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BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

"Immortal but frightened"-smoking adolescents' perceptions on smoking uptake and prevention

Authors: Maria Nilsson, Maria Emmelin

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

To curb the tobacco epidemic a combination of comprehensive interventions are needed at different levels. Smoking uptake is a multi-factorial process that includes societal factors as well as social and individual characteristics. An understanding of the process is essential in order to model interventions. The aim of this study was to explore the role of smoking for young smokers by focusing on the mechanisms that facilitate young people starting to smoke as well as what could have prevented them from starting.

Methods

A qualitative research design using focus group discussions was chosen as the basis for a content analysis approach. Eight focus groups were conducted with five to six participants in each (four groups with boys, four with girls). The informants were purposively selected to represent smokers in the age range of 15-16 years within the county. The total number of group participants was 44; 21 were girls and 23 boys. The study was performed at 7-9th grade schools in Västerbotten County in northern Sweden.

Results

Three themes related to different aspects of youth smoking behaviour emerged from the analysis. Theme 1) "gaining control" reflects what makes young people become smokers; theme 2) "becoming a part of the self" focuses on what facilitates youths to start smoking; theme 3) "concerned adults make a difference" indicates what may prevent them from starting.

Conclusion

Young smokers described starting to smoke as a means of gaining control of feelings and situations during early adolescence. Smoking adolescents expect adults to intervene against smoking. Close relations with concerned adults could be a reason for less frequent smoking or trying to quit smoking. Interventions aimed at normative changes, with consistent messages from both schools and parents about the negative aspects of tobacco seem to be a feasible approach for preventing youth from using tobacco.
Appendix
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Literature
1.
World Bank: Curbing the Epidemic; Governments and the Economics of Tobacco Control. 1999, Washington, World Bank PublicationsCrossRef
2.
Durlack J: Successful prevention programs for children and adolescents. 1997, New York: Plenum PressCrossRef
3.
Rosendahl KI, Galanti MR, Gilljam H, et al: Knowledge about tobacco and subsequent use of cigarettes and smokeless tobacco among Swedish adolescents. Journal of Adolescent Health. 2005, 37: 224-228. 10.1016/j.jadohealth.2004.08.021.CrossRefPubMed
4.
Piko BF, Luszczynska A, Gibbons FX, et al: A culture-based study of personal and social influences of adolescent smoking. European Journal of Public Health. 2005, 15: 393-398. 10.1093/eurpub/cki008.CrossRefPubMed
5.
Skolelevers drogvanor 2007. Stockholm, Sweden: CAN (The Swedish Council for Information on Alcohol and other Drugs). Report nr 108. 2008
6.
SOU (2000:91) Hälsa på lika villkor-nationella mål för folkhälsan. Stockholm: Author. 2000
7.
Nilsson M, Stenlund H, Bergström E, et al: It takes two: Reducing adolescent smoking uptake through sustainable adolescent-adult partnership. Journal of Adolescent Health. 2006, 39: 880-86. 10.1016/j.jadohealth.2006.07.004.CrossRefPubMed
8.
Kitzinger J, Barbour RS: Introduction: The challenge and promise of focus groups. Developing focus group research: Politics, theory and practice (pp 1-20). London: Sage. Edited by: RS Barbour, J Kitzinger. 1999
9.
Dahlgren L, Emmelin M, Winkvist A: Qualitative methodology for international public health. Umeå International School of Public Health, Epidemiology and Public Health Sciences, Department of Public Health and Clinical Medicine, Umeå University. 2007
10.
Graneheim UH, Lundman B: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today. 2004, 24: 105-112. 10.1016/j.nedt.2003.10.001.CrossRefPubMed
11.
Umdac Open Code (Version 2.1), Umeå, Umdac and Epidemiology and Public Health Sciences, Department of Public Health and Clinical Medicine, Umeå University. 2001
12.
