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Int. J. Environ. Res. Public Health 2013, 10(6), 2427-2440; doi:10.3390/ijerph10062427
Article

Influence of Rural Non-Smoking Adolescents’ Sense of Coherence and Exposure to Household Smoking on Their Commitment to a Smoke-Free Lifestyle

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Received: 11 April 2013; in revised form: 29 May 2013 / Accepted: 3 June 2013 / Published: 13 June 2013
(This article belongs to the Special Issue Tobacco Control in Vulnerable Population Groups)
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Abstract: This 18-month longitudinal study examined the influence of adolescents’ sense of coherence (SOC) and exposure to household smoking on their commitment to a smoke-free lifestyle. This study investigated a representative sample of 8th graders from 21 randomly selected high schools in the rural Limpopo Province of South Africa (n = 2,119). Of the total sample of 2,119 participants, 294 (14%) reported smoking at baseline and were therefore excluded from further analysis. Of those who did not smoke at baseline, 98.1% (n = 1,767) reported no intention of smoking in the upcoming 12 months. Of those who completed follow-up and had no intention of smoking at baseline (n = 1,316), 89.1% still did not smoke and remained committed to being smoke-free. Having a lower SOC, reporting alcohol binge-drinking at baseline, and having a household member who regularly smokes indoors (OR = 0.46: 0.26–0.82), as compared to not having any smoker in the household, were associated with lower odds of honoring a commitment to a smoke-free lifestyle. Furthermore, those who identified themselves as black Africans, as opposed to belonging to other race groups, were more likely to maintain a smoke-free lifestyle. Our findings suggest that interventions to prevent adolescent smoking should prioritize stress-coping skills and promote smoke-free homes.
Keywords: smoke-free households; adolescents; sense of coherence; South Africa smoke-free households; adolescents; sense of coherence; South Africa
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Ayo-Yusuf, O.A.; Rantao, M.M. Influence of Rural Non-Smoking Adolescents’ Sense of Coherence and Exposure to Household Smoking on Their Commitment to a Smoke-Free Lifestyle. Int. J. Environ. Res. Public Health 2013, 10, 2427-2440.

AMA Style

Ayo-Yusuf OA, Rantao MM. Influence of Rural Non-Smoking Adolescents’ Sense of Coherence and Exposure to Household Smoking on Their Commitment to a Smoke-Free Lifestyle. International Journal of Environmental Research and Public Health. 2013; 10(6):2427-2440.

Chicago/Turabian Style

Ayo-Yusuf, Olalekan A.; Rantao, Masego M. 2013. "Influence of Rural Non-Smoking Adolescents’ Sense of Coherence and Exposure to Household Smoking on Their Commitment to a Smoke-Free Lifestyle." Int. J. Environ. Res. Public Health 10, no. 6: 2427-2440.



Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert