Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen
IntroductionChina has the largest youth population in the world. To better implement the Smoke-free School Initiative, this study aims to examine the protective and risk factors for different smoking behaviors (never smoked, experimental smoking, and current smoking) among school adolescents based o...
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1093264/full |
| _version_ | 1797865961369370624 |
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| author | Manzhi Lin Meijie Chu Xian Li Honghao Ma Zhiwei Fang Li Mao Pengjun Wang Pengjun Wang Tianmu Chen Yi-Chen Chiang |
| author_facet | Manzhi Lin Meijie Chu Xian Li Honghao Ma Zhiwei Fang Li Mao Pengjun Wang Pengjun Wang Tianmu Chen Yi-Chen Chiang |
| author_sort | Manzhi Lin |
| collection | DOAJ |
| description | IntroductionChina has the largest youth population in the world. To better implement the Smoke-free School Initiative, this study aims to examine the protective and risk factors for different smoking behaviors (never smoked, experimental smoking, and current smoking) among school adolescents based on social cognitive theory.MethodsThis research was a secondary analysis of a cross-sectional survey of middle schools in Huli District of Xiamen, China. The final sample consisted of 1937 participants with an average age of 15.41 (SD = 1.64). Descriptive statistics were used to summarize the sociodemographic characteristics of the sample. Multivariate multinomial logistic regression analysis was performed using four models.ResultsOf the respondents, 1685 (86.99%) were never smokers, 210 (10.84%) were experimental smokers, and 42 (2.17%) were current smokers. Social norms, positive outcome expectations, anti-smoking self-efficacy, and attitudes toward control tobacco policies were associated with adolescents' smoking behaviors. The number of smoking family members, classmates smoking, the perception that smoking is cool and attractive, and attitudes toward control tobacco policies were the predictors of current smoking behavior (p < 0.05). In contrast, friends smoking and individual and social relationship motivation were associated with only experimental smoking (p < 0.05).DiscussionThe relationship of social norms, positive outcome expectations, anti-smoking self-efficacy, and attitudes toward control tobacco policies varied across smoking behaviors. Family, school, society and the government need to cooperate in prevention and intervention programs for adolescent smoking. The relationships between these factors and adolescents' different smoking behaviors needs to be further verified. |
| first_indexed | 2024-04-09T23:16:35Z |
| format | Article |
| id | doaj.art-9658934d94ca45e1a8f28d647cb96f1f |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-09T23:16:35Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-9658934d94ca45e1a8f28d647cb96f1f2023-03-22T06:14:14ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.10932641093264Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in XiamenManzhi Lin0Meijie Chu1Xian Li2Honghao Ma3Zhiwei Fang4Li Mao5Pengjun Wang6Pengjun Wang7Tianmu Chen8Yi-Chen Chiang9Xiamen Huli District Center for Disease Control and Prevention, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, ChinaSchool of Management, Xuzhou Medical University, Xuzhou, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, ChinaIntroductionChina has the largest youth population in the world. To better implement the Smoke-free School Initiative, this study aims to examine the protective and risk factors for different smoking behaviors (never smoked, experimental smoking, and current smoking) among school adolescents based on social cognitive theory.MethodsThis research was a secondary analysis of a cross-sectional survey of middle schools in Huli District of Xiamen, China. The final sample consisted of 1937 participants with an average age of 15.41 (SD = 1.64). Descriptive statistics were used to summarize the sociodemographic characteristics of the sample. Multivariate multinomial logistic regression analysis was performed using four models.ResultsOf the respondents, 1685 (86.99%) were never smokers, 210 (10.84%) were experimental smokers, and 42 (2.17%) were current smokers. Social norms, positive outcome expectations, anti-smoking self-efficacy, and attitudes toward control tobacco policies were associated with adolescents' smoking behaviors. The number of smoking family members, classmates smoking, the perception that smoking is cool and attractive, and attitudes toward control tobacco policies were the predictors of current smoking behavior (p < 0.05). In contrast, friends smoking and individual and social relationship motivation were associated with only experimental smoking (p < 0.05).DiscussionThe relationship of social norms, positive outcome expectations, anti-smoking self-efficacy, and attitudes toward control tobacco policies varied across smoking behaviors. Family, school, society and the government need to cooperate in prevention and intervention programs for adolescent smoking. The relationships between these factors and adolescents' different smoking behaviors needs to be further verified.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1093264/fullexperimental smokingcurrent smokingadolescentssocial normpositive outcome expectationanti-smoking self-efficacy |
| spellingShingle | Manzhi Lin Meijie Chu Xian Li Honghao Ma Zhiwei Fang Li Mao Pengjun Wang Pengjun Wang Tianmu Chen Yi-Chen Chiang Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen Frontiers in Public Health experimental smoking current smoking adolescents social norm positive outcome expectation anti-smoking self-efficacy |
| title | Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen |
| title_full | Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen |
| title_fullStr | Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen |
| title_full_unstemmed | Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen |
| title_short | Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen |
| title_sort | factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory a cross sectional study in xiamen |
| topic | experimental smoking current smoking adolescents social norm positive outcome expectation anti-smoking self-efficacy |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1093264/full |
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