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March 22, 2023Frontiers in Public HealthOpen Access

Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen

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Why the study?

To better implement the Smoke-free School Initiative, this study evaluated protective and risk factors for different smoking behaviors among school adolescents using social cognitive theory.

Population

1937 middle school adolescents in Huli District of Xiamen, China

Comparison

Never smoked vs experimental smoking vs current smoking

Design

Secondary analysis of a cross-sectional survey

Key result

Exposure to friends who smoke significantly increased the likelihood of experimental smoking among adolescents compared to those without such exposure.

Authors

MLManzhi LinMCMeijie ChuXLXian Li

Discussion

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Overview

Friend smoking exposure was associated with adolescent experimental smoking; hypothesis-generating for prevention programs, needs longitudinal confirmation.

Study Design

Type

Cross-Sectional (n=1,937)

Multicenter

Yes

Structured PICO

P
Population
1,937 middle school students (aged 11-18 years) in Huli District, Xiamen, China, average age 15.41, 54.58% boys.
O
Outcome
Smoking behavior (never smoked, experimental smoking, and current smoking)patient reported

Main Result

Effect estimate: OR 3.24 (95% CI 1.85-5.68)

p-value: p=<0.001

Social norms, positive outcome expectations, anti-smoking self-efficacy, and attitudes toward control tobacco policies are associated with adolescent smoking behaviors, highlighting the need for multi-level prevention programs.

Limitations

  • Cross-sectional design limits the ability to establish causal relationships
  • Self-reported data may be subject to recall bias or social desirability bias

Cite This Study

Lin et al. (2023) conducted a cross-sectional in Adolescent smoking behaviors (n=1,937). Exposure to friends smoking vs. No exposure to friends smoking was evaluated on Experimental smoking (OR 3.24, 95% CI 1.85-5.68, p=<0.001). Exposure to friends who smoke significantly increased the likelihood of experimental smoking among adolescents compared to those without such exposure.

synapsesocial.com/papers/6a12bb8b257f24f1de9e3222https://doi.org/10.3389/fpubh.2023.1093264
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