Learning Objectives: Describe how smoking determinants among young women may differ from those of adults and adolescents.
Abstract:
Problem/Objective:
Although data exist on smoking determinants of older adults and adolescents, little is known about those of young adults. We examined smoking determinants in a population of young women.
Methods:
We compiled lists of smoking pros, cons, and triggers from literature review and expert consultation. We then conducted 5 focus groups (N=28) at Northeastern University, Simmons College, and Emerson College. Participants were female college students aged 18-24, self-identified as smokers. After discussing their personal determinants, participants anonymously ranked pros (11 items) and cons (8) on a 3-point Likert scale (very, somewhat, not at all important); and identified triggers (18) (yes/no). Write-in responses were encouraged.
Results:
The most important reasons for smoking (pros) were tension relief (82% of respondents) and pleasure (71%). Least important were smoking to earn respect from peers (96% ranked as unimportant) and to date more (90%). Write-ins included smoking while bored and after eating. The most important reasons not to smoke (cons) were health consequences (96%) and expense (75%). Least important was appearing less athletic (46% ranked unimportant). Write-ins included decreased fitness. Participants experienced all listed smoking triggers; however, most (68%) did not smoke for weight control or when tired. Write-ins included driving, sex, and meals.
Conclusions:
Young women’s reasons for smoking differ from those of adolescents and adults, with greater emphasis on mood control and less emphasis on peer acceptance and weight control. Interventions targeting young women may benefit from understanding how their smoking determinants differ from those of other demographic groups.
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