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Explaining the social gradient in smoking and cessation

The Peril and Promise of Social Mobility

Bibliographic Data

ID2249671
AuthorsFrances Thirlway (0000-0002-8882-544X, Department of Sociology Wentworth College University of York York UK, corresponding author)
Year2020
Volume42
Issue3
Pages565-578
Publication date2020-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSociology of Health & Illness (JOURNAL)
Journal identifiersISSN: 0141-9889 • E-ISSN: 1467-9566
PublisherWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.13039
PMID31769046
OpenAlexW2991277226
LanguageEN
Citations received6
References cited95

Smoking in high-income countries is now concentrated in poor communities whose relatively high smoking prevalence is explained by greater uptake but above all by lower quit rates. Whilst a number of barriers to smoking cessation have been identified, this is the first paper to situate cessation itself as a classed and cultural practice. Drawing on ethnographic research carried out in a working-class community in the North of England between 2012 and 2015, I theorise smoking cessation as a symbolic practice in relation to the affective experience of class and social mobility. I show that ambivalence about upward mobility as separation and loss translated into ambivalence about smoking cessation. The reason for this was that the social gradient in smoking operated dynamically at the level of the individual life course, i.e. smoking cessation followed upward mobility. A serious health problem was an appropriate reason to quit but older women continued to smoke despite serious health problems. This was linked to historical gender roles leading to women placing a low priority on their own health as well as the intergenerational reproduction of smoking through close affective links with smoking parents

Ambivalence · Ethnography · Political science · Quit smoking · Smoking cessation · Social class · Social mobility · Social science · Sociology · Demography · Gender Studies · Health disparities and outcomes · Health, psychology, and well-being · Medicine · Psychology · Smoking Behavior and Cessation · Social Psychology

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Unique citing works6
Citations per year1,2
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 6

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