IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v9y2012i10p3421-3436d20342.html

Social, Psychological, and Environmental-Structural Factors Associated with Tobacco Experimentation among Adolescents in Shanghai, China

Author

Listed:
  • Yong Cai

    (School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China)

  • Lin Lu

    (School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China)

  • Na Li

    (School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China)

  • Jingfen Zhu

    (School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China)

  • Yaping He

    (School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China)

  • Pamela Redmon

    (Global Health Institute, Emory University, Atlanta, GA 30322, USA)

  • Abhinav Goyal

    (Global Health Institute, Emory University, Atlanta, GA 30322, USA)

  • Cheng Huang

    (Global Health Institute, Emory University, Atlanta, GA 30322, USA)

  • Yun Qiao

    (Pudong Institute for Health Development, Shanghai 200129, China)

  • Jin Ma

    (School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China)

Abstract

Objective : To estimate the prevalence and social, psychological and environmental-structural determinants of tobacco experimentation among adolescents in Shanghai, China. Methods : We conducted a cross-sectional study based on a two-stage cluster sample design by using the Chinese version of the Global Youth Tobacco Survey (GYTS) to investigate smoking behavior among 19,117 students from 41 junior and senior high schools in Shanghai, China. The association between potential factors and tobacco experimentation were assessed using complex samples procedure logistic regression. Results: Of the 19,117 respondents, 10.5% (15.3% boys and 6.2% girls) reported the tobacco experimentation. The main social, psychological, and environmental-structural factors associated with tobacco experimentation were having close friends who smoke (AOR = 8.21; 95% CI: 6.49–10.39); one or both parents smoking (AOR 1.57; CI: 1.39–1.77); a poor school tobacco control environment (AOR 1.53; CI: 1.37–1.83); a high acceptance level of tobacco use (AOR 1.44; CI: 1.28–1.82); and a high level of media tobacco exposure (AOR 1.23; CI: 1.10–1.37). Peer smoking might contribute to smoking experimentation among girls (AOR 8.93; CI: 5.84–13.66) more so than among boys (AOR 7.79; CI: 5.97–9.94) and media tobacco exposure had no association with tobacco experimentation among female students. Conclusions : Social, psychological, and environmental factors are closely associated with tobacco experimentation among adolescents. Prevention programs aimed at reducing teen tobacco experimentation should be conducted at home and school with support by parents, peers and teachers. Our findings should prove useful for future development of intervention strategies among adolescents in Shanghai, China.

Suggested Citation

  • Yong Cai & Lin Lu & Na Li & Jingfen Zhu & Yaping He & Pamela Redmon & Abhinav Goyal & Cheng Huang & Yun Qiao & Jin Ma, 2012. "Social, Psychological, and Environmental-Structural Factors Associated with Tobacco Experimentation among Adolescents in Shanghai, China," IJERPH, MDPI, vol. 9(10), pages 1-16, September.
    • Handle: RePEc:gam:jijerp:v:9:y:2012:i:10:p:3421-3436:d:20342
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/9/10/3421/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/9/10/3421/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jha, P. & Ranson, M.K. & Nguyen, S.N. & Yach, D., 2002. "Estimates of global and regional smoking prevalence in 1995, by age and sex," American Journal of Public Health, American Public Health Association, vol. 92(6), pages 1002-1006.
    2. Roya Kelishadi & Mohammad Mokhtari & Ali Tavasoli & Alireza Khosravi & Idin Ahangar-Nazari & Babak Sabet & Akbar Kazemi & Abbasgholi Amini, 2007. "Determinants of tobacco use among youths in Isfahan, Iran," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 52(3), pages 173-179, June.
    3. repec:wbk:wbpubs:7039 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fred Pampel & Justin Denney, 2011. "Cross-National Sources of Health Inequality: Education and Tobacco Use in the World Health Survey," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 653-674, May.
    2. Kitae Sohn, 2014. "A note on the effects of education on youth smoking in a developing country," Journal of the Asia Pacific Economy, Taylor & Francis Journals, vol. 19(1), pages 66-73, January.
    3. Lucio Esposito & Shatakshee Dhongde & Christopher Millett, 2021. "Smoking habits in Mexico: Upward and downward comparisons of economic status," Review of Development Economics, Wiley Blackwell, vol. 25(3), pages 1558-1575, August.
    4. Mathias Sinning & Silja Göhlmann & Thomas Bauer, 2006. "Gender Differences in Smoking Behavior," RWI Discussion Papers 0044, Rheinisch-Westfälisches Institut für Wirtschaftsforschung.
    5. Thomas Bauer & Silja Göhlmann & Mathias Sinning, 2007. "Gender differences in smoking behavior," Health Economics, John Wiley & Sons, Ltd., vol. 16(9), pages 895-909, September.
    6. repec:plo:pone00:0130044 is not listed on IDEAS
    7. repec:plo:pmed00:0020133 is not listed on IDEAS
    8. Pampel, Fred, 2008. "Tobacco use in sub-Sahara Africa: Estimates from the demographic health surveys," Social Science & Medicine, Elsevier, vol. 66(8), pages 1772-1783, April.
    9. Mostafa Saidur Rahim Khan & Pongpat Putthinun & Somtip Watanapongvanich & Pattaphol Yuktadatta & Md. Azad Uddin & Yoshihiko Kadoya, 2021. "Do Financial Literacy and Financial Education Influence Smoking Behavior in the United States?," IJERPH, MDPI, vol. 18(5), pages 1-18, March.
    10. Liang-Ting Tsai & Feng-En Lo & Chih-Chien Yang & Wen-Min Lo & Joseph Jordan Keller & Chiou-Wei Hwang & Ching-Feng Lin & Shu-Yu Lyu & Donald E. Morisky, 2016. "Influence of Socioeconomic Factors, Gender and Indigenous Status on Smoking in Taiwan," IJERPH, MDPI, vol. 13(11), pages 1-11, October.
    11. Emma Beard & Jamie Brown & Robert West & Colin Angus & Alan Brennan & John Holmes & Eileen Kaner & Petra Meier & Susan Michie, 2016. "Deconstructing the Alcohol Harm Paradox: A Population Based Survey of Adults in England," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-17, September.

    More about this item

    Keywords

    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:9:y:2012:i:10:p:3421-3436:d:20342. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager The email address of this maintainer does not seem to be valid anymore. Please ask MDPI Indexing Manager to update the entry or send us the correct address (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.