PMID- 25034345
OWN - NLM
STAT- MEDLINE
DCOM- 20150415
LR  - 20211021
IS  - 1654-9880 (Electronic)
IS  - 1654-9716 (Print)
IS  - 1654-9880 (Linking)
VI  - 7
DP  - 2014
TI  - Correlates of smoking susceptibility among adolescents in a peri-urban area of 
      Nepal: a population-based cross-sectional study in the Jhaukhel-Duwakot Health 
      Demographic Surveillance Site.
PG  - 24488
LID - 10.3402/gha.v7.24488 [doi]
AB  - BACKGROUND: Susceptibility to smoking is defined as an absence of firm commitment 
      not to smoke in the future or when offered a cigarette by best friends. 
      Susceptibility begins in adolescence and is the first step in the transition to 
      becoming an established smoker. Many scholars have hypothesized and studied 
      whether psychosocial risk factors play a crucial role in preventing adolescent 
      susceptibility to smoking or discourage susceptible adolescents from becoming 
      established smokers. Our study examined sociodemographic and family and childhood 
      environmental factors associated with smoking susceptibility among adolescents in 
      a peri-urban area of Nepal. DESIGN: We conducted a population-based 
      cross-sectional study during October-November 2011 in the Jhaukhel-Duwakot Health 
      Demographic Surveillance Site (JD-HDSS) located in a peri-urban area near 
      Kathmandu, the capital city of Nepal, where tobacco products are easily 
      available. Trained local enumerators conducted face-to-face interviews with 352 
      respondents aged 14-16. We used stepwise logistic regression to assess 
      sociodemographic and family and childhood environmental factors associated with 
      smoking susceptibility. RESULTS: The percentage of smoking susceptibility among 
      respondents was 49.70% (95% CI: 44.49; 54.93). Multivariable analysis 
      demonstrated that smoking susceptibility was associated with smoking by exposure 
      of adolescents to pro-tobacco advertisements (AOR [adjusted odds ratio] =2.49; 
      95% CI: 1.46-4.24), the teacher (2.45; 1.28-4.68), adolescents attending 
      concerts/picnics (2.14; 1.13-4.04), and smoking by other family members/relatives 
      (1.76; 1.05-2.95). CONCLUSIONS: Smoking susceptible adolescents are prevalent in 
      the JD-HDSS, a peri-urban community of Nepal. Several family and childhood 
      environmental factors increased susceptibility to smoking among Nepalese 
      non-smoking adolescents. Therefore, intervention efforts need to be focused on 
      family and childhood environmental factors with emphasis on impact of role models 
      smoking, refusal skills in social gatherings, and discussing harmful effects of 
      smoking with family members and during gatherings with friends.
FAU - Aryal, Umesh R
AU  - Aryal UR
AD  - Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal; 
      Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, 
      Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 
      umesh.raj.aryal@gu.se.
FAU - Petzold, Max
AU  - Petzold M
AD  - Akademistatistik - Centre for Applied Biostatistics, Occupational and 
      Environmental Medicine, Sahlgrenska Academy, University of Gothenburg, 
      Gothenburg, Sweden.
FAU - Bondjers, Goran
AU  - Bondjers G
AD  - Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
FAU - Krettek, Alexandra
AU  - Krettek A
AD  - Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, 
      Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Nordic School 
      of Public Health NHV, Gothenburg, Sweden.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140716
PL  - United States
TA  - Glob Health Action
JT  - Global health action
JID - 101496665
SB  - IM
MH  - Adolescent
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - *Motivation
MH  - Multivariate Analysis
MH  - Nepal
MH  - Population Surveillance
MH  - *Poverty Areas
MH  - Qualitative Research
MH  - Smoking/*psychology
MH  - Social Environment
MH  - *Suburban Population
MH  - Surveys and Questionnaires
MH  - Urban Population
PMC - PMC4102834
OTO - NOTNLM
OT  - adolescents
OT  - environmental factors
OT  - peri-urban
OT  - sociodemographic factors
OT  - susceptibility to smoking
EDAT- 2014/07/19 06:00
MHDA- 2015/04/16 06:00
PMCR- 2014/07/16
CRDT- 2014/07/19 06:00
PHST- 2014/03/30 00:00 [received]
PHST- 2014/06/19 00:00 [revised]
PHST- 2014/06/20 00:00 [accepted]
PHST- 2014/07/19 06:00 [entrez]
PHST- 2014/07/19 06:00 [pubmed]
PHST- 2015/04/16 06:00 [medline]
PHST- 2014/07/16 00:00 [pmc-release]
AID - 24488 [pii]
AID - 10.3402/gha.v7.24488 [doi]
PST - epublish
SO  - Glob Health Action. 2014 Jul 16;7:24488. doi: 10.3402/gha.v7.24488. eCollection 
      2014.