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Risk factors for adolescent smoking in urban and rural China: Findings from the China seven cities study

Risk factors for adolescent smoking in urban and rural China: Findings from the China seven cities study

Authors :
Bin Chen
Haiping Duan
Stanley P. Azen
Jennifer B. Unger
Paula H. Palmer
Jie Gong
Qian Guo
Xu Wang
Bin Xie
C. Anderson Johnson
Liming Lee
Ping Sun
Peggy Gallaher
Zhanju Wang
Chih-Ping Chou
Yonglan Wei
Jie Yao
Yu Song
Huiyan Ma
Yan Zhou
Source :
Addictive Behaviors. 33:1081-1085
Publication Year :
2008
Publisher :
Elsevier BV, 2008.

Abstract

Cigarette smoking is rising among urban Chinese adolescents and poses a significant public health concern. The majority of Chinese youth live in rural areas, but most research on the risk factors for smoking has been conducted in urban areas of China. This study examined the associations between parental smoking, peer smoking, and low refusal self-efficacy and smoking among urban and rural Chinese youth. This analysis used a cross-sectional sample of 3412 ninth grade students in urban and rural areas under the administrative jurisdiction of seven large cities in China. Multilevel logistic regression models were used to associate the risk factors with lifetime and current smoking, separately in boys and girls. Adolescent smoking was not strongly associated with parental smoking. However it was strongly associated with peer smoking and low refusal self-efficacy across both the urban and rural samples. Students with lower refusal self-efficacy were approximately 5-17 times more likely to be lifetime or current smokers than those with higher refusal self-efficacy. Smoking prevention interventions in China may need to focus on raising adolescents' refusal self-efficacy.

Details

ISSN :
03064603
Volume :
33
Database :
OpenAIRE
Journal :
Addictive Behaviors
Accession number :
edsair.doi.dedup.....e22489eb69d34b2565cf8b40bcbf9795
Full Text :
https://doi.org/10.1016/j.addbeh.2008.04.004