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Influence of known psychosocial smoking risk factors on Egyptian adolescents' cigarette smoking behavior.
Health Promot Int. 2005 Jun; 20(2):135-45.HP

Abstract

The morbidity and mortality associated with cigarette smoking is shifting from the developed world to developing countries, especially developing Arab countries. One such country is Egypt, which has the highest rate of tobacco consumption in the Arab world. To curb the rising smoking epidemic in Egypt, appropriate adolescent smoking prevention programs need to be developed. Most of the effective adolescent smoking prevention programs are based on the social influence approach, which targets the proximal psychosocial variables believed to promote adolescent smoking. However, most of our understanding of adolescents' psychosocial smoking risk factors is based mainly on Western studies. Whether these factors have the same influence on Egyptian adolescents' smoking behavior has not been investigated to date. An understanding of the psychosocial correlates of smoking behavior among Egyptian adolescents may help in designing the appropriate smoking prevention program aimed at this population. This study reports the results of a cross-sectional survey administered to a random sample of 1930 students in grades 7, 9 and 12 in the city of Alexandria, Egypt, in May 2003. Adolescent smoking behavior was positively associated with positive beliefs about smoking, sibling, parent and peer smoking, and social smoking norms, with sibling smoking and perceived adult smoking norms having a stronger influence on adolescents' smoking behavior than peer smoking and perceived peer smoking norms. Refusal self-efficacy was protective against smoking behavior, while knowledge of the short-term negative consequences of smoking was protective against susceptibility to future smoking among females only. The results suggest that adolescents from collective cultures, like Egypt, are more influenced by their family's smoking behavior and perceived adult smoking norms than their peers' smoking behavior and perceived peer smoking norms. Smoking prevention programs aimed at Egyptian adolescents should be accompanied by smoking cessation programs for the family and adult community members.

Authors+Show Affiliations

Department of Preventive Medicine, University of Southern California, Alhambra, CA 91803, USA. sislam@usc.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15722365

Citation

Islam, Sondos M S., and Carl Anderson Johnson. "Influence of Known Psychosocial Smoking Risk Factors On Egyptian Adolescents' Cigarette Smoking Behavior." Health Promotion International, vol. 20, no. 2, 2005, pp. 135-45.
Islam SM, Johnson CA. Influence of known psychosocial smoking risk factors on Egyptian adolescents' cigarette smoking behavior. Health Promot Int. 2005;20(2):135-45.
Islam, S. M., & Johnson, C. A. (2005). Influence of known psychosocial smoking risk factors on Egyptian adolescents' cigarette smoking behavior. Health Promotion International, 20(2), 135-45.
Islam SM, Johnson CA. Influence of Known Psychosocial Smoking Risk Factors On Egyptian Adolescents' Cigarette Smoking Behavior. Health Promot Int. 2005;20(2):135-45. PubMed PMID: 15722365.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of known psychosocial smoking risk factors on Egyptian adolescents' cigarette smoking behavior. AU - Islam,Sondos M S, AU - Johnson,Carl Anderson, Y1 - 2005/02/18/ PY - 2005/2/22/pubmed PY - 2005/8/19/medline PY - 2005/2/22/entrez SP - 135 EP - 45 JF - Health promotion international JO - Health Promot Int VL - 20 IS - 2 N2 - The morbidity and mortality associated with cigarette smoking is shifting from the developed world to developing countries, especially developing Arab countries. One such country is Egypt, which has the highest rate of tobacco consumption in the Arab world. To curb the rising smoking epidemic in Egypt, appropriate adolescent smoking prevention programs need to be developed. Most of the effective adolescent smoking prevention programs are based on the social influence approach, which targets the proximal psychosocial variables believed to promote adolescent smoking. However, most of our understanding of adolescents' psychosocial smoking risk factors is based mainly on Western studies. Whether these factors have the same influence on Egyptian adolescents' smoking behavior has not been investigated to date. An understanding of the psychosocial correlates of smoking behavior among Egyptian adolescents may help in designing the appropriate smoking prevention program aimed at this population. This study reports the results of a cross-sectional survey administered to a random sample of 1930 students in grades 7, 9 and 12 in the city of Alexandria, Egypt, in May 2003. Adolescent smoking behavior was positively associated with positive beliefs about smoking, sibling, parent and peer smoking, and social smoking norms, with sibling smoking and perceived adult smoking norms having a stronger influence on adolescents' smoking behavior than peer smoking and perceived peer smoking norms. Refusal self-efficacy was protective against smoking behavior, while knowledge of the short-term negative consequences of smoking was protective against susceptibility to future smoking among females only. The results suggest that adolescents from collective cultures, like Egypt, are more influenced by their family's smoking behavior and perceived adult smoking norms than their peers' smoking behavior and perceived peer smoking norms. Smoking prevention programs aimed at Egyptian adolescents should be accompanied by smoking cessation programs for the family and adult community members. SN - 0957-4824 UR - https://www.unboundmedicine.com/medline/citation/15722365/Influence_of_known_psychosocial_smoking_risk_factors_on_Egyptian_adolescents'_cigarette_smoking_behavior_ L2 - https://academic.oup.com/heapro/article-lookup/doi/10.1093/heapro/dah604 DB - PRIME DP - Unbound Medicine ER -