Maria Janssen

Universität Heidelberg, Heidelburg, Baden-Württemberg, Germany

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Publications (3)2.45 Total impact

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    ABSTRACT: This study investigated the real motives of German non-smokers. In the German SToP ("Sources of Tobacco for Pupils") Study 707 non-smoking pupils were asked to write down their motives for being non-smokers. A total of 1324 partially very elaborate free text statements (mean/range: 1.9/1-7 distinguishable motives) were evaluated in a qualitative content analysis. The most important and frequently mentioned motives for not smoking were health-related arguments (78.1%). Except for cancer significant main health risks of tobacco consumption like cardio- and cerebrovascular diseases or COPD were hardly perceived. Further important reasons were an aesthetic aversion (38.6%), missing perception of a benefit (25.2%), and economic motives (20.8%). Girls and pupils from academic high schools named aesthetic motives significantly more often than boys and pupils from secondary schools respectively. A historical comparison shows that the motive "lacking benefit" reached a higher rank in our study than in the 1990s. When non-smokers are asked directly, extrinsic reasons (restrictions, smoking bans) do not seem to be relevant for them. Reasons concerning health, good physical shape, and beauty should be a central argument in the medical practise with young smokers.
    No preview · Article · Nov 2009 · Health Policy
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    S Schneider · M Janssen · S Röhrig · M Schüssler · D Solle
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    ABSTRACT: In spite of declining smoking prevalence nothing is known about the motives of adolescents in Germany who abstain from smoking. If one knows what motives prevent youngsters from ever starting to smoke it would make it possible to adjust future preventive strategies that would reach the "hard core" of smoking adolescents. This study investigated the true motives of non-smokers and also focused on possible gender and social background as well as age differences in the structure of their motivation. In the SToP-Study ("Sources of Tobacco for Pupils" Study 2008) 780 pupils, of whom 709 were non-smokers from 32 school classes, grades 7-9, were interviewed about their smoking experience. In anonymized answers to the questions pupils wrote down their motives for being non-smokers. A total of 1,329 free text statements, some of them very elaborate, were categorized and evaluated in a qualitative analysis. The most important and frequently mentioned motives for not smoking were health related (78,1%). But the most significant health risks of tobacco consumption (cardiac and cerebrovascular disease, chronic obstructive pulmonary disease), except cancer risk, were hardly appreciated. Other important reasons for not smoking were aesthetic aversion (38.6%), lacking perception of a benefit (25.1%) and economic motives (20.9%). It was especially female grammar school pupils who most frequently expressed health and aesthetic reasons (such as disgust, smell and taste aversion, dental and finger discolorations) as motives for not smoking. Extrinsic reasons (legal restrictions, smoking bans imposed by parents and schools, age limits etc.) are not important reasons to abstain for young non-smokers. Specifically, arguments about health, participation in sports and being in good physical condition should be central to any advice given to young smokers within the setting of general medical practice.
    Full-text · Article · Aug 2009 · DMW - Deutsche Medizinische Wochenschrift
  • S. Schneider · Th. Klein · M. Janßen · S.M. Mohnen
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    ABSTRACT: Aim: The Federal Republic of Germany is the European Member state with the largest population and is also one of the countries with the highest prevalences of tobacco use. Initiation of smoking takes place in the large majority of cases in the early adolescent years. The purpose of this study is therefore to describe initiation of smoking in young people in Germany. In addition to investigating nominal onset of tobacco use, this study conducts a simultaneous investigation of onset age, cohort trends, and social factors influencing the initiation of smoking. Methods: Multivariable event data analyses were performed for this purpose on the basis of a representative national cross-sectional study. The survey took place in 2004 and involved a total net sample of 3032 individuals aged 12 to 25. Results: The figures indicate that 36% of male and 35% of female young people in Germany are smokers. One in three 13-year-olds have already tasted their first cigarette. By the age of 15, one in two young people have smoked a cigarette. The average age of smoking initiation has declined significantly in recent years. Regional and social disparity is a factor. Youngsters from economically deprived areas of eastern Germany, those from socio-economic groups with low educational qualifications, and children from households with adult smokers start smoking at a significantly earlier age. Conclusions: As with the prevalence of tobacco use in adults, Germany also heads the European league in terms of age of onset of smoking. This mirrors a decade-long deficient national tobacco control policy.
    No preview · Article · Sep 2008 · Arbeitsmedizin Sozialmedizin Umweltmedizin