Tags

Type your tag names separated by a space and hit enter

Protection motivation theory and cigarette smoking among vocational high school students in China: a cusp catastrophe modeling analysis.

Abstract

Background

Tobacco use is one of the greatest public health problems worldwide and the hazards of cigarette smoking to public health call for better recognition of cigarette smoking behaviors to guide evidence-based policy. Protection motivation theory (PMT) provides a conceptual framework to investigate tobacco use. Evidence from diverse sources implies that the dynamics of smoking behavior may be quantum in nature, consisting of an intuition and an analytical process, challenging the traditional linear continuous analytical approach. In this study, we used cusp catastrophe, a nonlinear analytical approach to test the dual-process hypothesis of cigarette smoking.

Methods

Data were collected from a random sample of vocational high school students in China (n = 528). The multivariate stochastic cusp modeling was used and executed with the Cusp Package in R. The PMT-based Threat Appraisal and Coping Appraisal were used as the two control variables and the frequency of cigarette smoking (daily, weekly, occasional, and never) in the past month was used as the outcome variable.

Results

Consistent with PMT, the Threat Appraisal (asymmetry, α1 = 0.1987, p < 0.001) and Coping Appraisal (bifurcation, β2 = 0.1760, p < 0.05) significantly predicted the smoking behavior after controlling for covariates. Furthermore, the cusp model performed better than the alternative linear and logistic regression models with regard to higher R2 (0.82 for cusp, but 0.21 for linear and 0.25 for logistic) and smaller AIC and BIC.

Conclusion

Study findings support the conclusion that cigarette smoking in adolescents is a quantum process and PMT is relevant to guide studies to understand smoking behavior for smoking prevention and cessation.

Authors+Show Affiliations

University of Florida, Gainesville, Florida USA.University of Florida, Gainesville, Florida USA. Wuhan University Global Health Institute, Wuhan, China. Wuhan Center for Disease Prevention and Control, Wuhan, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29202053

Citation

Xu, Yunan, and Xinguang Chen. "Protection Motivation Theory and Cigarette Smoking Among Vocational High School Students in China: a Cusp Catastrophe Modeling Analysis." Global Health Research and Policy, vol. 1, 2016, p. 3.
Xu Y, Chen X. Protection motivation theory and cigarette smoking among vocational high school students in China: a cusp catastrophe modeling analysis. Glob Health Res Policy. 2016;1:3.
Xu, Y., & Chen, X. (2016). Protection motivation theory and cigarette smoking among vocational high school students in China: a cusp catastrophe modeling analysis. Global Health Research and Policy, 1, p. 3. doi:10.1186/s41256-016-0004-9.
Xu Y, Chen X. Protection Motivation Theory and Cigarette Smoking Among Vocational High School Students in China: a Cusp Catastrophe Modeling Analysis. Glob Health Res Policy. 2016;1:3. PubMed PMID: 29202053.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Protection motivation theory and cigarette smoking among vocational high school students in China: a cusp catastrophe modeling analysis. AU - Xu,Yunan, AU - Chen,Xinguang, Y1 - 2016/06/15/ PY - 2016/01/30/received PY - 2016/05/21/accepted PY - 2017/12/5/entrez PY - 2016/6/15/pubmed PY - 2016/6/15/medline KW - Adolescents KW - Cigarette smoking KW - Cusp catastrophe modeling KW - Quantum change SP - 3 EP - 3 JF - Global health research and policy JO - Glob Health Res Policy VL - 1 N2 - Background: Tobacco use is one of the greatest public health problems worldwide and the hazards of cigarette smoking to public health call for better recognition of cigarette smoking behaviors to guide evidence-based policy. Protection motivation theory (PMT) provides a conceptual framework to investigate tobacco use. Evidence from diverse sources implies that the dynamics of smoking behavior may be quantum in nature, consisting of an intuition and an analytical process, challenging the traditional linear continuous analytical approach. In this study, we used cusp catastrophe, a nonlinear analytical approach to test the dual-process hypothesis of cigarette smoking. Methods: Data were collected from a random sample of vocational high school students in China (n = 528). The multivariate stochastic cusp modeling was used and executed with the Cusp Package in R. The PMT-based Threat Appraisal and Coping Appraisal were used as the two control variables and the frequency of cigarette smoking (daily, weekly, occasional, and never) in the past month was used as the outcome variable. Results: Consistent with PMT, the Threat Appraisal (asymmetry, α1 = 0.1987, p < 0.001) and Coping Appraisal (bifurcation, β2 = 0.1760, p < 0.05) significantly predicted the smoking behavior after controlling for covariates. Furthermore, the cusp model performed better than the alternative linear and logistic regression models with regard to higher R2 (0.82 for cusp, but 0.21 for linear and 0.25 for logistic) and smaller AIC and BIC. Conclusion: Study findings support the conclusion that cigarette smoking in adolescents is a quantum process and PMT is relevant to guide studies to understand smoking behavior for smoking prevention and cessation. SN - 2397-0642 UR - https://www.unboundmedicine.com/medline/citation/29202053/Protection_motivation_theory_and_cigarette_smoking_among_vocational_high_school_students_in_China:_a_cusp_catastrophe_modeling_analysis_ L2 - https://ghrp.biomedcentral.com/articles/10.1186/s41256-016-0004-9 DB - PRIME DP - Unbound Medicine ER -