A Narrative Inquiry into the Meaning of Smoking among Farmworkers in Southern Philippines

Abstract

Cigarette smoking is recognized as a global health threat. By the same token, it remains highly prevalent in low and middle-income families like farmworkers, despite efforts by the government and private health agencies to prevent smoking. Thus, this study explored the meaning of smoking among farmworkers and how the meanings reproduced their tenets while living in a farming community. To the best of the authors’ knowledge, this is the first study that qualitatively investigated the smoking phenomenon among farmworkers in a rural area in Southern Philippines— a topic that has not been treated in much detail in the literature. The research framework used in this work is the socio-cultural tradition (SCT) of communication theory, which theorizes communication as the (re)production of the social order. Using narrative inquiry, the study delved into the seven narratives of farmworker participants about the meaning of smoking. Individual open interviews were conducted among the participants to elicit stories relative to their experience with smoking. The data were analyzed through re-storying and narrative thematic analysis, yielding five themes constituting their meaning of smoking that reproduced a new social order. Results showed that smoking is (1) a parent and peer influence, (2) a means to manage negative feelings and emotions, (3) a thought-provoker and organizer, (4) a culture among friends, and (5) an integral part of life. All these meanings consequently formed and reinforced a new social order, seemingly an indestructible barrier to smoking cessation. Anchored on SCT, it can be surmised that farmworkers’ tenets, while living in their community, were reproduced by these meanings of smoking that governed their lives.