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Tabakkonsum bei Jugendlichen und erwachsenen Risikopopulationen. Einflussfaktoren und Ansätze zu Prävention und Intervention Die vorliegende Arbeit beschäftigt sich mit den Einflussfaktoren des Tabakkonsums bei verschiedenen Zielgruppen sowie möglichen Ansätzen zur nachhaltigen Beeinflussung des Rauchverhaltens. Die Arbeit besteht aus insgesamt sechs Manuskripten, die in nationalen und internationalen Fachzeitschriften publiziert oder zur Publikation angenommen sind. Diese sechs Beiträge lassen sich zwei Schwerpunkten zuordnen, die inhaltlich die zwei wichtigsten Möglichkeiten zur Reduktion des Tabakkonsums in der Bevölkerung widerspiegeln: die Verhinderung des Neueinstiegs in das Rauchen bei Kindern und Jugendlichen (Prävention) sowie die Förderung des Ausstiegs aus dem Rauchen (Intervention). Im ersten Teil wird im Rahmen eines Reviews sowie zweier Studien untersucht, ob sich verhältnispräventive Maßnahmen an Schulen auf das Rauchverhalten der Schüler auswirken. Im zweiten Teil untersuchen drei Studien die Motivation zur Verhaltensänderung, die Inanspruchnahme von Hilfsangeboten bzw. die Effektivität von Tabakentwöhnung bei Rauchern mit einer Alkoholabhängigkeit, Müttern in der Mutter-Kind-Rehabilitation sowie Patienten mit tabakassoziierten körperlichen Erkrankungen. / „Smoking in adolescents and adult risk populations. Factors of influence and approaches concerning prevention and intervention” This dissertation is concerned with factors influencing the smoking behaviour of different target groups and potential approaches for lasting changes of these behaviours. The dissertation consists of six manuscripts that are published or accepted for publication in national and international peer-reviewed journals. These six papers refer to two main emphases that reflect the two most important possibilities to reduce tobacco consumption in the population: Prevention of smoking initiation in children and adolescents (prevention), and support for smoking cessation (intervention). In the first part of the dissertation, a literature review and two empirical studies assess the influence of school tobacco policies on the smoking behaviour of students. In the second part, three empirical papers examine motivation to change, utilisation and effectiveness of smoking cessation in smokers with an alcohol dependence, mothers in mother-child rehabilitation and patients with smoking-related physical diseases.

The study investigated three aspects related to smoking, namely, smoking behaviour, risk perception and attitudes to anti-smoking legislation. The theoretical framework of the study was the Information-Motivation-Behavioural (IMB) skills model. The study was a quantitative one, making use of a cross-sectional survey design to obtain data about the three variables of interest. Responses to statements about risk perception and attitudes to anti-smoking legislation in the questionnaire were arranged on a three-point Likert scale. The inferential statistics used were one-sample ttests and Chi-square analyses. The results showed an overall smoking prevalence of 16%, with twice as many females than males being smokers in the sample. ‘Coloured’ students in both genders had the highest smoking rate compared to all other race groups. The knowledge of the health risks of smoking were very high, however smokers had a lower perception of risk compared to non-smokers. Moreover, while there was a fair amount of support for anti-smoking legislation among smokers, smokers tended to show less support for legislation than non-smokers, especially to those parts of the legislation that affect them more directly. The results of the study indicate a clear connection between smoking behaviour and the effect it has on both risk perception as well as attitudes to anti-smoking legislation in individuals.

The study investigated three aspects related to smoking, namely, smoking behaviour, risk perception and attitudes to anti-smoking legislation. The theoretical framework of the study was the Information-Motivation-Behavioural (IMB) skills model. The study was a quantitative one, making use of a cross-sectional survey design to obtain data about the three variables of interest. Responses to statements about risk perception and attitudes to anti-smoking legislation in the questionnaire were arranged on a three-point Likert scale. The inferential statistics used were one-sample ttests and Chi-square analyses. The results showed an overall smoking prevalence of 16%, with twice as many females than males being smokers in the sample. ‘Coloured’ students in both genders had the highest smoking rate compared to all other race groups. The knowledge of the health risks of smoking were very high, however smokers had a lower perception of risk compared to non-smokers. Moreover, while there was a fair amount of support for anti-smoking legislation among smokers, smokers tended to show less support for legislation than non-smokers, especially to those parts of the legislation that affect them more directly. The results of the study indicate a clear connection between smoking behaviour and the effect it has on both risk perception as well as attitudes to anti-smoking legislation in individuals.

