“Country Boys Spit and Dip”: Masculinity and Rural Adolescent Smokeless Tobacco Use

2020 ◽  
pp. 106082652094645
Author(s):  
Donald W. Helme ◽  
Edward Morris ◽  
Ana de la Serna ◽  
Carina Zelaya ◽  
Carrie Oser ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Rural Areas ◽  
Health Research ◽  
School Students ◽  
Rural High School ◽  
Smokeless Tobacco Use ◽  
Rural Adolescent

While tobacco use nationwide is declining, smokeless tobacco (SLT) use remains steady, particularly among men in rural areas. Despite the harms of SLT, researchers know little about what initiates and sustains this use. In this study, we argue that SLT persistence is encouraged by its salience as an emblem of rural manhood. Based on interviews with 64 male and 19 female rural high school students we find that SLT symbolizes rural masculinity, and that many boys “spit and dip” to perform their status as rural men. We specify several peer, family, and community mechanisms that undergird this process. Finally, we discuss implications for men’s health research and intervention efforts.

Smokeless Tobacco Use Among Rural High School Students in Arkansas

1986 ◽  
Vol 56 (7) ◽  
pp. 282-285 ◽  
Author(s):  
Tom Williams ◽  
Rick Guyton ◽  
Phillip J. Marty ◽  
Robert J. McDermott ◽  
Michael E. Young
Keyword(s):  
High School ◽  
High School Students ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
School Students ◽  
Rural High School ◽  
Smokeless Tobacco Use

scholarly journals Temporal Trends in Smokeless Tobacco Use Among US Middle and High School Students, 2000-2011

JAMA ◽  
2013 ◽  
Vol 309 (19) ◽  
pp. 1992 ◽  
Author(s):  
Israel T. Agaku ◽  
Constantine I. Vardavas ◽  
Olalekan A. Ayo-Yusuf ◽  
Hillel R. Alpert ◽  
Gregory N. Connolly
Keyword(s):  
High School ◽  
High School Students ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Temporal Trends ◽  
School Students ◽  
Smokeless Tobacco Use

Patterns and correlates of smoking and smokeless tobacco use among continuation high school students

1994 ◽  
Vol 19 (2) ◽  
pp. 175-184 ◽  
Author(s):  
Carl de Moor ◽  
Dennis A. Johnston ◽  
Donald L. Werden ◽  
John P. Elder ◽  
Karen Senn ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Continuation High School ◽  
School Students ◽  
Smokeless Tobacco Use

scholarly journals Inspiring Rural High School Students to Consider Careers in Medicine and the Health Professions

2020 ◽  
Vol 41 (2) ◽  
pp. 64-69
Author(s):  
Morgan Cari Dunn ◽  
Norma Susswein Saks
Keyword(s):  
High School ◽  
High School Students ◽  
Medical Students ◽  
Rural Areas ◽  
Health Professions ◽  
The United States ◽  
Physician Shortage ◽  
School Students ◽  
Rural High School ◽  
Future Workshop

The United States is experiencing a physician shortage and rural areas are especially impacted. Programs exist to recruit college and medical students to work in rural areas, but few programs are focused on the high school “pipeline.”  Medical students, residents and physicians who have lived in rural areas are more likely to practice in those areas. This article describes the development, implementation, and evaluation of a workshop to educate rural high school students about preparing for health professions careers. Evaluations of the workshop were positive and indicated increased knowledge and interest in careers in medicine and health professions. It is somewhat promising that even a brief educational program has the potential to increase interest of rural high school students to pursue medical or health professions careers, and perhaps ultimately increase the number of those practicing in rural areas. The authors discuss limitations and suggest changes for future workshop presentations.

scholarly journals An Emerging Problem of Shisha Smoking among High School Students in Ethiopia

2021 ◽  
Vol 18 (13) ◽  
pp. 7023
Author(s):  
Selamawit Hirpa ◽  
Andrew Fogarty ◽  
Adamu Addissie ◽  
Linda Bauld ◽  
Thomas Frese ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Smokeless Tobacco ◽  
Addis Ababa ◽  
Capital City ◽  
School Level ◽  
Cluster Sampling ◽  
High Concentration ◽  
School Students ◽  
Study Participants

Shisha smoking is also known as hookah, water pipe, goza, and nargile. Shisha use among the young is increasing globally. Shisha smoke results in a high concentration of carbon monoxide, tar, nicotine, and heavy metals which can be toxic to humans, especially with chronic exposure. This study aims to determine the prevalence and risk factors of shisha smoking among in-school adolescents in Ethiopia. Four regional states in Ethiopia (Oromia, Amhara, Southern Nations, Nationalities, and Peoples’ Region, Tigray) and the capital city (Addis Ababa) were the study areas. A two-stage cluster sampling approach was employed to produce a representative sample. From the sampling frames in the study areas, 36 high schools were selected randomly. A multi-level logistic regression analysis was used to account for cluster-specific random effects, the effect of individuals’, and school-level variables for ever-use of shisha. A total of 3355 secondary school grade 9 and 10 students aged between 13 and 22 years took part in this study. A total of 86 (2.6%) and 20 (0.6%) of the study participants, reported that they had ever smoked or were current smokers of shisha, respectively. Of all study participants, 38.6% perceived shisha as less harmful than cigarettes and 48.5% reported that they do not know which was more harmful to health. Students were more likely to ever use shisha if they had friend/s who smoke shisha (AOR = 16.8, 95% CI: 6.4–44.3), ever smoked cigarettes (AOR = 8.2, 95% CI: 3.4–19.8), ever used khat (AOR = 4.2, 95% CI: 1.9–10.4), ever used marijuana (AOR = 3.9, 95% CI: 1.4–11.1), ever used smokeless tobacco (AOR = 3.1 95% CI: 1.1–8.4), and students had received income from their parents (AOR = 3.1 CI: 1.1–8.8). Prevalence of ever and current use of shisha among high school students is low in Ethiopia compared to many countries in Africa. The majority of adolescents perceived shisha as less harmful to health than cigarette smoking. Health education about the harmful effects of shisha should be delivered to adolescents, along with information on other substances like khat, cigarettes, marijuana, and smokeless tobacco to prevent initiation of substance use.

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