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Title: Factors associated with smoking initiation among Saudi male adolescents: A longitudinal study
Authors: Mohammed, M
Cheung, KL
Winkens, B
De Vries, N
De Vries, H
Keywords: adolescents;I-Change Model;smoking initiation;smoking predictors;Saudi Arabia
Issue Date: 7-Jun-2019
Publisher: E.U. European Publishing
Citation: Tobacco Prevention & Cessation, 5 (June):21 (8)
Abstract: © 2019 The Athors. Introduction: Knowing country-specific predictors of smoking behaviour for adolescents is crucial for successful smoking prevention programs. This study aims to assess demographic and socio-cognitive variables related to smoking initiation among Saudi male adolescents. Methods: Longitudinal data were collected at T1 (baseline) and at T2 (followup at 6 months) using a self-administered questionnaire. We assessed smoking behaviour and related demographic variables and socio-cognitive variables. Chisquared tests and independent-samples t-tests were used to identify differences in baseline characteristics between smokers and non-smokers at T1. Furthermore, non-smokers at T1 were included in logistic regression analyses to examine the predictors of smoking initiation between T1 and T2. Results: At T1, the non-smokers who were included in further analysis were 523 (84.9%) of whom 48 (9.2%) had initiated smoking at T2. They differed significantly from non-initiators, including having a more positive attitude towards smoking, reporting more social norms, modelling and pressure to smoke, having a lower self-efficacy to refrain from smoking and higher intention to smoke in the future (all p<0.001). The regression analysis revealed that: adolescents with disrupted-families, being of low academic achievement, with relatively high monthly-income families, having more smoking-peers, high-perceived pressure to smoke from parents (p=0.002) and teachers (p=0.001), have smoking supportivenorms of parents and having high intention to smoke in the future (p<0.001) were at higher risk of being smokers. Conclusions: Findings suggest that health-promoting programs should address strengthening of self-efficacy and enhancing refusal skills against modelling of peers, pressure and norms of parents.
ISSN: 2459-3087
Appears in Collections:Dept of Clinical Sciences Research Papers

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