This 18-month longitudinal study examined the influence of adolescents’ sense of coherence (SOC) and exposure to household smoking on their commitment to a smoke-free lifestyle. This study investigated a representative sample of 8th graders from 21 randomly selected high schools in the rural Limpopo Province of South Africa (n = 2,119). Of the total sample of 2,119 participants, 294 (14%) reported smoking at baseline and were therefore excluded from further analysis. Of those who did not smoke at baseline, 98.1% (n = 1,767) reported no intention of smoking in the upcoming 12 months. Of those who completed follow-up and had no intention of smoking at baseline (n = 1,316), 89.1% still did not smoke and remained committed to being smoke-free. Having a lower SOC, reporting alcohol binge-drinking at baseline, and having a household member who regularly smokes indoors (OR = 0.46: 0.26–0.82), as compared to not having any smoker in the household, were associated with lower odds of honoring a commitment to a smoke-free lifestyle. Furthermore, those who identified themselves as black Africans, as opposed to belonging to other race groups, were more likely to maintain a smoke-free lifestyle. Our findings suggest that interventions to prevent adolescent smoking should prioritize stress-coping skills and promote smoke-free homes.
Ayo-Yusuf, Olalekan A.; Olufajo, Olubode; Agaku, Israel T.(BioMed Central, 2014-06-10)
BACKGROUND: Secondhand smoke (SHS) exposure is a well-established health hazard. To determine the effectiveness
of existing smoke-free policies and adoption of smoke-free rules in South Africa, we assessed exposure to SHS ...
Kharkova, Olga A.; Krettek, Alexandra; Grjibovski, Andrej M.; Nieboer, Evert; Odland, Jon Oyvind(BioMed Central, 2016-03-08)
BACKGROUND : Smoking during pregnancy leads to adverse maternal and birth outcomes. However, the prevalence
of smoking among women in Russia has increased from < 5 % in the 1980s to > 20 % in the 2000s. We conducted