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.; Grjibovski, Andrej M.; Krettek, Alexandra; Nieboer, Evert; Odland, Jon Oyvind(MDPI Publishing, 2017-08-02)
The aim of our study was to assess associations between smoking behavior before and
during pregnancy and selected adverse birth outcomes. This study is based on the Murmansk
County Birth Registry (MCBR). Our study includes ...
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