Prevalence and determinants of smoking initiation among school students in Bosnia and Herzegovina

Račić, Maja; Tanovic, Sanja; Joksimović, Vedrana; Joksimović, Bojan; Ristić, Siniša

doi:10.1515/ijamh-2014-0041

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…Several other risk behaviors usually emerge during early adolescence and tend to cluster with tobacco use such as substances use, mental health problems, risky sexual behavior, injury risk behavior like motor vehicle accidents and acts of violence in addition to sedentary behavior and unhealthy eating habits [ 2 , 3 , 9 ]. The gateway effect of tobacco in addition to common socio-cultural and psycho-pathological risk factors may be behind these risk behaviors [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia

et al. 2022

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Background In developed countries, there was an overall decrease in tobacco use over the last decades. In Tunisia, a national strategy to reduce tobacco use was set up since 2008. However, this strategy was rarely evaluated. The objective of the current study was to examine the trends in tobacco use among the middle schoolchildren of the governorate of Sousse (Tunisia) between 2014 and 2016 and to determine predictors of its experimentation. Methods Three cross-sectional studies were conducted in 2014, 2015 and 2016 school years among middle schoolchildren randomly selected from the governorate of Sousse-Tunisia. The required sample size for each study was 760 participants. Each year, the same procedure was used to recruit pupils from the same middle schools. The same pre-established and pre-tested questionnaire was self-administered anonymously to participants in their classrooms. Results Lifetime tobacco use rose from 11% in 2014 to 17.3% in 2016 (p = 0.001). Across the 3 years of survey, predictors of lifetime tobacco use were: The male sex (OR, 95% CI: 4.4 [3.2-6.1]), age above 13 (OR, 95% CI: 2.3 [1.7-3.1]), lifetime illicit substances use (OR, 95% CI: 3.9 [1.1- 13.8), lifetime inhalant products use (OR, 95% CI: 2.2 [1.2-4.3]), tobacco use among the father (OR, 95% CI: 2.2 [1.2-4.3]), tobacco use among siblings (OR, 95% CI: 1.7 [1.2-2.4]) and current anxiety symptoms (OR, 95% CI: 1.8 [1.4-2.4]). Conclusion Lifetime tobacco use is in expansion among the young adolescents of Sousse. The current national tobacco prevention program should be strengthened and expanded to cover other substances use issues with emphasis on secondhand smoking and mental health problems.

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Section: Introductionmentioning

confidence: 99%

Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia

et al. 2022

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“…In addition, students having smoking friends, seeing school personnel smoking on the school premises, perceiving smoking girls more attractive, and no school training on tobacco harm were also factors of smoking susceptibility. Racic et al also identified the determinants of smoking initiation among high school students [3]. About 45% of fourth-grade students initiated smoking, which was higher than second-and third-grade students.…”

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confidence: 99%

Letter to the Editor (June 10, 2017) concerning the paper “Trends in smoking among secondary school and high school students in Poland, 2009 and 2011”

Kawada

2018

Int J Occup Med Environ Health

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Results of outdoor smoking bans at secondary schools on adolescents smoking behaviour: a quasi-experimental study

Rozema

Mathijssen

Kesteren

et al. 2019

European Journal of Public Health

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BackgroundResearch on the effectiveness of school smoking policies on adolescents’ smoking behaviour remain inconclusive. This study evaluates the results of an outdoor school ground smoking ban at secondary schools on adolescents smoking behaviour, taking individual characteristics into account.MethodsData on 2684 adolescents from 18 Dutch secondary schools (nine with and nine without an outdoor smoking ban) were obtained at two moments. Associations between outdoor school ground smoking bans, individual characteristics, and smoking prevalence and frequency were measured. Multilevel logistic regression analyses were used. At schools with a ban implementation fidelity was checked.ResultsAlthough smoking prevalence and frequency appeared to make a slower increase at schools with an outdoor smoking ban compared with schools without an outdoor smoking ban, the differences were not significant. Differences between schools in the prevalence of smoking behaviour of students could mainly be explained by individual characteristics. Smoking prevalence and frequency were higher among adolescents with a positive attitude towards smoking and when significant others were more positive about smoking. Smoking prevalence and frequency were significantly lower when adolescents perceived it as easy not to smoke. Implementation fidelity was good at schools with a ban.ConclusionsNo short-term effects were found of an outdoor smoking ban. A longer follow-up time than 6 months is needed. In addition, future research should investigate effectiveness in relation to the enforcement of the ban, comprehensiveness of the ban and when it is prohibited to leave school grounds, as smoking behavior might be transferred off school grounds.

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Prevalence and determinants of smoking initiation among school students in Bosnia and Herzegovina

Cited by 4 publications

References 17 publications

Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia

Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia

Letter to the Editor (June 10, 2017) concerning the paper “Trends in smoking among secondary school and high school students in Poland, 2009 and 2011”

Results of outdoor smoking bans at secondary schools on adolescents smoking behaviour: a quasi-experimental study

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