Factors Associated with Perceived Peer Smoking Prevalence among Adolescents

청소년들의 또래 흡연율 추정에 대한 관련 요인

  • Park, Soon-Woo (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Kim, Jong-Yeon (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Park, Jung-Han (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Lee, Sang-Won (Department of Preventive Medicine, Catholic University of Daegu School of Medicine)
  • 박순우 (대구가톨릭대학교 의과대학 예방의학교실) ;
  • 김종연 (대구가톨릭대학교 의과대학 예방의학교실) ;
  • 박정한 (대구가톨릭대학교 의과대학 예방의학교실) ;
  • 이상원 (대구가톨릭대학교 의과대학 예방의학교실)
  • Published : 2006.05.01

Abstract

Objectives: This study was conducted to examine the factors related to the perceived peer smoking prevalence for adolescents. Methods: A self-administrated questionnaire was administered to 352 students in a technical high school in Kangwon Province in May, 2002. The questions included in the questionnaire were concerned with the estimated number of smokers among ten students of the same grade in their school, the sociodemographic characteristics, the smoking-related behaviors and attitudes, and the smoking-related environments. All the students had their expiratory carbon monoxide level measured with EC50 Micro-Smokerlyzer? to verify their smoking status. Multiple regression analysis was applied for data analysis using Windows SPSS 11.5. Results: The former and current smokers overestimated the peer smoking prevalence. Multiple regression analysis for estimating the peer smoking prevalence for the male showed that the perceived smoking prevalence was higher in the female students than in the male students, higher in those students whose mothers had a higher educational level, who had smoked more frequently, who had more best friends smoking, and who had a higher actual smoking rate of the class. For estimating the peer smoking prevalence for the female, the perceived smoking prevalence was higher in the female students than in the male students, higher in those who smoked more frequently, whose five best friends smoked, who had higher actual smoking rate of the class, and who had smoking siblings. Conclusions: This study showed that a higher perceived peer smoking rate is related with their own smoking history and smoking frequency, the smoking related environment, and gender. Smoking prevention and smoking cessation programs need to focus on correcting the falsely perceived smoking prevalence.

References

  1. Tyas SL, Pederson LL Psychosocial factors related to adolescent smoking: A critical review of the literature. Tob Control 1998; 7(4): 409-420 https://doi.org/10.1136/tc.7.4.409
  2. Lynch BS, Bonnie RJ (eds). Growing up Tobacco free: Preventing Nicotine Addiction in Children and Youth. Institute of Medicine, Washington DC, National Academy Press, 1994
  3. Sussman S, Dent CW, Burton D, Stacy AW, Flay BR. Developing School-based Tobacco use Prevention and Cessation Programs. Sage Publications; 1995
  4. Lai MK, Ho SY, Lam TH. Perceived peer smoking prevalence and its association with smoking behaviours and intentions in Hong Kong Chinese adolescents. Addiction 2004; 99(9): 1195-1205 https://doi.org/10.1111/j.1360-0443.2004.00797.x
  5. Sussman S, Dent CW, Mestel-Rauch J, Johnson CA, Hansen WB, Flay BR. Adolescent nonsmokers, triers, and regular smokers' estimates of cigarette smoking prevalence. When do overestimations occur and by whom? J Appl Soc Psychol 1988; 18: 537-551 https://doi.org/10.1111/j.1559-1816.1988.tb00035.x
  6. Carvajal SC, Wiatrek DE, Evans RI, Knee CR, Nash SG. Psychosocial determinants of the onset and escalation of smoking: cross-sectional and prospective findings in multiethnic middle school samples. J Adolesc Health 2000; 27(4): 255-265 https://doi.org/10.1016/S1054-139X(00)00124-5
  7. Thomson CC, Siegel M, Winickoff J, Biener L, Rigotti NA. Household smoking bans and adolescents' perceived prevalence of smoking and social acceptability of smoking. Prev Med 2005; 41(2): 349-356 https://doi.org/10.1016/j.ypmed.2004.12.003
  8. USDHHS(U.S. Department of Health and Human Services). Preventing Tobacco Use Among Young People: A Report of the Surgeon General. Atlanta, Georgia: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 1994
  9. Glanz K, Lewis FM, Rimer BK, editors. Health Behavior and Health Education. San Francisco: Jossey-Bass Publishers; 1997. p.61-6310
  10. Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerstrom test for nicotine dependence: a revision of the fagerstrom tolerance questionnaire. Br J Addict 1991; 86(9): 1119-1127 https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
  11. Botvin GJ, Botvin EM, Baker E, Dusenbury L, Goldberg CJ. The false consensus effect: predicting adolescents' tobacco use from normative expectations. Psychol Rep. 1992; 70(1): 171-178 https://doi.org/10.2466/PR0.70.1.171-178
  12. O1ds RS, Thombs DL The relationship of adolescent perceptions of peer norms and parent involvement to cigarette and alcohol use. J Sch Health 2001; 71(6): 223-228 https://doi.org/10.1111/j.1746-1561.2001.tb01322.x
  13. Ross L, Green D, House P. The 'false consensus effect': an egocentric bias in social perception and attribution processes. J Exp Soc Psychol 1977; 13: 279-301 https://doi.org/10.1016/0022-1031(77)90049-X
  14. Prinstein MJ, Wang SS. False consensus and adolescent peer contagion: examining discrepancies between perceptions and actual reported levels of friends' deviant and health risk behaviors. J Abnorm Child Psychol 2005; 33(3): 293-306 https://doi.org/10.1007/s10802-005-3566-4
  15. Collins LM, Sussman S, Rauch LM, Dent CW, Johnson CA, Hansen WB, Flay BR. Psychosocial predictors of young adolescents cigarette smoking: a sixteen-month, three-wave longitudinal study. J Appl Soc Psychol 1987; 17: 554-573 https://doi.org/10.1111/j.1559-1816.1987.tb00330.x
  16. Luepker RV, Murray DM, Perry C1. The Minnesota Smoking Prevention Program: a Curriculum for Ages 11-15. The University of Minnesota School of Public Health; 1997
  17. Botvin GJ. Life Skills Training: Promoting Health and Personal Development Princeton Health Press; 2000
  18. American Lung Association. N-O-T: Not On Tobacco-the Premier Teen Smoking Cessation Program. American Lung Association; 2000
  19. Chassin L, Presson CC, Bensenberg M, Corty E, Olshavsky RW, Sherman SJ. Predicting the onset of cigarette smoking in adolescents: a longitudinal study. J Appl Soc Psychol 1984; 14: 224-243 https://doi.org/10.1111/j.1559-1816.1984.tb02233.x
  20. Eisenberg ME, Forster JL Adolescent smoking behavior: measures of social norms. Am J Prev Med. 2003; 25(2): 122-128
  21. Hong JY, Lee MS, Na BJ, Kim KY. Related factors for the initiation of smoking in high school students based on the transtheoretical model. J Prev Med Public Health 2006; 39(1): 67-73 (Korean)