Men’s Responses to Online Smoking Cessation Resources for New Fathers: The Influence of Masculinities

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Abstract

Background

Smoking cessation is the single most important step to preventing cancer. Drawing on previous research, Web-based resources were developed to complement a program to support expectant and new fathers to quit smoking.

Objective

The objectives of this research were to: (1) describe the responses of expectant and new fathers who smoke or had recently quit smoking to the website resources, and (2) explore how masculinities shape men’s responses to and experiences with online smoking cessation resources.

Methods

Using semi-structured, individual face-to-face interviews, the Dads in Gear Web-based resources were reviewed and evaluated by 20 new fathers who smoked or had recently quit smoking. The data were transcribed and analyzed using NVivo 8 qualitative data analysis software.

Results

We describe the fathers’ reactions to various components of the website, making connections between masculinities and fathering within 5 themes: (1) Fathering counts: gender-specific parenting resources; (2) Measuring up: bolstering masculine identities as fathers; (3) Money matters: triggering masculine virtues related to family finances; (4) Masculine ideals: father role models as cessation aids; and (5) Manly moves: physical activity for the male body.

Conclusions

A focus on fathering was an effective draw for men to the smoking cessation resources. The findings provide direction for considering how best to do virtual cessation programs as well as other types of online cancer prevention programs for men.

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Most cited references 23

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'Real men don't diet': an analysis of contemporary newspaper representations of men, food and health.

B Gough (2006)

Little research to date has focused on the meanings men attach to food and the relationship between diet and health. This is an important topic in light of the current 'crisis' in men's health and the role of lifestyle factors such as diet in illness prevention. Since the mass media is a powerful source of information about health matters generally, media representations bear critical examination. The present paper reports on an in-depth qualitative analysis of contemporary UK newspaper articles on the topic of men and diet (N=44). The findings indicate a persistent adherence to hegemonic masculinities predicated on health-defeating diets, special occasion cooking of hearty meals, and a general distancing from the feminised realm of dieting. At the same time, men are constructed as naïve and vulnerable when it comes to diet and health, while women are viewed as experts. The implications for health promotion with men are discussed.

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12-month outcomes and process evaluation of the SHED-IT RCT: an internet-based weight loss program targeting men.

Frederick Warren, Clare Collins, Robin Callister … (2011)

This article reports the 12-month follow-up results and process evaluation of the SHED-IT (Self-Help, Exercise, and Diet using Information Technology) trial, an Internet-based weight loss program exclusively for men. Sixty-five overweight/obese male staff and students at the University of Newcastle (Callaghan, Australia) (mean (s.d.) age = 35.9 (11.1) years; BMI = 30.6 (2.8)) were randomly assigned to either (i) Internet group (n = 34) or (ii) Information only control group (n = 31). Both received one face-to-face information session and a program booklet. Internet group participants were instructed to use the study website for 3 months. Participants were assessed at baseline, 3-, 6-, and 12-month follow-up for weight, waist circumference, BMI, blood pressure, and resting heart rate. Retention at 3- and 12-months was 85% and 71%, respectively. Intention-to-treat (ITT) analysis using linear mixed models revealed significant and sustained weight loss of -5.3 kg (95% confidence interval (CI): -7.5, -3.0) at 12 months for the Internet group and -3.1 kg (95% CI: -5.4, -0.7) for the control group with no group difference. A significant time effect was found for all outcomes (P < 0.001). Per-protocol analysis revealed a significant group-by-time interaction for weight, waist circumference, BMI, and systolic blood pressure. Internet group compliers (who self-monitored as instructed) maintained greater weight loss at 12 months (-8.8 kg; 95% CI -11.8, -5.9) than noncompliers (-1.9 kg; 95% CI -4.8, 1.0) and controls (-3.0 kg; 95% CI -5.2, -0.9). Qualitative analysis by questionnaire and interview highlighted the acceptability and satisfaction with SHED-IT. Low-dose approaches to weight loss are feasible, acceptable, and can achieve clinically important weight loss in men after 1-year follow-up.

