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Determinants of tobacco use among Korean female adolescents: Longitudinal test of the theory of triadic influence

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  • Chun, JongSerl

Abstract

This study aimed to examine the influences of social, attitudinal, and intrapersonal factors at three levels on tobacco use among female adolescents in South Korea using longitudinal national data. The study analyzed data from the Korean Youth Panel Study, with a study population consisting of middle-school second-graders (N=1594). Using time dependent Cox regression, our analyses yielded the following main findings: the theory of triadic influence was verified to provide a theoretical framework for smoking among Korean female adolescents. All of the social factors at the three levels, including parental supervision, attachment to friends, and peer smoking prevalence, were found to influence tobacco use among Korean female adolescents. Stigma on the distal level and attitude towards smoking on the proximal level were significant attitudinal factors. Among intrapersonal factors, self-control on the distal level and stress on the proximal level were found to be significant. The study findings suggest that including parental education and promoting attachment to non-smoking friends, as well as enhancing sound relationships with them, would provide an effective strategy for the prevention and cessation of smoking. Prevention and cession should include strategies that alleviate stigma and stress, and improve negative attitude toward smoking and the level of self-control.

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  • Chun, JongSerl, 2015. "Determinants of tobacco use among Korean female adolescents: Longitudinal test of the theory of triadic influence," Children and Youth Services Review, Elsevier, vol. 50(C), pages 83-87.
    • Handle: RePEc:eee:cysrev:v:50:y:2015:i:c:p:83-87
    DOI: 10.1016/j.childyouth.2015.01.009
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    1. Schaap, Maartje M. & Kunst, Anton E. & Leinsalu, Mall & Regidor, Enrique & Espelt, Albert & Ekholm, Ola & Helmert, Uwe & Klumbiene, Jurate & Mackenbach, Johan P., 2009. "Female ever-smoking, education, emancipation and economic development in 19 European countries," Social Science & Medicine, Elsevier, vol. 68(7), pages 1271-1278, April.
    2. Soteriades, E.S. & DiFranza, J.R., 2003. "Parent's Socioeconomic Status, Adolescents' Disposable Income, and Adolescents' Smoking Status in Massachusetts," American Journal of Public Health, American Public Health Association, vol. 93(7), pages 1155-1160.
    3. Hong, Jun Sung & Lee, Na Youn & Grogan-Kaylor, Andrew & Huang, Hui, 2011. "Alcohol and tobacco use among South Korean adolescents: An ecological review of the literature," Children and Youth Services Review, Elsevier, vol. 33(7), pages 1120-1126, July.
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