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Factors associated with daily smoking among Israeli adolescents: a prospective cohort study with a 3-year follow-up.
Prev Med. 2001 Aug; 33(2 Pt 1):73-81.PM

Abstract

BACKGROUND

A prospective, 3-year cohort study of smoking habits was conducted among 9th grade pupils in Israel.

METHODS

A self-administered questionnaire was answered by pupils in the 9th grade and again in the 11th and 12th grades.

RESULTS

The baseline questionnaire was answered by 748 9th graders. In the 11th grade 448 (60%) completed the questionnaire for the second time, and in the 12th grade 388 (52%) completed the questionnaire. In all, 312 pupils (42% of the original cohort) completed all three questionnaires. There were no significant sociodemographic differences between these 312 and the original 748. Eight 9th graders (2.6%) were active smokers (at least one cigarette daily for the last month) compared with 64 (20.5%) in the 11th grade (P < 0.0001 vs 9th grade) and 70 (22.4%) in the 12th grade (P = 0.34 vs 11th grade). Most pupils knew the health hazards of smoking. Variables associated with smoking in the 11th grade included religiosity (religion was associated with lower smoking rates, P = 0.07), past experimentation with smoking (P < 0.0001), smoking among family members (P < 0.01), perceived future smoking status (P < 0.001), self-image (P < 0.001), influence of a teacher (P = 0.07) or celebrity (P < 0.05), and effect of peer pressure (P < 0.01). These results were similar for the 12th grade students except for active or previous smoking by gender (a significantly greater proportion of females than males, P = 0.04).

CONCLUSIONS

The study design reduces the potential bias of follow-up attrition on assessment of predictors for smoking initiation. Gender, social modeling and peer pressure, past experimentation with smoking, smoking among family members, role models, and self-image were associated with smoking. These factors should be emphasized in intervention programs.

Authors+Show Affiliations

Unit for Health Promotion and Disease Prevention, Division of Health in the Community, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel. amy@bgumail.bgu.ac.ilNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11493039

Citation

Sperber, A D., et al. "Factors Associated With Daily Smoking Among Israeli Adolescents: a Prospective Cohort Study With a 3-year Follow-up." Preventive Medicine, vol. 33, no. 2 Pt 1, 2001, pp. 73-81.
Sperber AD, Peleg A, Friger M, et al. Factors associated with daily smoking among Israeli adolescents: a prospective cohort study with a 3-year follow-up. Prev Med. 2001;33(2 Pt 1):73-81.
Sperber, A. D., Peleg, A., Friger, M., & Shvartzman, P. (2001). Factors associated with daily smoking among Israeli adolescents: a prospective cohort study with a 3-year follow-up. Preventive Medicine, 33(2 Pt 1), 73-81.
Sperber AD, et al. Factors Associated With Daily Smoking Among Israeli Adolescents: a Prospective Cohort Study With a 3-year Follow-up. Prev Med. 2001;33(2 Pt 1):73-81. PubMed PMID: 11493039.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with daily smoking among Israeli adolescents: a prospective cohort study with a 3-year follow-up. AU - Sperber,A D, AU - Peleg,A, AU - Friger,M, AU - Shvartzman,P, PY - 2001/8/9/pubmed PY - 2001/9/21/medline PY - 2001/8/9/entrez SP - 73 EP - 81 JF - Preventive medicine JO - Prev Med VL - 33 IS - 2 Pt 1 N2 - BACKGROUND: A prospective, 3-year cohort study of smoking habits was conducted among 9th grade pupils in Israel. METHODS: A self-administered questionnaire was answered by pupils in the 9th grade and again in the 11th and 12th grades. RESULTS: The baseline questionnaire was answered by 748 9th graders. In the 11th grade 448 (60%) completed the questionnaire for the second time, and in the 12th grade 388 (52%) completed the questionnaire. In all, 312 pupils (42% of the original cohort) completed all three questionnaires. There were no significant sociodemographic differences between these 312 and the original 748. Eight 9th graders (2.6%) were active smokers (at least one cigarette daily for the last month) compared with 64 (20.5%) in the 11th grade (P < 0.0001 vs 9th grade) and 70 (22.4%) in the 12th grade (P = 0.34 vs 11th grade). Most pupils knew the health hazards of smoking. Variables associated with smoking in the 11th grade included religiosity (religion was associated with lower smoking rates, P = 0.07), past experimentation with smoking (P < 0.0001), smoking among family members (P < 0.01), perceived future smoking status (P < 0.001), self-image (P < 0.001), influence of a teacher (P = 0.07) or celebrity (P < 0.05), and effect of peer pressure (P < 0.01). These results were similar for the 12th grade students except for active or previous smoking by gender (a significantly greater proportion of females than males, P = 0.04). CONCLUSIONS: The study design reduces the potential bias of follow-up attrition on assessment of predictors for smoking initiation. Gender, social modeling and peer pressure, past experimentation with smoking, smoking among family members, role models, and self-image were associated with smoking. These factors should be emphasized in intervention programs. SN - 0091-7435 UR - https://www.unboundmedicine.com/medline/citation/11493039/Factors_associated_with_daily_smoking_among_Israeli_adolescents:_a_prospective_cohort_study_with_a_3_year_follow_up_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0091743501908369 DB - PRIME DP - Unbound Medicine ER -