자료유형  

 학위논문

Control Number  

0017160709

International Standard Book Number  

9798382834481

Dewey Decimal Classification Number  

384

Main Entry-Personal Name  

Andrews, Mary E.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of Pennsylvania., 2024

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2024

Physical Description  

227 p.

General Note  

Source: Dissertations Abstracts International, Volume: 85-12, Section: B.

General Note  

Advisor: Falk, Emily B.

Dissertation Note  

Thesis (Ph.D.)--University of Pennsylvania, 2024.

Summary, Etc.  

요약The following dissertation is composed of three studies that all investigate how social identity and experiences in the social world, namely exposure to tobacco marketing and minority stressors, influence cigarette smoking. It is well established that smoking cigarettes has negative downstream health consequences, and this dissertation seeks to contribute to our understanding of why there is higher tobacco-related morbidity and mortality for people with marginalized identities who do not necessarily have additional biological risk factors. By examining who has higher exposure to tobacco marketing and minority stressors and how the effects of exposure vary across people with different social identities, the following studies will provide a more comprehensive understanding of how cigarette smoking, and the downstream health consequences are influenced by social and political factors.Study 1 tests the causal link between exposure to images of point-of-sale cigarette promotions and cigarette craving in an online experiment and investigates how that relationship differs by participants' subjective view of their socioeconomic status. Participants craved cigarettes more after viewing all cigarette promotions (vs. non-smoking cues) and craving was significantly higher after cigarette promotions with a discount (vs. without). Craving was also higher for participants with a lower (vs. higher) subjective social status regardless of cigarette promotion type, while craving was only high for promotions with a discount (vs. without) for participants with higher subjective social status.Study 2 tracked daily exposure to real-time tobacco advertising and stressors over the course of two weeks. Participants felt more stressed and negative on days they experienced interpersonal discrimination, and they had higher cigarette cravings on days they experienced interpersonal discrimination and higher-than-usual tobacco advertising together. Groups of participants with a minoritized sexual identity or marginalized race/ethnicity also experienced more interpersonal discrimination and exposure to tobacco advertising.Study 3 investigated the relationship between sexual identity-based minority stressors and smoking in a sample of women who identify as a sexual minority and how psychological distress and exposure to tobacco promotions interact with that relationship. Participants with a marginalized race or ethnicity experienced more sexual identity-based minority stressors, and minority stressors were positively associated with cigarette smoking, though concealment was negatively associated. There was an indirect effect of victimization on smoking via depression. Experiencing high levels of most minority stressors also amplified the effect of exposure to tobacco promotions on smoking.Taken together, the results indicate both the stress from being marginalized by society and heightened exposure to tobacco advertising contributes to higher smoking prevalence in certain marginalized groups. Policies that restrict tobacco advertising along with creating interventions that offer more support for marginalized groups could reduce health disparities.   

Subject Added Entry-Topical Term  

Communication.

Subject Added Entry-Topical Term  

Public health.

Subject Added Entry-Topical Term  

Social psychology.

Subject Added Entry-Topical Term  

Mental health.

Index Term-Uncontrolled  

Health communication

Index Term-Uncontrolled  

Intersectionality

Index Term-Uncontrolled  

Message effects

Index Term-Uncontrolled  

Minority stress

Index Term-Uncontrolled  

Social identity

Index Term-Uncontrolled  

Tobacco control

Added Entry-Corporate Name  

University of Pennsylvania Communication

Host Item Entry  

Dissertations Abstracts International. 85-12B.

Electronic Location and Access  

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Control Number  

joongbu:656708