Factors Associated With Tobacco Smoking Among Male Adolescents: the Role of Psychologic, Behavioral, and Demographic Risk Factors

Background: Tobacco smoking among adolescents has been a concern for researchers and health organizations in recent years. However, predisposing factors to smoking initiation among Iranian adolescents are not well recognized. Objectives: This study aimed to determine the prevalence of tobacco smoking and to investigate the role of psychologic, behavioral, and demographic risk factors in adolescents' smoking status. Patients and Methods: This cross-sectional study was performed on 810 male adolescents recruited through cluster random sampling method in Hamadan in 2014. The participants received a self-administered questionnaire that contained questions about tobacco smoking behavior and demographic, behavioral, and psychologic variables. Data were analyzed by SPSS16 through independent-samples t test, Chi square, and logistic regression. Results: A total of 139 persons (17.1%) were tobacco smoker and the mean (SD) age at smoking initiation was 13.7 (2.2) years. Sense of need, decreasing stress, having a smoker friend, and inability to reject smoking suggestion were common reasons associated with tobacco smoking (P < 0.05). In addition, statistically significant differences between tobacco smokers and nonsmokers were found in the age, grade, mother's job, and education (P < 0.05). In comparison to non-smokers, tobacco smokers evaluated a typical smoker as less immature, more popular, more attractive, more self-confident, more independent, and less selfish person (P < 0.05). Conclusions: The results showed that the effect of several psychosocial, behavioral, and demographic risk factors on adolescents' smoking status. Thus, design and implementation of interventions based on the results of the present study may be effective in preventing tobacco smoking among adolescents.