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In total, 18 interviews with smokers and 14 interviews with ex-smokers were analysed. Our findings illustrate the complex social nature of smoking practices including cessation. We found that smoking cessation following hospitalisation for acute cardiac syndromes is to some extent a performative act linked to \u2018doing health\u2019 and claiming a new identity, that of a virtuous ex-smoker in the hope that this will prevent further illness. For some ex-smokers hospitalisation had facilitated this shift, acting as a rite of passage and disrupting un-contemplated habits. Those participants who continued to smoke had often considered quitting or had even stopped smoking for a short period of time after hospitalisation; however, they did not undergo the identity shift described by ex-smokers and smoking remained firmly entrenched in their sense of self and the pattern of their daily lives. The ongoing smokers described feeling ashamed and stigmatised because of their smoking and felt that quitting was impossible for them. Our study provides an entry point into the smokers\u2019 world at a time when their smoking has become problematised and highly visible due to their illness and when smoking cessation or continuance carries much higher stakes and more immediate consequences than might ordinarily be the case.<\/jats:p>","DOI":"10.1177\/1363459316644493","type":"journal-article","created":{"date-parts":[[2016,4,21]],"date-time":"2016-04-21T22:05:00Z","timestamp":1461276300000},"page":"461-477","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Staying a smoker or becoming an ex-smoker after hospitalisation for unstable angina or myocardial infarction"],"prefix":"10.1177","volume":"21","author":[{"given":"Emily Christine","family":"Hansen","sequence":"first","affiliation":[{"name":"University of Tasmania, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Raymond","family":"Nelson","sequence":"additional","affiliation":[{"name":"University of Tasmania, Australia; Monash University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,4,21]]},"reference":[{"key":"bibr1-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2011-050129"},{"key":"bibr2-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00124-7"},{"key":"bibr3-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1080\/09595239300185471"},{"key":"bibr4-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2010.01251.x"},{"key":"bibr5-1363459316644493","first-page":"270","volume-title":"Performing Feminisms: Feminist Critical Theory and Theatre","author":"Butler J","year":"1990"},{"key":"bibr6-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000216"},{"key":"bibr7-1363459316644493","volume-title":"Constructing Grounded Theory: A Practical Guide through Qualitative Analysis","author":"Charmaz K","year":"2006"},{"key":"bibr8-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1002\/9781118898345.ch1"},{"key":"bibr9-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1177\/1363459306067310"},{"key":"bibr10-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.1.86"},{"key":"bibr11-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.18.1961"},{"key":"bibr12-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1177\/104973202129120052"},{"key":"bibr13-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2011.01449.x"},{"key":"bibr14-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.10.041"},{"key":"bibr15-1363459316644493","doi-asserted-by":"publisher","DOI":"10.4135\/9781529799606"},{"key":"bibr16-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1071\/PY10082"},{"key":"bibr17-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2006.07.021"},{"key":"bibr18-1363459316644493","volume-title":"Growing up and Growing Old","author":"Hockey J","year":"1993"},{"key":"bibr19-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2010.01267.x"},{"key":"bibr20-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.00205"},{"key":"bibr21-1363459316644493","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.2.266"},{"key":"bibr22-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.02.016"},{"key":"bibr23-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(97)00042-6"},{"key":"bibr24-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1080\/09581596.2012.706260"},{"key":"bibr25-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d228"},{"key":"bibr26-1363459316644493","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2006.06.011"},{"key":"bibr27-1363459316644493","unstructured":"NICE (2006) Smoking: Brief interventions and referrals. 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