Home-based sourcing of tobacco among adolescents

Rainio, Susanna; Rimpelä, Arja

doi:10.1016/j.ypmed.2009.01.016

Cited by 13 publications

(12 citation statements)

References 26 publications

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“…The relationship between parental smoking and their children’s smoking uptake has been well documented [9,26]. In addition to the role modelling plausibility of the impact of parental smoking on adolescent smoking, children with smoking parents may not only consider the behaviour as a norm but may also have access to cigarettes at home [26] and thus be more likely to initiate and maintain the behaviour compared to those with non-smoking parents. It is likely that the same mechanisms underline the relationship between parental smoking and the intention to smoke found in the present study.…”

Section: Discussionmentioning

confidence: 99%

The role of tobacco promoting and restraining factors in smoking intentions among Ghanaian youth

2012

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BackgroundIn Western countries, the relationship between smoking intentions and smoking behaviour is well established. However, youth smoking intentions and associated factors in developing countries are largely unexplored and the former may occur for a variety of reasons. We investigated youth smoking intentions in Ghana with regard to several tobacco promoting and restraining factors, including environmental, familial, attitudinal and knowledge measures.MethodsA school-based survey of a representative sample of 12-20-year-olds was conducted in 2008 in Ghana (N = 1338, response rate 89.7%).ResultsIn a bivariate model, both among ever and never smokers, allowing smoking on school compound, exposure to tobacco advertisement and parental smoking were associated with future intention to smoke. Compared to those who agreed that smoking is harmful to health, smoking is difficult to quit and that tobacco should not be sold to minors, those who disagreed or were not sure were more likely to have an intention to smoke. In the multivariate analyses, these associations persisted, except that the attitude measures concerning the difficulty of quitting smoking once started and tobacco sales ban were no longer significantly associated with smoking intentions.ConclusionsThese findings underscore the importance of school smoking policy, parental smoking behaviour and knowledge of the harmful effects of tobacco use in determining Ghanaian youths’ future smoking intentions. Because current high percentages of smoking intentions may turn into high smoking rates in the future, the introduction of effective tobacco control measures at all levels of society to prevent youth smoking in Ghana may be essential.

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Section: Discussionmentioning

confidence: 99%

The role of tobacco promoting and restraining factors in smoking intentions among Ghanaian youth

2012

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“…Peers, family and even strangers are important sources of tobacco for young experimental smokers 23 27 28. Commercial supply does become more important as nicotine addiction develops and smoking frequency increases,23 29 30 but friends and peers remain the key supply routes adolescents use to procure tobacco,10 31 even as their smoking frequency increases and they require more diverse sources to satisfy their growing addiction 17 23 29 32…”

Section: Introductionmentioning

confidence: 99%

“…Social supply not only influences smoking initiation, experimentation and progression to regular smoking, but may also be the main source of tobacco among early adolescent smokers 25 26 32. This evidence has stimulated interest in how social supply functions, which sources are most important and whether source importance varies as other elements of the policy environment change 32.…”

Section: Introductionmentioning

confidence: 99%

“…This evidence has stimulated interest in how social supply functions, which sources are most important and whether source importance varies as other elements of the policy environment change 32. For example, we currently know little about whether or how supply routes vary following excise tax increases, which may raise commercial supply barriers (particularly for young smokers with limited income) and promote more diverse tobacco access strategies.…”

Section: Introductionmentioning

confidence: 99%

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Youth tobacco access: trends and policy implications

et al. 2014

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ObjectiveWe examined whether the supply routes via which New Zealand adolescents aged 14–15 years accessed tobacco had changed during a period of dynamic policy activity.SettingWe analysed data from seven consecutive years (2006–2012) of the New Zealand Action on Smoking and Health (ASH) Year 10 survey, a nationwide cross-sectional annual survey.ParticipantsAll New Zealand schools teaching Year 10 students are invited to participate in the survey; school-level participation rates have ranged between 44% and 58% and more than 25 000 students have responded to the survey in each year. The results presented draw on the subsample who reported smoking when surveyed (N∼9200). The data were weighted by age, ethnicity and school socioeconomic status (SES) to remove effects of systematic over-response by New Zealand Europeans and under-response by those in lower SES groups from trend analyses.Primary and secondary outcome measuresThe survey measured adolescents’ main reported tobacco supply source.ResultsSmoking prevalence declined significantly (8.1%) over the period examined (linear tend coefficient: −0.74; 95% CI −1.03 to −0.45, significant p<0.01). Friends showed a significant decline in relative importance as a supply source while caregivers and other sources showed a significant increase over the period examined.ConclusionsThe findings show that social supply, particularly via friends, caregivers and others, such as older siblings, is a key tobacco source for adolescents; commercial supply is much less important. The findings raise questions about the additional measures needed to reduce smoking among youth. Endgame policies that make tobacco more difficult to obtain and less appealing and convenient to gift merit further investigation.

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“…Research has revealed that individuals often steal their first cigarettes from parents or received them from friends who themselves mostly took the cigarettes from their parents [11,[14][15][16][17]. Consequently, it is plausible that children of smoking parents are a catalyst for smoking uptake among their peers, especially as they appear to start smoking on average one year earlier than their peers [15].…”

Section: Introductionmentioning

confidence: 99%

‘One cigarette for you and one for me’: children of smoking and non-smoking parents during pretend play

et al. 2011

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Objective: To investigate whether perceived parental smoking is related to pretend smoking in young children and whether children influence each other in pretend smoking.Design: Children who reported to have at least one smoking parent were coupled with children who had non-smoking parents. Both children were then asked to pretend that they were grownups having a barbeque party. During their role-playing, the children were observed in order to assess their pretend smoking behaviours and to examine whether children of smoking parents were more likely to initiate pretend smoking. Setting:Children were tested at their schools. Participants:The sample consisted of 206 children between four and seven years of age (M = 5.14, SD = .87), of which 54.4% were girls. Measurements:The main outcome was whether a child pretended to be smoking and whether the child initiated or followed the other child in this behaviour.Findings: During their play, 63.6% (n = 131) of the children pretended to smoke. Children of smoking parents were more likely to initiate pretend smoking than to follow.

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Home-based sourcing of tobacco among adolescents

Cited by 13 publications

References 26 publications

The role of tobacco promoting and restraining factors in smoking intentions among Ghanaian youth

The role of tobacco promoting and restraining factors in smoking intentions among Ghanaian youth

Youth tobacco access: trends and policy implications

‘One cigarette for you and one for me’: children of smoking and non-smoking parents during pretend play

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