Next Article in Journal
Next Article in Special Issue
Previous Article in Journal
Previous Article in Special Issue
Int. J. Environ. Res. Public Health 2012, 9(10), 3421-3436; doi:10.3390/ijerph9103421
Article

Social, Psychological, and Environmental-Structural Factors Associated with Tobacco Experimentation among Adolescents in Shanghai, China

1
, 1
, 1
, 1
, 1
, 2
, 2
, 2
, 3
 and 1,*
Received: 10 July 2012; in revised form: 13 August 2012 / Accepted: 17 September 2012 / Published: 26 September 2012
(This article belongs to the Special Issue Social and Economical Determinants of Health)
View Full-Text   |   Download PDF [151 KB, updated 19 June 2014; original version uploaded 19 June 2014]
Abstract: Objective: To estimate the prevalence and social, psychological and environmental-structural determinants of tobacco experimentation among adolescents in Shanghai, China. Methods: We conducted a cross-sectional study based on a two-stage cluster sample design by using the Chinese version of the Global Youth Tobacco Survey (GYTS) to investigate smoking behavior among 19,117 students from 41 junior and senior high schools in Shanghai, China. The association between potential factors and tobacco experimentation were assessed using complex samples procedure logistic regression. Results: Of the 19,117 respondents, 10.5% (15.3% boys and 6.2% girls) reported the tobacco experimentation. The main social, psychological, and environmental-structural factors associated with tobacco experimentation were having close friends who smoke (AOR = 8.21; 95% CI: 6.49–10.39); one or both parents smoking (AOR 1.57; CI: 1.39–1.77); a poor school tobacco control environment (AOR 1.53; CI: 1.37–1.83); a high acceptance level of tobacco use (AOR 1.44; CI: 1.28–1.82); and a high level of media tobacco exposure (AOR 1.23; CI: 1.10–1.37). Peer smoking might contribute to smoking experimentation among girls (AOR 8.93; CI: 5.84–13.66) more so than among boys (AOR 7.79; CI: 5.97–9.94) and media tobacco exposure had no association with tobacco experimentation among female students. Conclusions: Social, psychological, and environmental factors are closely associated with tobacco experimentation among adolescents. Prevention programs aimed at reducing teen tobacco experimentation should be conducted at home and school with support by parents, peers and teachers. Our findings should prove useful for future development of intervention strategies among adolescents in Shanghai, China.
Keywords: tobacco experimentation; adolescent; environmental-structural factors; associations tobacco experimentation; adolescent; environmental-structural factors; associations
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.

Export to BibTeX |
EndNote


MDPI and ACS Style

Cai, Y.; Lu, L.; Li, N.; Zhu, J.; He, Y.; Redmon, P.; Goyal, A.; Huang, C.; Qiao, Y.; Ma, J. Social, Psychological, and Environmental-Structural Factors Associated with Tobacco Experimentation among Adolescents in Shanghai, China. Int. J. Environ. Res. Public Health 2012, 9, 3421-3436.

AMA Style

Cai Y, Lu L, Li N, Zhu J, He Y, Redmon P, Goyal A, Huang C, Qiao Y, Ma J. Social, Psychological, and Environmental-Structural Factors Associated with Tobacco Experimentation among Adolescents in Shanghai, China. International Journal of Environmental Research and Public Health. 2012; 9(10):3421-3436.

Chicago/Turabian Style

Cai, Yong; Lu, Lin; Li, Na; Zhu, Jingfen; He, Yaping; Redmon, Pamela; Goyal, Abhinav; Huang, Cheng; Qiao, Yun; Ma, Jin. 2012. "Social, Psychological, and Environmental-Structural Factors Associated with Tobacco Experimentation among Adolescents in Shanghai, China." Int. J. Environ. Res. Public Health 9, no. 10: 3421-3436.



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