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Predictors of intentions to use cigarettes and electronic-cigarettes among high school students

Authors Patiño-Masó J, Font-Mayolas S, Salamó A, Arboix M, Sullman MJM, Gras ME

Received 13 March 2019

Accepted for publication 19 June 2019

Published 30 July 2019 Volume 2019:12 Pages 591—599

DOI https://doi.org/10.2147/JMDH.S208031

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Melinda Thomas

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Josefina Patiño-Masó,1 Sílvia Font-Mayolas,2 Anna Salamó,2 Montserrat Arboix,3 Mark JM Sullman,4 Maria-Eugenia Gras2

1Department of Nursing, Institut de Recerca Sobre Qualitat de Vida, Universitat de Girona, Girona, Catalunya, Spain; 2Department of Psychology, Institut de Recerca Sobre Qualitat de Vida, Universitat de Girona, Girona, Catalunya, Spain; 3Department of Health, Escola Municipal del Treball, Granollers, Catalunya, Spain; 4Department of Social Sciences, School of Humanities and Social Sciences, University of Nicosia, Nicosia, Cyprus

Purpose: Tobacco is the second most commonly used drug by Spanish high school students and e-cigarette use has increased over the last three years among this population. Students who reported smoking tobacco and/or e-cigarette use often have friends and family that also consume these substances. The aims of the present study were to: determine the prevalence of tobacco and electronic cigarette consumption among young adolescents, the age of initiation and the intention to consume both of these substances in the future; study the relationships between their current tobacco and e-cigarette consumption status, intentions to consume these substances in the future and the consumption of these substances by family members living in their home and friend’s consumption status; investigate the relationship between their current tobacco and e-cigarette consumption status, friends’ consumption status and their intention to consume each substance in the future; analyse the relationship between current consumption status, intentions to consume in the future and perceived risk; identify the main predictors of intentions to use these substances in the future.
Methods: A cross-sectional survey was conducted in 2017. The sample consisted of 468 school students in the first cycle of secondary education in Catalonia, Spain. The participants who were aged between 11 and 15 years old, with 49.4% being female.
Results: A stepwise binary logistic regression showed that the best predictors of the intention to smoke tobacco in the future were: having tried tobacco, being a current consumer, having a family member smoking at home and having a low perceived risk of smoking. The best predictors of the intention to use electronic cigarettes in the future were: having tried tobacco, being a current consumer and having friends who smoke or use electronic cigarettes.
Conclusion: Smoking prevention programs must consider the social network surrounding teenagers, particularly close friends and family. Intervention strategies for delaying the onset of tobacco or e-cigarette consumption are greatly needed.

Keywords: adolescence, tobacco use, electronic cigarette, parental smoking, risk perceptions, adolescent smoking

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