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Stigma and Smoking in the Home: Parents’ Accounts of Using Nicotine Replacement Therapy to Protect Their Children from Second-Hand Smoke

Author

Listed:
  • Grace Lewis

    (School of Healthcare, University of Leeds, Leeds LS2 9JT, UK)

  • Neneh Rowa-Dewar

    (USHER Institute, University of Edinburgh, Edinburgh, H8 9AG, UK)

  • Rachel O’Donnell

    (Institute for Social Marketing and Health, University of Stirling, Stirling, FK9 4LA, UK)

Abstract

Evidence and campaigns highlighting smoking and second-hand smoke risks have significantly reduced smoking prevalence and denormalised smoking in the home in Scotland. However, smoking prevalence remains disproportionally high in socioeconomically disadvantaged groups. Using stigma as a theoretical lens, this article presents a thematic analysis of parents’ accounts of attempting to abstain from smoking at home, using nicotine replacement therapy (NRT), in disadvantaged areas of Edinburgh and the Lothians. Smoking stigma, particularly self-stigma, underpinned accounts, with two overarching themes: interplaying barriers and enablers for creation of a smoke-free home and reconceptualisation of the study as an opportunity to quit smoking. Personal motivation to abstain or stop smoking empowered participants to reduce or quit smoking to resist stigma. For those struggling to believe in their ability to stop smoking, stigma led to negative self-labelling. Previously hidden smoking in the home gradually emerged in accounts, suggesting that parents may fear disclosure of smoking in the home in societies where smoking stigma exists. This study suggests that stigma may act both as an enabler and barrier in this group. Reductions in smoking in the home were dependent on self-efficacy and motivations to abstain, and stigma was entwined in these beliefs.

Suggested Citation

  • Grace Lewis & Neneh Rowa-Dewar & Rachel O’Donnell, 2020. "Stigma and Smoking in the Home: Parents’ Accounts of Using Nicotine Replacement Therapy to Protect Their Children from Second-Hand Smoke," IJERPH, MDPI, vol. 17(12), pages 1-19, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4345-:d:372871
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    References listed on IDEAS

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    Cited by:

    1. Rachel O’Donnell & Grace Lewis & Colin Lumsdaine & Giovanna Di Tano & Liz Swanston & Gillian Amos & Anne Finnie & Neneh Rowa-Dewar, 2020. "Supporting Parents Living in Disadvantaged Areas of Edinburgh to Create a Smoke-Free Home Using Nicotine Replacement Therapy (NRT): A Two-Phase Qualitative Study," IJERPH, MDPI, vol. 17(19), pages 1-14, October.
    2. Chung-Ying Lin & Hector W. H. Tsang, 2020. "Stigma, Health and Well-Being," IJERPH, MDPI, vol. 17(20), pages 1-12, October.

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