DOI QR코드

DOI QR Code

Smoking Initiation and Continuation - A Qualitative Study among Bruneian Male Adolescents

  • Talip, Tajidah (Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah (PAPRSB) Institute of Health Sciences, Universiti Brunei Darussalam) ;
  • Kifli, Nurolaini (Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah (PAPRSB) Institute of Health Sciences, Universiti Brunei Darussalam) ;
  • Murang, Zaidah (Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah (PAPRSB) Institute of Health Sciences, Universiti Brunei Darussalam) ;
  • Naing, Lin (Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah (PAPRSB) Institute of Health Sciences, Universiti Brunei Darussalam)
  • 발행 : 2016.07.01

초록

Background: Cigarette smoking is one of the leading global causes of premature and preventable death. In Brunei Darussalam, smoking-related diseases have been a primary cause of mortality for the past three decades. Despite the increasing efforts that have been made in recent years to reduce the consumption of tobacco products in Brunei, the prevalence of adolescent smoking cigarette, however has risen alarmingly, from 8.9% in 2013 to 11.4% in 2014, with a higher prevalence found in males (17.8%) than in females (4.8%). In response to the need for more effective smoking prevention programmes in Brunei, this study sought to explore factors that influence Bruneian male adolescents to start and continue smoking. Materials and Methods: A qualitative study using focus group discussions (FGDs) as the data collection method was conducted from October to November 2015. A total of 43 studentss, comprising 31 smokers and 12 non-smokers, aged 13-17 years, from two government secondary schools in Bandar Seri Begawan, participated in six FGDs. Discussions were recorded and translated. Transcripts were entered into NVivo10, before thematic analysis was conducted. Results: We identified three themes under the core construct of 'factors influencing smoking initiation' ('family as teachers', 'overt pressure from peers' and 'perceived smoking has many advantages') and three themes under the core construct of 'factors influencing smoking continuation' ('craving and addiction', 'smoking as a 'social activity' and 'easy accessibility of cigarettes'). Conclusions: Based on the findings, it is recommended that future prevention activities should be embedded in a comprehensive approach, involving all stakeholders within a community, and should be focused towards bringing a change in smoking and parenting behavior of parents, social norms within the culture towards all population levels, and at strengthening the existing non-smoking policies in schools and other public places where young people congregate.

