ArticleSocial science & medicine (1982)2019
Nicotine addiction as a moral problem: Barriers to e-cigarette use for smoking cessation in two working-class areas in Northern England.
Article in Social science & medicine (1982), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
12 citing papers in PubMed.
- Exploring the Underlying Beliefs Shaping Perceptions of E-cigarette Harm Among a Convenience Sample of Adults in the United States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026Article
- Patterns and perceptions of vaping among adults living in social housing: a representative survey in Great Britain, 2023.BMC public health · 2024Article
- A Qualitative Analysis of the Experiences of People Who Resumed Smoking Following Exclusive Electronic Nicotine Delivery Systems Use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- Vaping in a Time of Pandemics: Risk Perception and Motivations for Electronic Cigarette Use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- Subculture wars: The struggle for the vape industry.The British journal of sociology · 2023Article
- [Diversification of smoking cessation programmes-the role of e-cigarettes].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2021Review
- Socio-economic distribution of e-cigarette use among recent former regular smokers and current smokers at ages 25-26 in England.Addiction (Abingdon, England) · 2021Article
- Harm Perceptions of E-cigarettes Among Smokers With and Without Mental Health Conditions in England: A Cross-Sectional Population Survey.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Article
- An Evaluation of the Knowledge and Perceptions of Pharmacy Staff and Pre-Registration Students of E-Cigarettes Use: A Systematic Review.Tobacco use insights · 2021Review
- Inequalities, harm reduction and non-combustible nicotine products: a meta-ethnography of qualitative evidence.BMC public health · 2020Review
- Explaining the social gradient in smoking and cessation: the peril and promise of social mobility.Sociology of health & illness · 2020Article
- Associations of Socioeconomic Status, Parental Smoking and Parental E-Cigarette Use with 10-11-Year-Old Children's Perceptions of Tobacco Cigarettes and E-Cigarettes: Cross Sectional Analysis of the CHETS Wales 3 Survey.International journal of environmental research and public health · 2020Article
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Authors and funding
1 author.
Funding
Abstract
Tobacco use in high-income countries correlates with socio-economic disadvantage, but although switching to electronic cigarettes could be a safer alternative, little is known about barriers to use. Drawing on eighteen months of data collection in two areas of Northern England in 2017/18 including ethnography and interviews with 59 smokers and e-cigarette users, I show that concern about continued nicotine addiction either deterred working-class smokers from switching to e-cigarettes or dictated the conditions of their use. Research participants were unhappy about addiction both as loss of control experienced as moral failure and as neglect of financial responsibilities i.e. role performance failure in relation to family responsibilities, or what I call 'thrift as care'. They reduced the moral burden of addiction by lowering nicotine content, rejecting pleasure and minimising expenditure. They chose the cheapest possible tobacco, switched from combusted tobacco to cheaper e-cigarettes and bought cheap e-cigarettes and liquids. For working-class smokers, minimising spend on what they perceive negatively as addiction may be a greater moral concern than reducing health risk. I conclude that ensuring that vaping is significantly cheaper than smoking may be key to addressing health inequalities linked to tobacco use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.