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Crossing the Line: Adolescents’ Experiences of Controlling Their Tobacco Use

Nursing and Health Behaviour Research Unit (NAHBR), School of Nursing, University of British Columbia, Vancouver, Canada

Cecilia Kalaw

NAHBR, School of Nursing, University of British Columbia, Vancouver, Canada

Chris Y. Lovato

Department of Health Care and Epidemiology at the University of British Columbia, Vancouver, Canada

Lynne Baillie

Cancer Centre for the Southern Interior, Kelowna, Canada

Natalie A. Chambers

NAHBR, School of Nursing, University of British Columbia, Vancouver, Canada

Although adolescents are often curious about cigarettes and anxious to "try" smoking, they are unsure about what engaging in the act of smoking will mean. Most adolescents who experiment with smoking do not set out to become addicted to tobacco. Using a grounded theory approach, the authors examined the process youth undergo to regain control over their smoking. Accounts of early smoking experiences suggest that youth undergo a process to control tobacco use that includes (a) determining if smoking is a problem, (b) "crossing the line" of acceptable tobacco use, and (c) implementing strategies to regain control of smoking. The findings of this study lay the basis for the development of harm reduction approaches that facilitate youth’s propensity to control their tobacco use.

Key Words: adolescents • tobacco • harm reduction • qualitative methods • behavioral control

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