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Influences affecting adolescent smoking behavior in China.

Jerry L Grenard1, Qian Guo, Guneet Kaur Jasuja

  • 1Institute for Health Promotion and Disease Prevention Research, University of Southern California, Alhambra, CA 91803, USA. grenard@usc.edu

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
|June 13, 2006
PubMed
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This study found that interpersonal, attitudinal/cultural, and intrapersonal factors significantly predict adolescent smoking in China. Prevention strategies successful in Western countries may be adaptable for Chinese adolescents.

Area of Science:

  • Public Health
  • Adolescent Health
  • Behavioral Science

Background:

  • Adolescent smoking remains a significant public health concern globally.
  • Understanding the multifactorial influences on smoking initiation and maintenance is crucial for effective prevention.
  • China presents a unique context for studying adolescent smoking due to rapid socioeconomic changes.

Purpose of the Study:

  • To examine the predictive role of interpersonal, attitudinal/cultural, and intrapersonal factors on adolescent smoking in China.
  • To test the applicability of the theory of triadic influences in a Chinese adolescent population.
  • To identify specific risk factors within each category for targeted intervention development.

Main Methods:

  • Prospective cohort study utilizing baseline data from the China Seven Cities Study (N = 11,583).

Related Experiment Videos

  • Inclusion of middle and high school students and their parents.
  • Multilevel regression analysis to predict adolescent smoking at 1-year follow-up, adjusting for confounders.

    • Main Results:

    • Interpersonal influences (parental monitoring, peer smoking) were significant predictors.
    • Attitudinal/cultural factors (school academic ranking, liking smoking) showed predictive value.
    • Intrapersonal factors (susceptibility to smoking, low self-confidence to quit) were also significant risk factors.

    Conclusions:

    • The theory of triadic influences provides a useful framework for understanding adolescent smoking in China.
    • Identified risk factors suggest potential for adapting Western prevention strategies.
    • Findings highlight the need for comprehensive interventions addressing multiple levels of influence.