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Related Experiment Videos

Why do Danish adolescents take up smoking?

Klavs Holm1, Stef P J Kremers, Hein de Vries

  • 1Danish Cancer Society, Cancer Prevention and Documentation, Copenhagen, Denmark. klh@cancer.dk

European Journal of Public Health
|April 8, 2003
PubMed
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This study on adolescent smoking prevention in Denmark found that social self-efficacy, peer influence, and intention to smoke are key factors. Prevention programs should target these areas, differentiating between parental and peer roles.

Area of Science:

  • Adolescent Health
  • Public Health
  • Behavioral Science

Background:

  • First comprehensive international research-based smoking prevention program launched in Denmark.
  • ESFA cohort study initiated in 1997, presenting baseline findings.
  • Adolescent smoking initiation linked to attitudes, social norms, peer pressure, and self-efficacy.

Purpose of the Study:

  • To present baseline findings of the ESFA cohort study.
  • To identify factors associated with adolescent smoking initiation.
  • To evaluate the attitude-social influence-efficacy model in relation to adolescent smoking.

Main Methods:

  • Cross-sectional analysis of baseline data from Danish adolescents (n=1770).
  • Participants were in secondary school with a mean age of 13.8 years.

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  • Utilized the attitude-social influence-efficacy model.

    • Main Results:

    • The attitude-social influence-efficacy model effectively highlights associations with adolescent smoking behavior.
    • Social self-efficacy demonstrated a strong association with smoking.
    • Peer smoking behavior and intention to smoke were the strongest predictors of adolescent smoking.

    Conclusions:

    • Self-efficacy beliefs and individual intentions to smoke should be integrated into future Danish smoking prevention programs.
    • Prevention strategies should emphasize the distinct roles of parents and peers in adolescents' social environments.
    • Health promotion efforts should consider these factors for effective adolescent smoking cessation and prevention.