The Folk Sociological Imagination: Manufacturing Agency Through Smoking Among Chinese Adolescents.

IF 2.6 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Bo Li
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Abstract

Persistent adolescent smoking in China presents a paradox within the context of advancing nicotine control. Moving beyond social-environmental explanations, this study employs Mills' sociological imagination to conceptualise this persistence as an agentive response to constrained realities and futures, enacted through peer-curated lay epidemiology. Its core argument is that adolescents cultivate a folk sociological imagination-a vernacular system of sense-making-to manufacture agency and reframe smoking risk. Qualitative data from 21 adolescent smokers in Shenzhen, including 208 health diaries and 17 interviews, reveal how this is achieved through three practices: the selective valorisation of healthy smoker exemplars; folk attribution of causality to external or individual factors; and prevalence-as-safety normalisation. This folk process reconfigured the public issue of smoking risk into a series of manageable private troubles, transforming statistical harm into a matter of individual circumstance. Findings highlight three gaps in current efforts: an epistemic gap in policy, which dismisses peer-validated evidence; an intervention gap in health education, which fails to engage with lay reasoning and a structural hope gap, which generates a form of cruel optimism that overlooks the need for alternative avenues for agency and belonging.

Abstract Image

民间社会学想象:中国青少年吸烟的制造代理。
在推进尼古丁控制的背景下,中国青少年持续吸烟呈现出一个悖论。超越了社会环境的解释,这项研究运用了米尔斯的社会学想象力,将这种持久性概念化为对受约束的现实和未来的一种代理反应,通过同行策划的外行流行病学制定。它的核心论点是,青少年培养了一种民间的社会学想象力——一种制造意义的方言系统——来制造代理和重新定义吸烟的风险。来自深圳21名青少年吸烟者的定性数据,包括208份健康日记和17次访谈,揭示了如何通过三种做法实现这一目标:选择健康吸烟者的榜样;民间将因果关系归因于外部或个人因素;流行即安全正常化。这一民间过程将吸烟风险的公共问题重新配置为一系列可管理的私人麻烦,将统计危害转变为个人环境问题。调查结果强调了当前努力中的三个差距:政策上的认识差距,忽视了同行验证的证据;健康教育方面的干预差距,无法进行外行推理;结构性希望差距,产生了一种残酷的乐观主义,忽视了对代理和归属的替代途径的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.10
自引率
6.90%
发文量
156
期刊介绍: Sociology of Health & Illness is an international journal which publishes sociological articles on all aspects of health, illness, medicine and health care. We welcome empirical and theoretical contributions in this field.
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