Preadolescence forms part of the developmental stage referred to as middle childhood. According to Uhls and Greenfield (2012), preadolescence is the period of age 10-12 years, marking the beginning of significant changes within the family, especially in terms of adjusting to the behavioural, emotional and physical changes, such as mood changes, peer influences, testing boundaries and becoming rebellious, forming identity, bodily changes, puberty and trying to be less dependent on care-givers (Marin, Bohanek & Fivush, 2008). Family conflict may intensify preadolescents' reactions to challenging experiences, as they may feel overwhelmed with the emotional, physical and social changes occurring during this period (Lewinsohn, Roberts, Seeley, Rohde, Gotlib, & Hops, 1994; Uhls & Greenfield, 2012). Family conflict involves active opposition between family members (Marta & Alfieri, 2014). This refers to "arguments, abusive behaviour, fights and violence between marital or de facto partners, or other people within the home" (Habib et al., 2014). When the family environment does not provide suitable pathways to fulfil the basic psychological needs of autonomy, competence and relatedness, individuals are not able to satisfy the needs which are essential for their ongoing psychological growth, integrity and wellbeing. The need for autonomy is explained by Ryan and Deci (2017) and Darner (2009) as having a sense of choice and decision in the regulation of behaviour. Louw and Louw (2014: 336) assert preadolescents want and need to be involved in decision-making as this facilitates growth and allows them to be less dependent on their parents or other family members. Competence is described by Ryan and Deci (2017) as energising human activity, which alludes to using one's abilities to the best of one's ability. The preadolescent must feel competent in an age-appropriate or skill-appropriate task (Darner, 2009). If the preadolescent is successful in this stage, s/he will need, and want, accomplishments, strive for the completion of tasks and seek recognition for work well done. If competence is not

Tobacco is a global public health concern, ranking among the top three causes of death, disability and disease for most regions of the

Background: Adolescent hookah pipe use is on the rise despite it being a public health concern. Several studies focus on the external determinants of adolescent hookah pipe use but research focusing on the internal factors motivating adolescents to smoke the hookah pipe is sparse. Objective: Drawing on self-determination theory, a contemporary theory of human motivation, this study aimed to explore the basic psychological needs (BPN) and motivation of adolescent hookah pipe users and nonusers in an attempt to explore whether satisfaction or frustration of needs contributes to hookah pipe use. Method: Thirty adolescents, aged 13 to 19 years, participated in the qualitative study using one-on-one semistructured interviews. Each interview was audio recorded, transcribed, and thematically analysed. Results: This study revealed that satisfaction or frustration of BPN, particularly competence and relatedness influences adolescents’ decision to smoke or not smoke the hookah pipe. Hookah pipe users experience more needs frustration compared to hookah pipe nonusers. Furthermore, hookah pipe users are more extrinsically motivated to smoke, whereas hookah pipe nonusers are intrinsically motivated not to smoke. Conclusion: The internal factors associated with adolescent hookah pipe use is a relatively new perspective.

The onset of the COVID-19 pandemic created various challenges for individuals and families across the globe. Many countries went into a state of disaster and applied strict lockdown regulations to limit the spread of the novel coronavirus. Although the sudden changes in livelihoods impacted families globally, this research is limited to understanding how families connected and resolved conflict during the pandemic. The current study therefore aimed at exploring how family dynamics and resilience in South African families were affected by the COVID-19 pandemic. This study was conducted qualitatively in the Western Cape, South Africa, with 31 participants. The results indicated that families in the Western Cape had trouble adjusting to the imposed restrictions; however, some of these families used the time they had together to adapt and find new ways of building their relationships and strengthening their bonds. The main themes indicated that the most difficult challenges were the children’s schooling, financial impact from job losses, and separation from extended family members due to restrictions on movement. Furthermore, familial support and connecting as a family through open and honest communication helped the families remain resilient and fostered positive relationships.

Background Cervical cancer (CC) can be prevented through early detection facilitated by screening as well as an early diagnosis and effective treatment of the precancerous lesions. The present research aimed to determine the predictors of cervical cancer screening (CCS) based on the PEN-3 model constructs. Methods A cross-sectional study was conducted between September 2021- March 2022 with 840 women aged 15–49 in the city of Bandar Abbas, in the south of Iran, using a cluster sampling. The participants completed a valid and reliable self-administered questionnaire in person. The questionnaire included demographic characteristics, knowledge toward CC and the constructs of the PEN-3 model toward CCS. A multivariable logistic regression was used to determine the relationship and predictive power of model constructs with behavior as an outcome variable. The data were statistically analyzed in STATA14.2. The p-value < 0.05 was considered statistically significant. Results A total of 810 questionnaires were analyzed (with a return of 95.63%). The mean and standard deviation of the participants’ age was 30.97 ± 5.80 years. Pearson correlation coefficient analysis of all constructs and CCS behavior was statistically significant (P-value < 0.05). The multivariable logistic regression analytic results were enablers toward CCS (coefficient: 0.275) and Nurturers toward CCS (coefficient: 0.182), perceptions toward CCS (coefficient: 0.077) and knowledge toward CC (coefficient: 0.048, marginal significant) were predictors of CCS behavior. For the internal validity of the designed prediction model, a sample of 1000 was selected using the bootstrap sample replacement method which demonstrated the accuracy of the model PEN-3 is about 75% in predicting CCS behavior. Conclusions The results of the present research showed that personal factors such as perceptions and interpersonal factors such as enablers and nurturers toward CCS can predict CCS behavior. Therefore, in order to increase the acceptance of CCS in women, a set of intrapersonal and interpersonal factors should be taken into account.

Adolescent hookah pipe use is increasing at a rapid rate, thus posing a major public health concern globally. The hookah pipe is a gateway substance to other substances that may be more harmful. Yet, at present, little is known about why adolescents are so drawn to this mechanism. It is this gap that this study attempted to fill. This study, therefore, aimed to review the determinants of adolescent hookah pipe use. An electronic search of 12 databases identified studies investigating determinants of adolescent hookah pipe use. Twentyfive studies sampling a total of 88,988 adolescents who use the hookah pipe were included. This study found that adolescent hookah pipe use is determined by an interplay of family factors, peer/friends factors, individual factors, school factors, the actual hookah pipe mechanism, advertisements, and awareness of hookah pipe lounges or bars. Prevention and early intervention strategies aimed at reducing adolescent hookah pipe use is needed.

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