키워드

참고문헌

  1. Agar M, MacDonald J (1995). Focus groups and ethnography. Hum Organ, 54, 78-86. https://doi.org/10.17730/humo.54.1.x102372362631282
  2. Bagchi N, Ganguly S, Pal S, et al (2014). A study on smoking and associated psychosocial factors among adolescent students in Kolkata, India. Indian J Public Health, 58, 50-3. https://doi.org/10.4103/0019-557X.128168
  3. Bricker J, Peterson J, Leroux B, et al (2006). Prospective prediction of children's smoking transitions: role of parents' and older siblings' smoking. Addiction, 101, 128-36. https://doi.org/10.1111/j.1360-0443.2005.01297.x
  4. Chassin L, Presson CC, Rose J, et al (2005). Parenting style and smoking-specific parenting practices as predictors of adolescent smoking onset. J Pediatr Psychol, 30, 333-44. https://doi.org/10.1093/jpepsy/jsi028
  5. Corbin J, Strauss A (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory, Sage publications.
  6. Das S, Ghosh M, Sarkar M, et al (2011). Adolescents speak: why do we smoke? J Trop Pediatr, 57, 476-80. https://doi.org/10.1093/tropej/fmr003
  7. Freedman K (2012). Smoking initiation among young adults in the United States and Canada, 1998-2010: A systematic review. Prev Chronic Dis, 9, 5.
  8. General S. The health consequences of smoking-50 years of progress: a report of the surgeon general. US Department of Health and Human Services, 2014. Citeseer.
  9. Ho M, Shi Y, Ma S, et al (2007). Perceptions of tobacco advertising and marketing that might lead to smoking initiation among Chinese high school girls. Tob Control, 16, 359-60. https://doi.org/10.1136/tc.2007.022061
  10. Hock L, Ghazali S, Cheong K, et al (2013). Correlates of susceptibility to smoking among secondary school students in Kota Tinggi district, Johor, Malaysia. Asian Pac J Cancer Prev, 14, 6971-8. https://doi.org/10.7314/APJCP.2013.14.11.6971
  11. Hoyt A (2002). Delivering primary substance abuse prevention in primary care. Clin Excell Nurse Pract, 6, 31-7.
  12. Jackson C, Henriksen L (1997). Do as I say: parent smoking, antismoking socialization, and smoking onset among children. Addict Behav, 22, 107-14. https://doi.org/10.1016/0306-4603(95)00108-5
  13. Jeganathan P, Hairi N, Al Sadat N, et al (2013). Smoking stage relations to peer, school and parental factors among secondary school students in Kinta, Perak. Asian Pac J Cancer Prev, 14, 3483-9. https://doi.org/10.7314/APJCP.2013.14.6.3483
  14. Jha P, Chaloupka FJ, Moore J, et al (2006). Tobacco addiction.
  15. Karimy M, Niknami S, Heidarnia A, et al (2013a). Refusal self efficacy, self esteem, smoking refusal skills and water pipe (Hookah) smoking among iranian male adolescents. Asian Pac J Cancer Prev, 14, 7283-8. https://doi.org/10.7314/APJCP.2013.14.12.7283
  16. Karimy M, Niknami S, Heidarnia A, et al (2013b). Prevalence and determinants of male adolescents' smoking in iran: an explanation based on the theory of planned behavior. Iran Red Crescent Med J, 15, 187-93. https://doi.org/10.5812/ircmj.3378
  17. Lantz P, Jacobson P, Warner K, et al (2000). Investing in youth tobacco control: a review of smoking prevention and control strategies. Tob Control, 9, 47-63. https://doi.org/10.1136/tc.9.1.47
  18. Lim K, Chong Z, Khoo Y, et al (2014). Parental smoking status, stress, anxiety, and depression are associated with susceptibility to smoking among non-smoking school adolescents in Malaysia. Asia Pac J Public Health, 26, 81-90. https://doi.org/10.1177/1010539514542426
  19. Lim K, Sumarni M, Kee C, et al (2010). Prevalence and factors associated with smoking among form four students in Petaling District, Selangor, Malaysia. Trop Biomed, 27, 394-403.
  20. Leonardi-Bee J, Jere M, Britton J (2011). Exposure to parental and sibling smoking and the risk of smoking uptake in childhood and adolescence: a systematic review and metaanalysis. Thorax, thx. 2010.153379.
  21. Mak K, Ho S, Day J (2012). Smoking of parents and best friendindependent and combined effects on adolescent smoking and intention to initiate and quit smoking. Nicotine Tob Res, 14, 1057-64. https://doi.org/10.1093/ntr/nts008
  22. Ministry of Heallth (2013). Brunei Darussalam National Multisectoral Action Plan for the Prevention and Control of Non-Communicable Disease (BruMAP-NCD). Bandar Seri Begawan.
  23. Niknami S, Akbari M, Ahmadi F, et al (2008). Smoking initiation among Iranian adolescents: a qualitative study. East Mediterr Health J, 14, 1290-300.
  24. O'Byrne K, Haddock C, Poston W, et al (2002). Parenting style and adolescent smoking. J Adolesc Health, 30, 418-25. https://doi.org/10.1016/S1054-139X(02)00370-1
  25. Ozawa M, Washio M, Kiyohara C (2008). Factors related to starting and continuing smoking among senior high school boys in Fukuoka, Japan. Asian Pac J Cancer Prev, 9, 239-45.
  26. Pradhan P, Niraula S, Ghimire A, et al (2013). Tobacco use and associated factors among adolescent students in Dharan, Eastern Nepal: a cross-sectional questionnaire survey. BMJ Open, 3, 2123.
  27. Ritchie J, Lewis J, Nicholls C, et al (2013). Qualitative research practice: A guide for social science students and researchers, Sage.
  28. Sawyer S, Afifi R, Bearinger L, et al (2012). Adolescence: a foundation for future health. Lancet, 379, 1630-40. https://doi.org/10.1016/S0140-6736(12)60072-5
  29. Simons-Morton B, Farhat T (2010). Recent findings on peer group influences on adolescent smoking. J Prim Prev, 31, 191-208. https://doi.org/10.1007/s10935-010-0220-x
  30. Tyas S, Pederson L (1998). Psychosocial factors related to adolescent smoking: a critical review of the literature. Tob Control, 7, 409-20. https://doi.org/10.1136/tc.7.4.409
  31. Waa A, Edwards R, Newcombe R, et al (2011). Parental behaviours, but not parental smoking, influence current smoking and smoking susceptibility among 14 and 15 yearold children. Aust N Z J Public Health, 35, 530-6. https://doi.org/10.1111/j.1753-6405.2011.00772.x
  32. World Health Organization (2012). WHO global report on mortality attributable to tobacco.
  33. World Health Organization (2014). World Health Organization Tobacco fact sheet. 2014 [Online]. Available: http://www.who.int/mediacentre/factsheets/fs339/en
  34. World Health Organization (2015). WHO Report on the Global Tobacco Epidemic, 2015. Country Profile: Brunei Darussalam. WHO June.