Françoise Côté1, Gaston Godin, Camille Gagné. 1. Research Group on Behaviors in the Health Field, Laval University, Quebec, Canada G1K 7P4. francoise.cote@fsi.ulaval.ca
Abstract
BACKGROUND: Despite the progress made in smoking prevention among youth, few scientific reports have identified the determinants underlying the abstinence from cigarettes, and even fewer have made an assessment of their evolution over time. It has been proposed that this could be done by modeling after theoretical frameworks. METHODS: A self-reported questionnaire developed according to Ajzen's Theory of Planned Behavior was repeatedly administered to a cohort of 373 grade 5 students (191 girls and 182 boys) during their transition from elementary to secondary school. Four measures spanning a 26-month period were thus obtained and analyzed according to the GEE method. RESULTS: After 26 months, 76.14% of the students in the sample remained abstinent from cigarettes. The perceived smoking behaviors of friends and of a brother, intention over time, perceived self-efficacy, parental supervision, and socioeconomic status predicted the maintenance of abstinence from smoking. The final predictive model had a sensitivity of 79.8% and a specificity of 75.6%, with an average rate of accurate classification of 79.1%. CONCLUSIONS: The predictive model yielded by this study represents an important step toward developing tools to help 10-12 years olds maintaining their abstinent behavior. It emphasizes positive protective factors and guides health promoters in the choice of their interventions' contents and targets.
BACKGROUND: Despite the progress made in smoking prevention among youth, few scientific reports have identified the determinants underlying the abstinence from cigarettes, and even fewer have made an assessment of their evolution over time. It has been proposed that this could be done by modeling after theoretical frameworks. METHODS: A self-reported questionnaire developed according to Ajzen's Theory of Planned Behavior was repeatedly administered to a cohort of 373 grade 5 students (191 girls and 182 boys) during their transition from elementary to secondary school. Four measures spanning a 26-month period were thus obtained and analyzed according to the GEE method. RESULTS: After 26 months, 76.14% of the students in the sample remained abstinent from cigarettes. The perceived smoking behaviors of friends and of a brother, intention over time, perceived self-efficacy, parental supervision, and socioeconomic status predicted the maintenance of abstinence from smoking. The final predictive model had a sensitivity of 79.8% and a specificity of 75.6%, with an average rate of accurate classification of 79.1%. CONCLUSIONS: The predictive model yielded by this study represents an important step toward developing tools to help 10-12 years olds maintaining their abstinent behavior. It emphasizes positive protective factors and guides health promoters in the choice of their interventions' contents and targets.
Authors: Andrew A Strasser; Joseph N Cappella; Christopher Jepson; Martin Fishbein; Kathy Z Tang; Eugene Han; Caryn Lerman Journal: Nicotine Tob Res Date: 2009-02-26 Impact factor: 4.244
Authors: Ahmed I Fathelrahman; Maizurah Omar; Rahmat Awang; Ron Borland; Geoffrey T Fong; David Hammond; Zarihah Zain Journal: Nicotine Tob Res Date: 2009-02-26 Impact factor: 4.244
Authors: Ciara E McGee; Joanne Trigwell; Stuart J Fairclough; Rebecca C Murphy; Lorna Porcellato; Michael Ussher; Lawrence Foweather Journal: BMC Public Health Date: 2015-03-07 Impact factor: 3.295