Household and School-Level Influences on Smoking Behavior among Korean Adolescents: A Multilevel Analysis

Heo, Jongho; Oh, Juhwan; Subramanian, S. V.; Kawachi, Ichiro

doi:10.1371/journal.pone.0098683

Cited by 25 publications

(29 citation statements)

References 71 publications

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“…Similar results were reported in rural Zambia 32 and highlights the need for smoking prevention interventions that target younger students. The finding of increased odds of current smoking with increasing monetary allowance has been reported previously 33 ; it suggests that it may be necessary to discourage monetary allowance to adolescents.…”

Section: Discussionsupporting

confidence: 63%

Predictors of current tobacco smoking by adolescents in Nigeria: Interaction between school location and socioeconomic status

Itanyi¹,

Onwasigwe²,

Ossip³

et al. 2020

Tob. Induc. Dis.

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INTRODUCTION Tobacco smoking is the largest preventable cause of global mortality, with its prevalence increasing in Sub-Saharan Africa, particularly among adolescents. We sought to determine the factors associated with tobacco smoking among Nigerian school adolescents and investigate the interaction between school location and socioeconomic status (SES). METHODS Using a cross-sectional study design, 4332 eighth to tenth grade students in rural and urban secondary schools in Enugu State, Nigeria, were selected by stratified two-stage cluster sampling. We collected data using a modified Global Youth Tobacco Survey (GYTS) Core Questionnaire. Outcome measures were current smoking of cigarettes and other smoked tobacco. Multilevel mixed effects logistic regression models were used to determine factors associated with current tobacco smoking and were considered statistically significant at p<0.05. RESULTS Prevalences of current smoking of cigarettes and other smoked tobacco were 13.3% (95% CI: 11.3-15.7) and 5.8% (95% CI: 4.6-7.2), respectively. Possession of higher weekly allowance, exposure to secondhand smoke or tobacco advertisements, having smoking parents, friends or classmates who smoke, and sale of cigarettes near school, were positively associated with current smoking of tobacco. Female sex, having both parents employed and being exposed to tobacco teaching in school were negatively associated with current cigarette smoking while increasing age and high father's SES were negatively associated with current smoking of other tobacco products. There was an interaction between school location and father's SES in the association with cigarette smoking. The higher odds of smoking in rural versus urban schools were much higher for students with fathers of high SES compared to low SES. In rural schools, high SES was associated with higher odds of smoking, but in urban schools low SES was associated with higher odds of smoking. CONCLUSIONS Environmental factors are associated with adolescent tobacco smoking. Tobacco control programs should use targeted strategies that vary depending on the local context. AFFILIATION

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Section: Discussionsupporting

confidence: 63%

Predictors of current tobacco smoking by adolescents in Nigeria: Interaction between school location and socioeconomic status

Itanyi¹,

Onwasigwe²,

Ossip³

et al. 2020

Tob. Induc. Dis.

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“…Teenagers with a higher amount of pocket money tend to support their smoking behavior. The high amount of pocket money due to the parents bigger income increases the teenager's risk to smoke (Heo et al, 2014).…”

Section: The Influence Of Subjective Norms Through the Intention On Tmentioning

confidence: 99%

“…This influence could also happen because of the perceived behavioral control, in which the uncontrolled pocket money could increase the teenagers' confidence to spend it to their liking, including to buy cigarette (Heo et al, 2014).…”

Section: The Influence Of Subjective Norms Through the Intention On Tmentioning

confidence: 99%

Effect of Personal Factors, Family Support, Pocket Money, and Peer Group, on Smoking Behavior in Adolescents in Surakarta, Central Java

