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Missed opportunities–adolescents with a chronic condition (insulin-dependent diabetes mellitus) describe their cigarette-smoking trajectories and consider health risks
Department of Pediatrics, Institute for the Health of Women and Children, Göteborg University, The Queen Silvia Children’s Hospital, Göteborg, Sweden.
Department of Pediatrics, Institute for the Health of Women and Children, Göteborg University, The Queen Silvia Children’s Hospital, Göteborg, Sweden.
2007 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 96, no 12, 1770-1776 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To enhance our knowledge on why adolescents with a chronic condition (insulin-dependent diabetes mellitus, IDDM) choose to smoke despite possible awareness of health risks.

METHODS: Twelve patients aged 15-20 with IDDM who smoked cigarettes volunteered to participate in qualitative interviews. The results were analyzed with content analysis according to Miles and Huberman 1994.

RESULTS: One set confirmed what is earlier known on cigarette smoking among adolescents, such as plain exploring, needs to conform with group norms, identity needs and denial of risks. Other themes gave new insights. One was the emotional attitudes-or lack of emotions-expressed by important others, which exerted strong influences on the smoking trajectories. These emotions affected both initiation and motivation for quitting cigarette smoking and seemed crucial as means of meaningful communications concerning smoking. One theme was a flow path of cigarette smoking, which demonstrated opportunities for secondary prevention. Finally, developmental reasons for smoking and motivation for quitting could be described.

CONCLUSIONS: There are several windows of opportunities to lower the risk of adolescents with IDDM and other chronic conditions from becoming and remaining smokers, as reported by young people themselves. © 2007 The Author(s).

Place, publisher, year, edition, pages
Chichester, West Sussex: Wiley-Blackwell, 2007. Vol. 96, no 12, 1770-1776 p.
Keyword [en]
Adolescence, Cigarette smoking, Chronic conditions, Insulin-dependent diabetes mellitus, Qualitative research
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-29121DOI: 10.1111/j.1651-2227.2007.00566.xISI: 000250915700011PubMedID: 18001334Scopus ID: 2-s2.0-36249030517OAI: oai:DiVA.org:hh-29121DiVA: diva2:845028
Note

This study was funded by The Association of Patients with Diabetes Mellitus in the Göteborg area, The Foundation for Children with Diabetes Mellitus, The Research Foundation at the Pediatric Department, Göteborg University and Kamratförbundet Sahlgrensringen (the federation of nurses educated at the Sahlgrenska Academy, Göteborg).

Available from: 2015-08-10 Created: 2015-08-10 Last updated: 2015-08-10Bibliographically approved

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CiteExportLink to record
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