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Qualitative Health Research
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Tobacco Use in Intimate Spaces: Issues in the Study of Couple Dynamics

Joan L. Bottorff

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

Cecilia Kalaw

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

Joy L. Johnson

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

Miriam Stewart

University of Alberta, Edmonton, Canada

Lorraine Greaves

British Columbia Centre of Excellence in Women’s Health, Children and Women’s Health, Vancouver, Canada

Few guidelines exist for using qualitative research to examine couple dynamics in contexts complicated by strong social stigmas and wide-ranging patterns of interpersonal relationships. The purpose of this article is to describe the methodological and ethical issues that arose in an ongoing qualitative study focused on tobacco reduction in the context of couple relationships, and the strategies undertaken to deal with these challenges. The authors discuss their experiences with the following: recruitment in the context of social stigma and the potential for intracouple coercion, data collection and the implications of uncovering intimate dimensions of couples’ lives, the impact of the research process on mothers’ vulnerability, and the challenges of capturing shared, "dyad" experiences. These issues point to unique challenges in conducting qualitative research with couples and families and provide a useful base for similar studies.

Key Words: couples • tobacco reduction • pregnancy • qualitative research

Qualitative Health Research, Vol. 15, No. 4, 564-577 (2005)
DOI: 10.1177/1049732304269675
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