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Susceptibility to cigarette smoking among secondary and high school students from a socially disadvantaged rural area in Poland

BACKGROUND: To prevent adolescents from becoming smokers, it is essential to understand factors that cause them to become susceptible to smoking (SS). The aim of this study was to examine association between individual and school characteristics and susceptibility to smoking initiation and experimen...

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Autores principales: Polańska, Kinga, Wojtysiak, Piotr, Bąk-Romaniszyn, Leokadia, Kaleta, Dorota
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4986373/
https://www.ncbi.nlm.nih.gov/pubmed/27531970
http://dx.doi.org/10.1186/s12971-016-0092-9
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author Polańska, Kinga
Wojtysiak, Piotr
Bąk-Romaniszyn, Leokadia
Kaleta, Dorota
author_facet Polańska, Kinga
Wojtysiak, Piotr
Bąk-Romaniszyn, Leokadia
Kaleta, Dorota
author_sort Polańska, Kinga
collection PubMed
description BACKGROUND: To prevent adolescents from becoming smokers, it is essential to understand factors that cause them to become susceptible to smoking (SS). The aim of this study was to examine association between individual and school characteristics and susceptibility to smoking initiation and experimentation in the youth. METHODS: We collected cross-sectional survey data from students aged 13–19 years attending 21 schools from Piotrkowski district. Of 4050 students, 3552 respondents, including 2508 non-smokers, filled in an anonymous, self-administered questionnaire adapted from the Global Youth Tobacco Survey. The univariate and multivariate logistic regression analyses were applied to the study factors linked to SS among the never and ever smoking youth. RESULTS: About 22 % of the never smoking and 57 % of the ever smoking students were found to be vulnerable to smoking. The youth who were males (OR = 1.4; p = 0.001), who were older (OR = 1.1; p = 0.002) and those, whose mothers had medium (OR = 1.8; p < 0.001) and lower (OR = 4.1; p < 0.001) educational levels were more prone regarding future smoking compared to the females, younger ones and those whose mothers were highly educated. The students who lived in households with no smoking ban (OR = 1.4; p = 0.001) and those who had ever tried cigarettes (OR = 3.5; p < 0.001) were more susceptible to smoking comparing to those who indicated smoke-free home and who had never smoked. In addition, having smoking friends (OR = 2.3; p < 0.001), seeing school personnel smoking on the premises of the school (OR = 1.8; p < 0.001) and perceiving smoking girls more attractive than the non-smokers (OR = 3.8; p < 0.001) were the correlates of smoking susceptibility. Finally, the separate analysis among the never smokers indicated that no school training on tobacco harm (OR = 1.3; p = 0.04) is the additional significant factor for susceptibility to smoking initiation. CONCLUSIONS: SS is prevalent in secondary and high school students in Poland. Personal, social and environmental factors are strongly correlated with SS. When addressing the youth, efforts should be focused on the groups at risk, with a comprehensive approach including multiple factors and involving school personnel, parents and the group leaders in tobacco control activities. Projects aimed at changing social norms around smoking and providing the youth with knowledge and skills to resist smoking are also needed. This may help to implement an effective approach to prevent smoking susceptibility and initiation of tobacco use among the youth. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12971-016-0092-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-49863732016-08-17 Susceptibility to cigarette smoking among secondary and high school students from a socially disadvantaged rural area in Poland Polańska, Kinga Wojtysiak, Piotr Bąk-Romaniszyn, Leokadia Kaleta, Dorota Tob Induc Dis Research BACKGROUND: To prevent adolescents from becoming smokers, it is essential to understand factors that cause them to become susceptible to smoking (SS). The aim of this study was to examine association between individual and school characteristics and susceptibility to smoking initiation and experimentation in the youth. METHODS: We collected cross-sectional survey data from students aged 13–19 years attending 21 schools from Piotrkowski district. Of 4050 students, 3552 respondents, including 2508 non-smokers, filled in an anonymous, self-administered questionnaire adapted from the Global Youth Tobacco Survey. The univariate and multivariate logistic regression analyses were applied to the study factors linked to SS among the never and ever smoking youth. RESULTS: About 22 % of the never smoking and 57 % of the ever smoking students were found to be vulnerable to smoking. The youth who were males (OR = 1.4; p = 0.001), who were older (OR = 1.1; p = 0.002) and those, whose mothers had medium (OR = 1.8; p < 0.001) and lower (OR = 4.1; p < 0.001) educational levels were more prone regarding future smoking compared to the females, younger ones and those whose mothers were highly educated. The students who lived in households with no smoking ban (OR = 1.4; p = 0.001) and those who had ever tried cigarettes (OR = 3.5; p < 0.001) were more susceptible to smoking comparing to those who indicated smoke-free home and who had never smoked. In addition, having smoking friends (OR = 2.3; p < 0.001), seeing school personnel smoking on the premises of the school (OR = 1.8; p < 0.001) and perceiving smoking girls more attractive than the non-smokers (OR = 3.8; p < 0.001) were the correlates of smoking susceptibility. Finally, the separate analysis among the never smokers indicated that no school training on tobacco harm (OR = 1.3; p = 0.04) is the additional significant factor for susceptibility to smoking initiation. CONCLUSIONS: SS is prevalent in secondary and high school students in Poland. Personal, social and environmental factors are strongly correlated with SS. When addressing the youth, efforts should be focused on the groups at risk, with a comprehensive approach including multiple factors and involving school personnel, parents and the group leaders in tobacco control activities. Projects aimed at changing social norms around smoking and providing the youth with knowledge and skills to resist smoking are also needed. This may help to implement an effective approach to prevent smoking susceptibility and initiation of tobacco use among the youth. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12971-016-0092-9) contains supplementary material, which is available to authorized users. BioMed Central 2016-08-15 /pmc/articles/PMC4986373/ /pubmed/27531970 http://dx.doi.org/10.1186/s12971-016-0092-9 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Polańska, Kinga
Wojtysiak, Piotr
Bąk-Romaniszyn, Leokadia
Kaleta, Dorota
Susceptibility to cigarette smoking among secondary and high school students from a socially disadvantaged rural area in Poland
title Susceptibility to cigarette smoking among secondary and high school students from a socially disadvantaged rural area in Poland
title_full Susceptibility to cigarette smoking among secondary and high school students from a socially disadvantaged rural area in Poland
title_fullStr Susceptibility to cigarette smoking among secondary and high school students from a socially disadvantaged rural area in Poland
title_full_unstemmed Susceptibility to cigarette smoking among secondary and high school students from a socially disadvantaged rural area in Poland
title_short Susceptibility to cigarette smoking among secondary and high school students from a socially disadvantaged rural area in Poland
title_sort susceptibility to cigarette smoking among secondary and high school students from a socially disadvantaged rural area in poland
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4986373/
https://www.ncbi.nlm.nih.gov/pubmed/27531970
http://dx.doi.org/10.1186/s12971-016-0092-9
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