Social influence and advocacy pathways during a web-based program for adolescent smoking prevention
Georges E Khalil1, Meerah Khan1, Jeanie Kim2
1University of Florida, Department of Health Outcomes and Biomedical Informatics, 2004 Mowry Rd, Gainesville, FL 32610, United States.
Addictive Behaviors Reports
|January 29, 2024
Summary
Adolescent tobacco prevention programs did not increase advocacy against smoking. However, being an advocate against smoking significantly decreased smoking risk, independent of program effects, highlighting the power of peer influence in youth tobacco control.
Area of Science:
- Public Health
- Adolescent Health
- Tobacco Control
Background:
- Adolescent smoking is influenced by peer exposure.
- Advocacy against smoking may reduce initiation.
- Digital tobacco prevention programs incorporate social strategies.
Purpose of the Study:
- To determine if digital programs motivate adolescent advocacy against smoking.
- To assess if advocacy and peer smoking predict adolescent smoking, controlling for program effects.
Main Methods:
- Secondary analysis of a randomized controlled trial (RCT) with 18-month follow-up.
- Schools randomized to ASPIRE program or tobacco education booklet.
- Cross-lagged linear path model with logistic regression.
Main Results:
- ASPIRE program use was linked to lower smoking likelihood but not increased advocacy.
- Adolescent advocacy against smoking predicted decreased smoking risk, independent of the ASPIRE intervention.
- Baseline smoking predicted a higher proportion of friends smoking at follow-up.
Conclusions:
- Adolescent advocacy against smoking is a significant predictor of reduced smoking, even with individual interventions.
- Future research should explore advocacy mechanisms and leverage social networks for tobacco prevention.
Related Concept Videos
01:30Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
01:26Levels of Health Promotion and Illness Prevention
12.6K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.6K
01:18Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
01:23Influence of Parents and Peers on Identity
56
Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
56
02:04Bullying
8.4K
A modern form of aggression is bullying. As you learn in your study of child development, socializing and playing with other children is beneficial for children’s psychological development. However, as you may have experienced as a child, not all play behavior has positive outcomes. Some children are aggressive and want to play roughly. Other children are selfish and do not want to share toys. One form of negative social interactions among children that has become a national concern is...
8.4K
01:25Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K