Smoking Behaviors of General Educational Development (GED) Recipients.

Cigarette smoking is inversely associated with education, and despite this gradient effect, individuals with a General Educational Development (GED) diploma, obtained through a high school equivalency test, have the highest smoking prevalence. Considered the high school equivalency credential, it is...

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Publicado en:Substance Use & Misuse Vol. 56; no. 11; pp. 1707 - 1715
Autores principales: Martinez, S. A., Hasan, A., Beebe, L. A., Cheney, M. K.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/10826084.2021.1949614
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        atl: Smoking Behaviors of General Educational Development (GED) Recipients.
      aug:
        au:
          Martinez, S. A.
          Hasan, A.
          Beebe, L. A.
          Cheney, M. K.
        affil: Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma, USA
      sug:
        subj:
          Smoking
          Health Behavior
          Achievement Tests
          Education
          Human
          Adolescence
          Adult
          Prevalence
          Tobacco Products
          Qualitative Studies
          Life Experiences
          Smoking Cessation
          Perception
          Semi-Structured Interview
          Nicotine Replacement Therapy
          Counseling
          Adolescent: 13-18 years
          Adult: 19-44 years
      ab: Cigarette smoking is inversely associated with education, and despite this gradient effect, individuals with a General Educational Development (GED) diploma, obtained through a high school equivalency test, have the highest smoking prevalence. Considered the high school equivalency credential, it is unclear why individuals with a GED have a substantially higher smoking prevalence compared to high school graduates and dropouts. We conducted a qualitative study to understand life experiences, tobacco use patterns, and perceptions of tobacco among GED smokers and attitudes and behaviors around smoking cessation. We recruited 40 GED smokers aged 18 to 35 years and conducted surveys and semi-structured individual interviews. Transcripts were independently coded, then coding differences were resolved and reviewed by a third team member. We independently determined themes within and between codes and met to determine final themes. GED recipients had many early life experiences and characteristics that made them highly vulnerable to tobacco dependence. With perceived high cognitive abilities, GED smokers were knowledgeable of many evidence-based smoking cessation strategies and were aware of health risks. Health risks and the financial burden of smoking were motivation to quit. The majority were uninterested or lacked confidence that nicotine replacement therapy, medications, counseling, or the quitline could help them quit. Nearly all were enthusiastic and confident that financial incentives had the potential to help them quit. Research is needed to determine whether financial incentives could improve smoking cessation outcomes in this unique population with an unequal burden of smoking.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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