
Clin Med (Lond). 2005 Nov-Dec;5(6):548-50
16411348
Tob Control. 2012 Mar;21(2):236-43
22166266
J Health Commun. 2003 Jul-Aug;8(4):343-67
12907400
Soc Sci Med. 1983;17(2):59-69
6836342
J Epidemiol Community Health. 2006 Sep;60 Suppl 2:57-65
17708012
Drug Alcohol Depend. 2009 Oct 1;104 Suppl 1:S11-6
19345520
Sociol Health Illn. 2010 Sep;32(6):914-29
20525013
Soc Sci Med. 2003 Aug;57(4):613-23
12821010
Crit Public Health. 2012 Dec;22(4):455-469
23060687
Tob Control. 2009 Apr;18(2):156-8
19208667
Drug Alcohol Rev. 1993;12(4):377-85
16840103
Soc Sci Med. 1982;16(1):43-52
7100956
Soc Sci Med. 2010 Feb;70(4):582-7
19932931
Am J Public Health. 2006 Jan;96(1):47-50
16317199
Soc Sci Med. 2006 Feb;62(4):1009-21
16115714
Sociol Health Illn. 2009 Jan;31(1):66-80
18764804
Health Educ Res. 2003 Jun;18(3):292-303
12828231
Soc Sci Med. 2007 Aug;65(4):641-52
17482738
Addiction. 2012 Dec;107 Suppl 2:39-44
23121358