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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">sredob</journal-id><journal-title-group><journal-title xml:lang="ru">Здоровье населения и среда обитания – ЗНиСО</journal-title><trans-title-group xml:lang="en"><trans-title>Public Health and Life Environment – PH&amp;LE</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2219-5238</issn><issn pub-type="epub">2619-0788</issn><publisher><publisher-name>ФБУЗ ФЦГиЭ Роспотребнадзора</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.35627/2219-5238/2023-31-1-20-28</article-id><article-id custom-type="elpub" pub-id-type="custom">sredob-1281</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>СОЦИОЛОГИЯ МЕДИЦИНЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>MEDICAL SOCIOLOGY</subject></subj-group></article-categories><title-group><article-title>Ожидания как фактор инициации табакокурения молодежи</article-title><trans-title-group xml:lang="en"><trans-title>Expectations as a Factor of Tobacco Smoking Initiation in Youth</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0596-7037</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стоянов</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Stoyanov</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Стоянов Александр Сергеевич – к.социол.н., доцент кафедры рекламы и связей с общественностью</p><p>ул. Соколовская, стр. 1А, г.о. Химки, мкр. Новогорск, Московская обл., 141435</p></bio><bio xml:lang="en"><p>Alexander S. Stoyanov, Cand. Sсi. (Sociol.), Assoc. Prof., Department of Advertising and Public Relations</p><p>1А Sokolovskaya Street, Novogorsk, Khimki, Moscow Region, 141435</p></bio><email xlink:type="simple">stoianoff@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБВОУ ВО «Академия гражданской защиты МЧС России»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Civil Defense Academy of EMERCOM of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>15</day><month>02</month><year>2023</year></pub-date><volume>31</volume><issue>1</issue><fpage>20</fpage><lpage>28</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Стоянов А.С., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Стоянов А.С.</copyright-holder><copyright-holder xml:lang="en">Stoyanov A.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://zniso.fcgie.ru/jour/article/view/1281">https://zniso.fcgie.ru/jour/article/view/1281</self-uri><abstract><p>Введение. Негативная статистика роста числа новых курильщиков, в т. ч. электронных систем доставки никотина, по данным ВОЗ, требует исследований как социальных факторов, так и внутренней субъективной мотивации при инициации табакокурения, где главную роль играют ожидания молодежи. В статье рассмотрены ожидания молодежи от инициации курения и ожидания от регулярного курения сигарет. Выявлены ожидания и сопутствующие факторы, которые предшествовали инициации курения.Объект исследования – молодежь г. Химки Московской области. Предмет исследования – ожидания от инициации табакокурения молодежи.Цель исследования: изучить влияние ожиданий молодых людей на инициацию «нового курильщика».Материалы и методы. Метод сбора первичной социологической информации – анкетный опрос (январь – май 2021 г.) молодежи посредством внесения ответов в электронную авторскую анкету. В анкетировании принимали участие регулярные курильщики (n = 360; 17–24 лет; ДВ = 5 %, ДИ = 95 %; выборка критериальная), где исследование ожиданий молодежи носит ретроспективный характер, что имеет достаточно высокую точность оценки субъективных ожиданий от инициации табакокурения. Для обработки результатов исследования применялись методы непараметрической статистики (r-Spearman).Результаты. Основа инициации табакокурения – социальный фактор, подтверждающий ожидания «взрослости» (78,3 %) у юного курильщика при поддержке друзей, где курение на виду у сверстников (76,6 %) превалирует над другими вариантами употребления табака. Курение у молодежи с небольшим стажем обусловлено социальной зависимостью, и прежде всего социальными ожиданиями. Как следствие, 30,0 % молодежи обладает значительным потенциалом для прекращения курения. Также подтверждена высокая социальная значимость восприятия инициации нового курильщика сверстниками как способа подчеркнуть преодоление отрицательных физических ожиданий. Положительные ожидания (расслабление и раскрепощение) от курения существенно превосходят отрицательные (дискомфорт и недомогание).Выводы. Ожидания в инициации табакокурения молодежи являются определяющим фактором, что требует коррекции социальной составляющей в методах профилактики табакокурения, ее выхода на уровень национальной идеи здорового образа жизни (активность и долголетие).</p></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction: Disappointing statistics of the World Health Organization on the growing number of new smokers, including those choosing electronic nicotine delivery systems, requires studies of both social factors and intrinsic subjective motivation to start smoking, where the main role is played by expectations of young people. The article discusses expectations of youth from smoking initiation and those from regular cigarette smoking. It also describes reported expectations and concomitant factors that preceded the initiation of smoking.</p></sec><sec><title>Objective</title><p>Objective: To study the impact of expectations of young adults on smoking initiation.</p></sec><sec><title>Materials and methods</title><p>Materials and methods: An online survey of young people was conducted in January – May 2021 in the city of Khimki, Moscow Region, using Google Forms. All respondents were regular smokers (n = 360, 17–24 years of age; confidence level: 5 %, confidence interval: 95 %; criterion sampling). The study of youth expectations was retrospective and accurate enough in assessing subjective expectations from smoking initiation. Nonparametric statistics (Spearman’s rank correlation) was used for data analysis.</p></sec><sec><title>Results</title><p>Results: The main reason for initiation of tobacco smoking is a social factor confirming expectations of “feeling like an adult” (78.3 %) in young smokers with the support of friends, where smoking in the company of peers prevails over other occasions of tobacco use (76.6 %). Smoking among young people with little experience is attributed to social dependence, and, above all, social expectations. Consequently, 30.0 % of young adults have a significant potential for quitting smoking. A high social significance of the peers’ perception of the fact of starting smoking as a way to emphasize the overcoming of negative physical expectations was also confirmed. Positive expectations from smoking, such as relaxation and emancipation, significantly exceed negative ones (discomfort and malaise).</p></sec><sec><title>Conclusions</title><p>Conclusions: Expectations have proved to be a determining factor in initiation of tobacco smoking among young people, which requires a change in the social component of smoking prevention techniques by bringing it to the level of the national idea of a healthy lifestyle (activity and longevity).</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>ожидания</kwd><kwd>социальные ожидания</kwd><kwd>курильщик</kwd><kwd>молодежь</kwd><kwd>социальная зависимость</kwd><kwd>синхронизация ожиданий</kwd><kwd>общество ожиданий</kwd><kwd>профилактика табакокурения</kwd></kwd-group><kwd-group xml:lang="en"><kwd>expectations</kwd><kwd>social expectations</kwd><kwd>smoker</kwd><kwd>youth</kwd><kwd>social addiction</kwd><kwd>synchronization of expectations</kwd><kwd>society of expectations</kwd><kwd>prevention of tobacco smoking</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">DiFranza, JR, Savageau JA, Fletcher K, et al. 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