- Volume 16 Issue 14
Background: Smoking behavior is related to numerous factors, including psychosocial parameters. This study investigated the association between family context factors and smoking among male adolescents. Materials and Methods: A cross-sectional, school-based study was conducted during 2014. The study sampled 900 students from intermediate and secondary schools in Madinah City, Saudi Arabia. Data concerning smoking status, sociodemographic, parental and friends' smoking behavior, and family factors were collected using a self-administered questionnaire. These data were employed to estimate the prevalence of smoking using appropriate statistical analyses including multivariate logistic regression. Results: Of 900 students, 870 completed the study questionnaire (96.7%). Of the respondents, 181 students (20.8%, 95% CI=18.1%-23.5%) were current smokers, and a much higher prevalence was observed among adolescents with most or all of their friends smoking (48.1%) and those living with neither parent (47.4%). The adjusted risk of smoking increased significantly among adolescents who lived with neither parent (OR=3.3; 95% CI=1.1-9.2) and among those who reported little or no parental supervision (OR=1.5; 95% CI=1.0-2.1). Conclusions: Family context factors are associated with an increased risk of smoking behavior among male adolescents in Saudi Arabia.
- Al Ghobain MO, Al Moamary MS, Al Shehri SN, Al-Hajjaj MS (2011). Prevalence and characteristics of cigarette smoking among 16 to 18 years old boys and girls in Saudi Arabia. Ann Thorac Med, 6, 137-40. https://doi.org/10.4103/1817-1737.82447
- Al Nohair SF (2011). Prevalence of smoking and its related behaviors and beliefs among secondary school students in riyadh, saudi arabia. Int J Health Sci (Qassim), 5, 51-7.
- Alexander C, Piazza M, Mekos D, Valente T (2001). Peers, schools, and adolescent cigarette smoking. J Adolesc Health, 29, 22-30. https://doi.org/10.1016/S1054-139X(01)00210-5
- Baheiraei A, Hamzehgardeshi Z, Mohammadi MR, et al (2013). Personal and family factors affecting life time cigarette smoking among adolescents in Tehran (Iran): a community based study. Oman Med J, 28, 184-90. https://doi.org/10.5001/omj.2013.51
- Borawski EA, Ievers-Landis CE, Lovegreen LD, Trapl ES (2003). Parental monitoring, negotiated unsupervised time, and parental trust: the role of perceived parenting practices in adolescent health risk behaviors. J Adolesc Health, 33, 60-70. https://doi.org/10.1016/S1054-139X(03)00100-9
- Carlsund A, Eriksson U, Lofstedt P, Sellstrom E (2013). Risk behaviour in Swedish adolescents: is shared physical custody after divorce a risk or a protective factor? Eur J Public Health, 23, 3-8. https://doi.org/10.1093/eurpub/cks011
- Connor Gorber S, Schofield-Hurwitz S, Hardt J, et al (2009). The accuracy of self-reported smoking: a systematic review of the relationship between self-reported and cotinine-assessed smoking status. Nicotine Tob Res, 11, 12-24. https://doi.org/10.1093/ntr/ntn010
- De Looze M, van den Eijnden R, Verdurmen J, et al (2012). Parenting practices and adolescent risk behavior: rules on smoking and drinking also predict cannabis use and early sexual debut. Prev Sci, 13, 594-604. https://doi.org/10.1007/s11121-012-0286-1
- Du Y, Palmer PH, Sakuma K-L, et al (2015). The association between family structure and adolescent smoking among multicultural students in Hawaii. Prev Med Reports, 2, 206-12. https://doi.org/10.1016/j.pmedr.2015.03.002
- Fida HR, Abdelmoneim I (2013). Prevalence of smoking among secondary school male students in Jeddah, Saudi Arabia: a survey study. BMC Public Health, 13, 1010. https://doi.org/10.1186/1471-2458-13-1010
- Gaffar AM, Alsanosy RM, Mahfouz MS (2013). Sociodemographic factors associated with tobacco smoking among intermediate and secondary school students in jazan region of Saudi Arabia. Subst Abus, 34, 381-8. https://doi.org/10.1080/08897077.2013.779361
- Gladwin TE, Figner B, Crone EA, Wiers RW (2011). Addiction, adolescence, and the integration of control and motivation. Dev Cogn Neurosci, 1, 364-76. https://doi.org/10.1016/j.dcn.2011.06.008
- Isohanni M, Oja H, Moilanen I, et al (1993). The relation between teenage smoking and drinking, with special reference to nonstandard family background. Scand J Soc Med, 21, 24-30.
