Exploration of Subjective Experiences Regarding Tobacco Control Policies in Communities with Varied Socio-Economic Backgrounds
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Abstract
Tobacco control policies are an important part of public health aimed at reducing the prevalence of smoking and its negative health impacts. Although various policies have been implemented, understanding individuals' subjective experiences of these policies remains limited, particularly in diverse social and cultural contexts. This study aims to explore the subjective experiences of communities regarding tobacco control policies and to examine the challenges faced by individuals in adhering to these policies. Using a descriptive phenomenological approach, this research highlights how socio-economic and cultural factors influence individuals' perceptions and experiences of tobacco control policies. Data were collected through in-depth interviews with 15 participants and analyzed using thematic analysis. The main findings reveal that individuals from low-income groups feel burdened by the policy, while those from higher-income groups are better able to access healthier tobacco alternatives. This study provides valuable insights into the need for policies that are more sensitive to socio-economic and cultural backgrounds in order to enhance the effectiveness of tobacco control. The findings have implications for the design of more inclusive health policies that are responsive to diverse social conditions and offer opportunities for improving health policy frameworks that can address socio-economic disparities and open opportunities for further research on social and cultural factors in health policies.
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References
Azagba, S., Shan, L., Latham, K., & Qeadan, F. (2020). Trends in cigarette smoking among American Indians and Alaska Natives in the USA: 1992–2015. Cancer Causes and Control, 31(1), 73–82. Scopus. https://doi.org/10.1007/s10552-019-01250-7
Corsi-Zuelli, F., Marques, L., da Roza, D. L., Loureiro, C. M., Shuhama, R., Di Forti, M. D., Menezes, P. R., Louzada-Junior, P., & Del-Ben, C. M. (2022). The independent and combined effects of cannabis use and systemic inflammation during the early stages of psychosis: Exploring the two-hit hypothesis. Psychological Medicine, 52(16), 3874–3884. Scopus. https://doi.org/10.1017/S0033291721000726
Corsi-Zuelli, F., Schneider, A. H., Santos-Silva, T., Loureiro, C. M., Shuhama, R., Menezes, P. R., Guimarães, F. S., Gomes, F. V., Cunha, F. Q., Louzada-Junior, P., & Del-Ben, C. M. (2022). Increased blood neutrophil extracellular traps (NETs) associated with early life stress: Translational findings in recent-onset schizophrenia and rodent model. Translational Psychiatry, 12(1). Scopus. https://doi.org/10.1038/s41398-022-02291-4
Daniels, T. E., Mathis, K. J., Gobin, A. P., Lewis-de los Angeles, W. W., Smith, E. M., Chanthrakumar, P., de la Monte, S., & Tyrka, A. R. (2023). Associations of early life stress with leptin and ghrelin in healthy young adults. Psychoneuroendocrinology, 149. Scopus. https://doi.org/10.1016/j.psyneuen.2022.106007
Deleemans, J. M., Zwicker, H. M., Reynolds, K. A., & Schulte, F. S. M. (2021). Associations among Health Behaviors and Psychosocial Outcomes in Adolescent and Young Adult Cancer Survivors. Journal of Adolescent and Young Adult Oncology, 10(6), 675–681. Scopus. https://doi.org/10.1089/jayao.2020.0224
Galimov, A., Vassey, J., Galstyan, E., Unger, J. B., Kirkpatrick, M. G., & Allem, J.-P. (2022). Ice Flavor-Related Discussions on Twitter: Content Analysis. Journal of Medical Internet Research, 24(11). Scopus. https://doi.org/10.2196/41785
Gray, K. E., Hoerster, K. D., Taylor, L., Krieger, J., & Nelson, K. M. (2021). Improvements in physical activity and some dietary behaviors in a community health worker-led diabetes self-management intervention for adults with low incomes: Results from a randomized controlled trial. Translational Behavioral Medicine, 11(12), 2144–2154. Scopus. https://doi.org/10.1093/tbm/ibab113
Hatsukami, D. K., & Carroll, D. M. (2020). Tobacco harm reduction: Past history, current controversies and a proposed approach for the future. Preventive Medicine, 140. Scopus. https://doi.org/10.1016/j.ypmed.2020.106099
Kalhan, T. A., Un Lam, C., Karunakaran, B., Chay, P. L., Chng, C. K., Nair, R., Lee, Y. S., Fong, M. C. F., Chong, Y. S., Kwek, K., Saw, S. M., Shek, L., Yap, F., Tan, K. H., Godfrey, K. M., Huang, J., & Hsu, C.-Y. S. (2020). Caries Risk Prediction Models in a Medical Health Care Setting. Journal of Dental Research, 99(7), 787–796. Scopus. https://doi.org/10.1177/0022034520913476
Langley, T., Bell-Williams, R., Pattinson, J., Britton, J., & Bains, M. (2019). ‘I felt welcomed in like they’re a little family in there, i felt like i was joining a team or something’: Vape shop customers’ experiences of E-cigarette use, vape shops and the vaping community. International Journal of Environmental Research and Public Health, 16(13). Scopus. https://doi.org/10.3390/ijerph16132341
Liese, B. S., & Monley, C. M. (2021). Providing addiction services during a pandemic: Lessons learned from COVID-19. Journal of Substance Abuse Treatment, 120. Scopus. https://doi.org/10.1016/j.jsat.2020.108156
Martinasek, M. P., Wheldon, C. W., Parsons, C. A., Bell, L. A., & Lipski, B. K. (2021). Understanding Adverse Childhood Experiences as Predictors of Cigarette and E-Cigarette Use. American Journal of Preventive Medicine, 60(6), 737–746. Scopus. https://doi.org/10.1016/j.amepre.2021.01.004
Nawi, A. M., Ismail, R., Ibrahim, F., Hassan, M. R., Manaf, M. R. A., Amit, N., Ibrahim, N., & Shafurdin, N. S. (2021). Risk and protective factors of drug abuse among adolescents: A systematic review. BMC Public Health, 21(1). Scopus. https://doi.org/10.1186/s12889-021-11906-2
Pentz, M. A., Hieftje, K. D., Pendergrass, T. M., Brito, S. A., Liu, M., Arora, T., Tindle, H. A., Krishnan-Sarin, S., & Fiellin, L. E. (2019). A videogame intervention for tobacco product use prevention in adolescents. Addictive Behaviors, 91, 188–192. Scopus. https://doi.org/10.1016/j.addbeh.2018.11.016
Petkovic, J., Duench, S., Trawin, J., Dewidar, O., Pardo Pardo, J., Simeon, R., DesMeules, M., Gagnon, D., Hatcher Roberts, J., Hossain, A., Pottie, K., Rader, T., Tugwell, P., Yoganathan, M., Presseau, J., & Welch, V. (2021). Behavioural interventions delivered through interactive social media for health behaviour change, health outcomes, and health equity in the adult population. Cochrane Database of Systematic Reviews, 2021(5). Scopus. https://doi.org/10.1002/14651858.CD012932.pub2
Shin, S. H. (2021). Preventing E-cigarette use among high-risk adolescents: A trauma-informed prevention approach. Addictive Behaviors, 115. Scopus. https://doi.org/10.1016/j.addbeh.2020.106795