Factors associated with smoking initiation among Saudi male adolescents: A longitudinal study

Mutaz Mohammed*, Kei Long Cheung, Bjorn Winkens, Nanne de Vries, Hein de Vries

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

INTRODUCTION Knowing country-specific predictors of smoking behaviour for adolescents is crucial for successful smoking prevention programs. This study aims to assess demographic and socio-cognitive variables related to smoking initiation among Saudi male adolescents.

METHODS Longitudinal data were collected at T1 (baseline) and at T2 (followup at 6 months) using a self-administered questionnaire. We assessed smoking behaviour and related demographic variables and socio-cognitive variables. Chi-squared tests and independent-samples t-tests were used to identify differences in baseline characteristics between smokers and non-smokers at T1. Furthermore, non-smokers at T1 were included in logistic regression analyses to examine the predictors of smoking initiation between T1 and T2.

RESULTS At T1, the non-smokers who were included in further analysis were 523 (84.9%) of whom 48 (9.2%) had initiated smoking at T2. They differed significantly from non-initiators, including having a more positive attitude towards smoking, reporting more social norms, modelling and pressure to smoke, having a lower self-efficacy to refrain from smoking and higher intention to smoke in the future (all p

CONCLUSIONS Findings suggest that health-promoting programs should address strengthening of self-efficacy and enhancing refusal skills against modelling of peers, pressure and norms of parents.

Original languageEnglish
Article number21
Number of pages8
JournalTobacco prevention & cessation
Volume5
DOIs
Publication statusPublished - Jun 2019

Keywords

  • adolescents
  • I-Change Model
  • smoking initiation
  • smoking predictors
  • Saudi Arabia
  • TOBACCO USE
  • SOCIOECONOMIC-STATUS
  • SOCIAL INFLUENCES
  • SELF-EFFICACY
  • PREDICTORS
  • BEHAVIOR
  • ONSET
  • INTERVENTION
  • PREVENTION
  • CIGARETTE

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