<p>Predictors of intentions to use cigarettes and electronic-cigarettes among high school students</p>

Abstract

Purpose Tobacco is the second most commonly used drug by Spanish high school students and e-cigarette use has increased over the last three years among this population. Students who reported smoking tobacco and/or e-cigarette use often have friends and family that also consume these substances. The aims of the present study were to: determine the prevalence of tobacco and electronic cigarette consumption among young adolescents, the age of initiation and the intention to consume both of these substances in the future; study the relationships between their current tobacco and e-cigarette consumption status, intentions to consume these substances in the future and the consumption of these substances by family members living in their home and friend’s consumption status; investigate the relationship between their current tobacco and e-cigarette consumption status, friends’ consumption status and their intention to consume each substance in the future; analyse the relationship between current consumption status, intentions to consume in the future and perceived risk; identify the main predictors of intentions to use these substances in the future. Methods A cross-sectional survey was conducted in 2017. The sample consisted of 468 school students in the first cycle of secondary education in Catalonia, Spain. The participants who were aged between 11 and 15 years old, with 49.4% being female. Results A stepwise binary logistic regression showed that the best predictors of the intention to smoke tobacco in the future were: having tried tobacco, being a current consumer, having a family member smoking at home and having a low perceived risk of smoking. The best predictors of the intention to use electronic cigarettes in the future were: having tried tobacco, being a current consumer and having friends who smoke or use electronic cigarettes. Conclusion Smoking prevention programs must consider the social network surrounding teenagers, particularly close friends and family. Intervention strategies for delaying the onset of tobacco or e-cigarette consumption are greatly needed.

Factors associated with smoking susceptibility among high school students in western Spain

“…Tobacco use within the peer group was associated with both high susceptibility and smoking status. These data seem to be in line with other research that suggests that engaging in risky behaviours during adolescence, such as smoking, seems to be influenced by the peer group 61 , 62 , which is a key factor in both intentionality and smoking 35 . Some studies suggest that having one or more friends who smoke increases the risk of smoking 57 , 63 .…”

“…E-cigarettes and hookahs are especially appealing to adolescents and young people, particularly those who have not started to smoke 8 . These products are perceived as safer, less harmful and less addictive than cigarettes 32 , 33 , 35 and are more socially acceptable 9 , 33 . This lower perception of risk, the pressure of the social context in which this consumption occurs, and the greater possibility of offers of tobacco consumption can increase individuals’ susceptibility to smoking nicotine products that generate dependence 36 – 38 .…”

Adolescent smoking behaviour determinants in the city of Yogyakarta, Indonesia

“…Many teens who smoke because of their parents (role models) also smoke. 15,16 Thus, parenting and the formation of good discipline from parents is very necessary in controlling smoking behavior in adolescents.…”

“…18,23,27 Adolescent smoking behavior prevention programs must consider the role of teenage close friends. 15 Good self-control in adolescents can lead to positive consequences. 28 The availability of cigarette products on the market can facilitate youth access in carrying out their smoking behavior, therefore it is necessary to restrict access to cigarettes such as an increase in cigarette excise duty.…”

Friendship influence moderating the effect of a web-based smoking prevention program on intention to smoke and knowledge among adolescents

“…Depression was assessed using the Center for Epidemiologic Studies Depression Scale for Children (CES-DC) ( Shahid, Wilkinson, Marcu, & Shapiro, 2011 ). At baseline and follow-up, we measured intention to smoke using three questions such as “Do you think in the future you might try a cigarette, cigar, or hookah?” ( Pierce et al, 1996 , Straub et al, 2003 , Vitória et al, 2011 , Patiño-Masó et al, 2019 ). On a 5-point Likert scale, answer choices ranging from “definitely yes” to “definitely not” (Cronbach’s alpha = 0.80).…”