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Social-cognitive and school factors in lifetime smoking among adolescents.
Cancer Epidemiol Biomarkers Prev. 2008 Aug; 17(8):1862-71.CE

Abstract

BACKGROUND

Smoking is a serious health threat and identifying risk factors for smoking is thus of great importance. The aim of the study was to examine the effects of social-cognitive factors and school factors on lifetime smoking status among adolescents.

METHODS

The study was based on cross-sectional data on 2,913 Danish adolescents in grade 7 attending 118 randomly selected public schools. Social-cognitive factors were examined with five measures: self-efficacy to resist pressure to smoke, social influence (norms), social influence (behavior), social influence (pressure), and attitude. We used multilevel analyses to estimate the associations between social-cognitive factors and lifetime smoking status as well as the group-level effects of school, school class, and gender group in the school class.

RESULTS

Each social-cognitive factor was significantly associated with lifetime smoking status, even when several potential confounders and the effects of school, school class, and gender group were taken into account. Of the three group-level school factors, gender group in the school class had the strongest effect on smoking status.

CONCLUSION

We conclude that self-efficacy to resist pressure to smoke, attitude, and the three types of social influence are significantly associated with lifetime smoking status, even when the effects of group-level school factors are taken into account. The strong effect of gender group in school class on lifetime smoking status indicates that prevention actions should address the social context of adolescents.

Authors+Show Affiliations

Department of Psychosocial Cancer Research, Institute of Cancer Epidemiology, Danish Cancer Society, Strandboulevarden 49, DK-2100 Copenhagen, Denmark. pernille@cancer.dkNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo 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

18708373

Citation

Bidstrup, Pernille Envold, et al. "Social-cognitive and School Factors in Lifetime Smoking Among Adolescents." Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored By the American Society of Preventive Oncology, vol. 17, no. 8, 2008, pp. 1862-71.
Bidstrup PE, Frederiksen K, Siersma V, et al. Social-cognitive and school factors in lifetime smoking among adolescents. Cancer Epidemiol Biomarkers Prev. 2008;17(8):1862-71.
Bidstrup, P. E., Frederiksen, K., Siersma, V., Mortensen, E. L., Ross, L., Vinther-Larsen, M., Grønbaek, M., & Johansen, C. (2008). Social-cognitive and school factors in lifetime smoking among adolescents. Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored By the American Society of Preventive Oncology, 17(8), 1862-71. https://doi.org/10.1158/1055-9965.EPI-07-2773
Bidstrup PE, et al. Social-cognitive and School Factors in Lifetime Smoking Among Adolescents. Cancer Epidemiol Biomarkers Prev. 2008;17(8):1862-71. PubMed PMID: 18708373.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Social-cognitive and school factors in lifetime smoking among adolescents. AU - Bidstrup,Pernille Envold, AU - Frederiksen,Kirsten, AU - Siersma,Volkert, AU - Mortensen,Erik Lykke, AU - Ross,Lone, AU - Vinther-Larsen,Mathilde, AU - Grønbaek,Morten, AU - Johansen,Christoffer, PY - 2008/8/19/pubmed PY - 2008/12/17/medline PY - 2008/8/19/entrez SP - 1862 EP - 71 JF - Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology JO - Cancer Epidemiol. Biomarkers Prev. VL - 17 IS - 8 N2 - BACKGROUND: Smoking is a serious health threat and identifying risk factors for smoking is thus of great importance. The aim of the study was to examine the effects of social-cognitive factors and school factors on lifetime smoking status among adolescents. METHODS: The study was based on cross-sectional data on 2,913 Danish adolescents in grade 7 attending 118 randomly selected public schools. Social-cognitive factors were examined with five measures: self-efficacy to resist pressure to smoke, social influence (norms), social influence (behavior), social influence (pressure), and attitude. We used multilevel analyses to estimate the associations between social-cognitive factors and lifetime smoking status as well as the group-level effects of school, school class, and gender group in the school class. RESULTS: Each social-cognitive factor was significantly associated with lifetime smoking status, even when several potential confounders and the effects of school, school class, and gender group were taken into account. Of the three group-level school factors, gender group in the school class had the strongest effect on smoking status. CONCLUSION: We conclude that self-efficacy to resist pressure to smoke, attitude, and the three types of social influence are significantly associated with lifetime smoking status, even when the effects of group-level school factors are taken into account. The strong effect of gender group in school class on lifetime smoking status indicates that prevention actions should address the social context of adolescents. SN - 1055-9965 UR - https://www.unboundmedicine.com/medline/citation/18708373/Social_cognitive_and_school_factors_in_lifetime_smoking_among_adolescents_ L2 - http://cebp.aacrjournals.org/cgi/pmidlookup?view=long&pmid=18708373 DB - PRIME DP - Unbound Medicine ER -