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clinmed/2000050006v1 (May 26, 2000)
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Analysis of Factors Influencing An Adolescent's Intention To Be A Non-smoker

Urmi Sen, and Arindam Basu

Objective—To analyze the determinants of the adolescents' intention to be non-smokers. Design — Cross sectional, school based survey of students in the ninth and eleventh grades. Responses were analyzed using a binary logistic regression model. Participants— High School students in Calcutta aged 14 to 18 years. Main Outcome Measure — Intention of the subjects to remain lifetime non-smokers. Results— A total of 1973 students (males-73.79% and females-26.21%) were interviewed. Of them, 1950 students (98.8 percent) responded to the question whether they were determined never to smoke in their lifetime (male -73.5%, female - 26.5%). In a multivariate analysis, intention to remain a non-smoker had statistically significant associations with studying in private schools, father being a non-smoker, high degree of perceived danger of smoking, unfavorable impression of a regular smoker and good academic performance. Of all the significant determinants, perceived danger related to smoking had the strongest association and showed a dose response relationship to the intention to remain non-smoker. Conclusions—This study suggests that social factors and belief about adverse consequences of smoking exert significant influence on an adolescent’s decision to remain non-smoker. For early prevention of smoking among the youth, the dangers to health on smoking need to be emphasized.





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