Maccoby EE: Social development. 1980, New York, NY: Harcourt Brace Jovanovich
13.
Hwang MS, Yeagley KL, Petosa R: A meta-analysis of adolescent psychosocial smoking prevention programs published between 1978 and 1997 in the United States. Health Education and Behavior. 2004, 31: 702-719. 10.1177/1090198104263361.CrossRefPubMed
14.
West P, Sweeting H, Leyland A: School effects on pupils' health behaviours: evidence in support of the health promoting schools. Research Papers in Education. 2004, 19: 261-291. 10.1080/0267152042000247972.CrossRef
15.
Henderson M, Ecob R, Wight D, et al: What explains between-school differences in rates of smoking?. BMC Public Health. 2008, 8: 218-10.1186/1471-2458-8-218.CrossRefPubMedPubMedCentral
16.
Tilleczek K: The illogic of youth driving culture. The Journal of Youth Studies. 2004, 7: 473-499. 10.1080/1367626042000315239.CrossRef
17.
Sussman S: Effects of sixty six adolescent tobacco use cessation trials and seventeen prospective studies of self-initiated quitting. Tob Induc Dis. 2002, 1: 35-81. 10.1186/1617-9625-1-1-35.CrossRefPubMedPubMedCentral
18.
Sussman S, Sun P, Dent CW: A meta-analysis of teen cigarette smoking cessation. Health Psychology. 2006, 25: 549-557. 10.1037/0278-6133.25.5.549.CrossRefPubMed
19.
20.
Galanti MR, Rosendahl I, Post A, et al: Early gender differences in adolescent tobacco use - The experience of a Swedish cohort. Scand J Public Health. 2001, 29: 314-317. 10.1177/14034948010290040401.CrossRefPubMed
21.
Olsson A, Fahlén I, Janson S: Health behaviours, risk-taking and conceptual changes among schoolchildren aged 7 to 19 years in semi-rural Sweden. Child: Care, Health and Development. 2008, 34: 302-309. 10.1111/j.1365-2214.2008.00836.x.
22.
Ajzen I, Fishbein M: Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ, Prentice Hall. 1980
23.
Jackson C, Henriksen L, Dickinson D, et al: The Early Use of Alcohol and Tobacco: Its Relation to Children's Competence and Parents' Behavior. Am J Public Health. 1997, 87: 359-364. 10.2105/AJPH.87.3.359.CrossRefPubMedPubMedCentral
24.
Karcher MJ, Finn L: How connectedness contributes to experimental smoking among rural youth: Developmental and ecological analyses. J Prim Prev. 2005, 26: 25-36. 10.1007/s10935-004-0989-6.CrossRefPubMed
25.
Kalesan B, Stine J, Alberg AJ: The joint influence of parental modeling and positive parental concern on cigarette smoking in middle and high school students. J Sch Health. 2006, 76: 402-407. 10.1111/j.1746-1561.2006.00133.x.CrossRefPubMed
26.
Den Exter Blokland EA, Hale WW, Meeus W, Engels RC: Parental support and control and early adolescent smoking: A longitudinal study. Subst Use Misuse. 2007, 42: 2223-2232. 10.1080/10826080701690664.CrossRefPubMed
27.
Tilson EC, McBride CM, Lipkus IM, Catalano RF: Testing the interaction between parent-child relationship factors and parent smoking to predict youth smoking. J Adolesc Health. 2004, 35: 182-189.CrossRefPubMed
28.
Nilsson M: Tonåringar om tobak-vanor, kunskaper och attityder. Stockholm, Sweden: Swedish National Institute of Public Health. 2005, 32:
29.
Aveyard P, Markham WA, Lancashire E, et al: The influence of school culture on smoking among pupils. Social Science and Medicine. 2004, 58: 1767-1780. 10.1016/S0277-9536(03)00396-4.CrossRefPubMed
30.
Aveyard P, Markham WA, Cheng KK: A methodological and substantive review of the evidence that schools cause pupils to smoke. Social Science and Medicine. 2004, 58: 2253-2265. 10.1016/j.socscimed.2003.08.012.CrossRefPubMed
31.
Aveyard P, Markham WA, Lancashire E, et al: Is inter-school variation in smoking uptake and cessation due to differences in pupil composition?. Health and Place. 2005, 11: 55-65. 10.1016/j.healthplace.2004.02.001.CrossRefPubMed
32.
Nilsson M, Weinehall L, Bergström E, Stenlund H, Janlert U: Adolescent's perceptions and expectations of parental action on children's smoking and snus use; national cross sectional data from three decades. BMC Public Health. 2009, 9: 74-10.1186/1471-2458-9-74.CrossRefPubMedPubMedCentral
Metadata
Title
"Immortal but frightened"-smoking adolescents' perceptions on smoking uptake and prevention
Authors
Maria Nilsson
Maria Emmelin
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-776

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