Pandayu

Murti²,

Pawito

2017

J HEALTH PROMOT BEHAV

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Background: According to WHO and Global Youth Tobacco Survey, Indonesia is the third largest country with current smokers in the world, including young smokers. It is widely known that smoking is hazardous to health and detrimental to economy. Surakarta is one of the major cities in Central Java where the prevalence of current smokers has been increasing among adolescents. This study aimed to determine the effect of personal factors, family support, pocket money, and peer group, on smoking behavior in adolescents in Surakarta, Central Java. Subjects and Method: This was an analytic observational study using cross-sectional design. This study was carried out in 5 sub-districts in Surakarta, Central java, from February to March 2017. A sample of 50 adolescent smokers and 150 adolescent non-smokers was selected for this study by fixed disease sampling. The dependent variable was current smoking status. The independent variables were cigarette availability, peer-group, family support, pocket money, cigarette advertisement, attitude toward smoking, subjective norm, perceived preventive behavioral control, and intention. The data were collected by a set of questionnaire. The data were analyzed by path analysis. Results: Smoking behavior was affected by strong intention (b= 3.7; 95% CI=2.5 to 4.9; p<0.001), and weak perceived behavioral control (b=3.1; 95% CI= 1.7 to 4.5; p<0.001). Intention to smoke was affected by weak perceived preventive behavioral control (b= 2.1; 95% CI= 1.1 to 3.2; p<0.001), weak preventive subjective norm (b= 1.8; 95% CI= 0.7 to 2.9; p= 0.001), negative attitude (b= 1.9; 95% CI= 0.8 to 2.9; p<0.001), and exposure to cigarette advertisement (b= 1.6; 95% CI= 0.5 to 2.6; p= 0.004). Weak perceived preventive behavioral control was affected by pocket money ≥ Rp 10.000 (b= 1.3; 95% CI= 0.5 to 2.0; p= 0.001). Weak preventive subjective norm was affected by weak family support (b= 2.1; 95% CI= 1.3 to 2.8; p<0.001) and smoker peer-group (b= 1.4; 95% CI= 0.6 to 2.1; p<0.001). Cigarette advertisement was affected by cigarette availability (b= 0.7; 95% CI= 0.1 to 1.3; p= 0.028). Conclusion: Smoking behavior was directly affected by strong intention and weak perceived behavioral control. Smoking behavior was indirectly affected by weak preventive subjective norm, negative attitude, exposure to cigarette advertisement, pocket money ≥ Rp.10.000, weak family support, smoker peer-group, and cigarette availability.

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“…More exposure to secondhand smoking at home was associated with the higher risks of daily smoking, current smoking, and ever smoking in Korea [10]. When adolescents had been exposed to secondhand smoking, the risk of smoking was significantly increased [11].…”

Section: Introductionmentioning

confidence: 99%

“…However, most previous studies of adolescents smoking behavior were focused on tobacco cigarettes [10,11]. Here, we analyzed the relationship between secondhand smoking exposure and the smoking status of friends and their current smoking behavior.…”

Section: Introductionmentioning

confidence: 99%

Association between Family and Friend Smoking Status and Adolescent Smoking Behavior and E-Cigarette Use in Korea

Joung

Han

Park

et al. 2016

IJERPH

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Smoking is harmful to the health of adolescents because their bodies are still growing. The aim of this study was to analyze the association between the smoking status of Korean adolescents’ parents and friends and their own smoking behavior. The study assessed a nationwide sample of 72,060 middle and high students from the 10th Korea Youth Risk Behavior Web-based Survey (2014). Descriptive analysis, chi-square tests, and multiple logistic regression analysis were used to probe the association between family and friend smoking status and adolescent smoking behavior. The current cigarette smoking rates were 13.3% of boys and 4.1% of girls. The corresponding rates for electronic cigarette smoking were 4.1% and 1.5%, respectively. Higher exposure to secondhand smoke, smoking by any family member, more friends smoking, and witnessed smoking at school were associated with current smoking and electronic smoking. The smoking status of family and friends was significantly related to adolescent smoking behavior. These results should be considered in designing programs to control adolescent smoking.

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Household and School-Level Influences on Smoking Behavior among Korean Adolescents: A Multilevel Analysis

Cited by 25 publications

References 71 publications

Predictors of current tobacco smoking by adolescents in Nigeria: Interaction between school location and socioeconomic status

Predictors of current tobacco smoking by adolescents in Nigeria: Interaction between school location and socioeconomic status

Effect of Personal Factors, Family Support, Pocket Money, and Peer Group, on Smoking Behavior in Adolescents in Surakarta, Central Java

Association between Family and Friend Smoking Status and Adolescent Smoking Behavior and E-Cigarette Use in Korea

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