- Jeganathan PD, Hairi NN, Al Sadat N, Chinna K (2013). Smoking stage relations to peer, school and parental factors among secondary school students in Kinta, Perak. Asian Pac J Cancer Prev, 14, 3483-9. https://doi.org/10.7314/APJCP.2013.14.6.3483
- Kalina O, Madarasova Geckova A, Klein D, et al (2013). Mother's and father’s monitoring is more important than parental social support regarding sexual risk behaviour among 15-year-old adolescents. Eur J Contracept Reprod Health Care, 18, 95-103. https://doi.org/10.3109/13625187.2012.752450
- Kaynak O, Meyers K, Caldeira KM, et al (2013). Relationships among parental monitoring and sensation seeking on the development of substance use disorder among college students. Addict Behav, 38, 1457-63. https://doi.org/10.1016/j.addbeh.2012.08.003
- Kirby JB (2002). The influence of parental separation on smoking initiation in adolescents. J Health Soc Behav, 43, 56-71. https://doi.org/10.2307/3090245
- Kristjansson AL, Sigfusdottir ID, Allegrante JP, Helgason AR (2008). Social correlates of cigarette smoking among Icelandic adolescents: a population-based cross-sectional study. BMC Public Health, 8, 86. https://doi.org/10.1186/1471-2458-8-86
- Mahabee-Gittens EM, Xiao Y, Gordon JS, Khoury JC (2012). Continued importance of family factors in youth smoking behavior. Nicotine Tob Res, 14, 1458-66. https://doi.org/10.1093/ntr/nts078
- Orgiles M, Espada JP, Johnson BT, et al (2012). Sexual behavior in Spanish adolescents of divorced parents. Psicothema, 24, 211-6.
- Ozturk C, Kahraman S, Bektas M (2013). Effects of perceived parental attitudes on children’s views of smoking. Asian Pac J Cancer Prev, 14, 2615-9. https://doi.org/10.7314/APJCP.2013.14.4.2615
- Peterson MS, Lawman HG, Wilson DK, et al (2013). The association of self-efficacy and parent social support on physical activity in male and female adolescents. Health Psychol, 32, 666-74. https://doi.org/10.1037/a0029129
- Rajesh V, Diamond PM, Spitz MR, Wilkinson AV (2015). Smoking initiation among mexican heritage youth and the roles of family cohesion and conflict. J Adolesc Health, 57, 24-30. https://doi.org/10.1016/j.jadohealth.2015.01.021
- Shapka JD, Law DM (2013). Does one size fit all? Ethnic differences in parenting behaviors and motivations for adolescent engagement in cyberbullying. J Youth Adolesc, 42, 723-38. https://doi.org/10.1007/s10964-013-9928-2
- Tyas SL, Pederson LL (1998). Psychosocial factors related to adolescent smoking: a critical review of the literature. Tob Control, 7, 409-20. https://doi.org/10.1136/tc.7.4.409
- Unger JB, Chen X (1999). The role of social networks and media receptivity in predicting age of smoking initiation: a proportional hazards model of risk and protective factors. Addict Behav, 24, 371-81. https://doi.org/10.1016/S0306-4603(98)00102-6
- Warren CW, Jones NR, Peruga A, et al (2008). Global youth tobacco surveillance, 2000-2007. MMWR Surveill Summ, 57, 1-28.
- World Health Organization (2008). WHO report on the global tobacco epidemic, 2008: the MPOWER package. World Health Organization, Geneva.
- Psychosocial Factors Associated With Smoking Intention in Korean Male Middle School Students vol.33, pp.5, 2017, https://doi.org/10.1177/1059840516671782