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1.
Soc Sci Med ; 53(5): 593-602, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11478539

ABSTRACT

Tobacco addiction represents a major public health problem, and most addicted smokers take up the habit during adolescence. We need to know why. With the aim of gaining a better understanding of the meanings smoking and tobacco addiction hold for young people, 85 focused interviews were conducted with adolescent children from economically deprived areas of Northern Ireland. Through adopting a qualitative approach within the community rather than the school context, the adolescent children were given the opportunity to freely express their views in confidence. Children seem to differentiate conceptually between child smoking and adult smoking. Whereas adults smoke to cope with life and are thus perceived by children as lacking control over their consumption, child smoking is motivated by attempts to achieve the status of cool and hard, and to gain group membership. Adults have personal reasons for smoking, while child smoking is profoundly social. Adults are perceived as dependent on nicotine, and addiction is at the core of the children's understanding of adult smoking. Child smoking, on the other hand, is seen as oriented around social relations so that addiction is less relevant. These ideas leave young people vulnerable to nicotine addiction. It is clearly important that health promotion efforts seek to understand and take into account the actions of children within the context of their own world-view to secure their health.


Subject(s)
Behavior, Addictive/psychology , Health Knowledge, Attitudes, Practice , Motivation , Psychology, Child , Smoking/psychology , Social Perception , Adolescent , Adult , Cognitive Dissonance , Female , Focus Groups , Humans , Interpersonal Relations , Interviews as Topic , Longitudinal Studies , Male , Northern Ireland , Peer Group , Smoking/adverse effects , Nicotiana
2.
Health Educ Res ; 16(2): 131-42, 2001 Apr.
Article in English | MEDLINE | ID: mdl-11345658

ABSTRACT

Health promotion, with its concern with empowerment and autonomy, must recognize the agency of its target population. Based on 85 in-depth interviews with 10- to 11-year-old children throughout Northern Ireland, this paper argues that it is necessary to focus on the social relations of children if we are to understand and prevent childhood smoking. Addressing the complex issue of childhood agency, it is argued that regardless of various restrictions to their choices, children can act intentionally in constructing their identities. Instead of viewing the smoking children as communicating with the adult world, we focus on smoking as negotiation of status within the children's culture. Such negotiations utilize symbolism derived from and shared with the 'adult world'. It is important that those analyzing children's lives understand children's ideas and behaviour on their own terms. We must make sure that the very concepts in which the children's experiences are put are appropriate ones. It is suggested that the metaphor 'rite of passage' and terminology such as peer 'pressure' versus adult 'influence', commonly used to analyse the children's smoking behaviour, may actually conceal important aspects of childhood agency.


Subject(s)
Attitude to Health , Child Behavior , Communication , Smoking/psychology , Symbolism , Child , Female , Health Promotion , Humans , Male , Northern Ireland , Peer Group , Smoking Prevention
3.
Nurs Health Sci ; 3(4): 237-45, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11906631

ABSTRACT

This paper presents qualitative data from Irish children and adolescents on their experiences in relation to alcohol consumption. A sample of 78 participants (average age 11.5 years) was selected. A proportion of this initial sample were interviewed at intervals over a period of 3 years. The participants' consumption patterns were analyzed and four categories were generated: covert unsanctioned, overt unsanctioned, overt sanctioned, and peer unsanctioned. As the children got older, peer drinking became a stronger feature of the data; however, it mediated other patterns of behavior. Although the children displayed agency in circumventing adult rules relating to alcohol consumption, the participants were subjected to structural constraints by virtue of their status as children. Moreover, the agentic powers of the participants were procured through their social network rather than arising from an essentialist agency possessed by each individual child. The impact of childhood as a structural dimension weakened to some extent as the participants got older and had more freedom to circumvent adult-defined barriers to alcohol consumption.


Subject(s)
Alcohol Drinking , Social Behavior , Adolescent , Adolescent Behavior , Age Factors , Child , Female , Focus Groups , Humans , Ireland , Longitudinal Studies , Male , Parenting
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