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Healthy masculinities? How ostensibly healthy men talk about lifestyle, health and gender.

Claire Sloan, Brendan Gough, Mark Conner (2010)

Research on men's health has predominantly focussed on links between 'hegemonic' masculinities (e.g. perceived invulnerability) and health-averse practices (e.g. high fat diets). However, it seems reasonable to assume that not all men adopt conventional 'unhealthy' masculine positions, so it is important to study those men who are engaged in healthy practices to see how masculinity is constructed in this context. The research reported here derives from an interview study with men categorised as pursuing health-promoting lifestyles (regular exercise, no/low alcohol intake etc.). The focus is on how these apparently 'healthy' men (n = 10) account for their health-promoting practices, with a particular focus on the role of masculinities in framing these practices. Following intensive analysis of the interview transcripts drawing upon elements of discourse analysis, we identify a variety of accounts used by the men to frame their health-promoting practices. For example, all the men disavowed a direct interest in talking/thinking about health, construed as excessive and feminine, and instead justified their practices variously in terms of action-orientation, sporting targets, appearance concerns and being autonomous. These findings are discussed with respect to the relationships between masculinities and health, and implications for health promotion work with men are discussed.

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Author and article information

Contributors

Joan L Bottorff:

Institute for Healthy Living and Chronic Disease PreventionUniversity of British Columbia1147 Research Road ARTKelowna, BC, V1V 1V7Canada1 250 807 86271 250 807 8629joan.bottorff@ubc.ca

ORCID: http://orcid.org/0000-0001-9724-5351

Journal

Journal ID (nlm-ta): JMIR Res Protoc

Journal ID (iso-abbrev): JMIR Res Protoc

Journal ID (publisher-id): ResProt

Title: JMIR Research Protocols

Publisher: JMIR Publications Inc. (Toronto, Canada )

ISSN (Electronic): 1929-0748

Publication date Collection: Apr-Jun 2015

Publication date (Electronic): 13 May 2015

Volume: 4

Issue: 2

Electronic Location Identifier: e54

Affiliations

[1] ¹Institute for Healthy Living and Chronic Disease Prevention University of British Columbia Kelowna, BCCanada

[2] ²Faculty of Health Sciences Australian Catholic University MelbourneAustralia

[3] ³School of Nursing Faculty of Applied Science University of British Columbia Vancovuer, BCCanada

Author notes

Corresponding Author: Joan L. Bottorff joan.bottorff@ 123456ubc.ca

Author information

Joan L Bottorff http://orcid.org/0000-0001-9724-5351

John L Oliffe http://orcid.org/0000-0001-9029-4003

Gayl Sarbit http://orcid.org/0000-0001-5517-1032

Mary Theresa Kelly http://orcid.org/0000-0002-8666-8567

Alexandra Cloherty http://orcid.org/0000-0002-9850-9643

Article

Publisher ID: v4i2e54

DOI: 10.2196/resprot.4079

PMC ID: 4446518

PubMed ID: 25971202

SO-VID: 873c0a16-57c5-4a7f-a605-97cb56f652e9

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.

History

Date received : 26 November 2014

Date revision requested : 03 March 2015

Date revision received : 13 March 2015

Date accepted : 23 March 2015

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Men’s Responses to Online Smoking Cessation Resources for New Fathers: The Influence of Masculinities

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Abstract

Background

Objective

Methods

Results

Conclusions

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JMIR: Research Protocols

Most cited references 23

'Real men don't diet': an analysis of contemporary newspaper representations of men, food and health.

12-month outcomes and process evaluation of the SHED-IT RCT: an internet-based weight loss program targeting men.

Healthy masculinities? How ostensibly healthy men talk about lifestyle, health and gender.

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Contributors

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