Magister Artium (Psychology) - MA(Psych) / The study investigated three aspects related to smoking, namely, smoking behaviour, risk perception and attitudes to anti-smoking legislation. The theoretical framework of the study was the Information-Motivation-Behavioural (IMB) skills model. The study was a quantitative one, making use of a cross-sectional survey design to obtain data about the three variables of interest. Responses to statements about risk perception and attitudes to anti-smoking legislation in the questionnaire were arranged on a three-point Likert scale. The inferential statistics used were one-sample t-tests and Chi-square analyses. The results showed an overall smoking prevalence of 16%, with twice as many females than males being smokers in the sample. 'Coloured' students in both genders had the highest smoking rate compared to all other race groups. The knowledge of the health risks of smoking were very high, however smokers had a lower perception of risk compared to non-smokers. Moreover, while there was a fair amount of support for anti-smoking legislation among smokers, smokers tended to show less support for legislation than non-smokers, especially to those parts of the legislation that affect them more directly. The results of the study indicate a clear connection between smoking behaviour and the effect it has on both risk perception as well as attitudes to anti-smoking legislation in individuals. / South Africa

Tabakkonsum bei Jugendlichen und erwachsenen Risikopopulationen. Einflussfaktoren und Ansätze zu Prävention und Intervention Die vorliegende Arbeit beschäftigt sich mit den Einflussfaktoren des Tabakkonsums bei verschiedenen Zielgruppen sowie möglichen Ansätzen zur nachhaltigen Beeinflussung des Rauchverhaltens. Die Arbeit besteht aus insgesamt sechs Manuskripten, die in nationalen und internationalen Fachzeitschriften publiziert oder zur Publikation angenommen sind. Diese sechs Beiträge lassen sich zwei Schwerpunkten zuordnen, die inhaltlich die zwei wichtigsten Möglichkeiten zur Reduktion des Tabakkonsums in der Bevölkerung widerspiegeln: die Verhinderung des Neueinstiegs in das Rauchen bei Kindern und Jugendlichen (Prävention) sowie die Förderung des Ausstiegs aus dem Rauchen (Intervention). Im ersten Teil wird im Rahmen eines Reviews sowie zweier Studien untersucht, ob sich verhältnispräventive Maßnahmen an Schulen auf das Rauchverhalten der Schüler auswirken. Im zweiten Teil untersuchen drei Studien die Motivation zur Verhaltensänderung, die Inanspruchnahme von Hilfsangeboten bzw. die Effektivität von Tabakentwöhnung bei Rauchern mit einer Alkoholabhängigkeit, Müttern in der Mutter-Kind-Rehabilitation sowie Patienten mit tabakassoziierten körperlichen Erkrankungen. / „Smoking in adolescents and adult risk populations. Factors of influence and approaches concerning prevention and intervention” This dissertation is concerned with factors influencing the smoking behaviour of different target groups and potential approaches for lasting changes of these behaviours. The dissertation consists of six manuscripts that are published or accepted for publication in national and international peer-reviewed journals. These six papers refer to two main emphases that reflect the two most important possibilities to reduce tobacco consumption in the population: Prevention of smoking initiation in children and adolescents (prevention), and support for smoking cessation (intervention). In the first part of the dissertation, a literature review and two empirical studies assess the influence of school tobacco policies on the smoking behaviour of students. In the second part, three empirical papers examine motivation to change, utilisation and effectiveness of smoking cessation in smokers with an alcohol dependence, mothers in mother-child rehabilitation and patients with smoking-related physical diseases.

La présente étude a comme objectif de comprendre comment les détenus se sont adaptés à l’interdiction complète de fumer dans les établissements carcéraux canadiens. À partir d’entrevues qualitatives menées auprès de dix-sept hommes incarcérés dans divers établissements de détention canadiens, nous avons analysé le vécu des reclus soumis à cette nouvelle réglementation. Il ressort de nos analyses que le tabac permet aux détenus d’amoindrir les souffrances liées à l’emprisonnement, d’où l’adaptation individuelle et collective quant au contournement de la politique antitabac. De plus, la réglementation sur le tabac a des répercussions considérables sur le caractère total des institutions carcérales. La perte d’un droit qui avait été acquis depuis plusieurs décennies a créé une augmentation des mesures de contrôle, des privations et des tensions au sein du milieu carcéral. / The present study aims to understand how inmates have adjusted to a total ban on smoking in Canadian prisons. From qualitative interviews conducted with seventeen men detained in various detention facilities in Canada, we analyzed the experiences of inmates subject to the new regulations. It appears from our analyzes that tobacco allows inmates to lessen the suffering associated with imprisonment, which leads the individual and collective adaptation to circumvent the smoking policy. In addition, the tobacco regulation has a significant impact on the total character of penal institutions. The loss of a right that was acquired over several decades has created an increase in control measures, deprivation and tensions within the prison.

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