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Influence of Rural Non-Smoking Adolescents’ Sense of Coherence and Exposure to Household Smoking on Their Commitment to a Smoke-Free Lifestyle

Author

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  • Olalekan A. Ayo-Yusuf

    (Department of Community Dentistry, School of Dentistry, Oral & Dental Hospital, Faculty of Health Sciences, University of Pretoria, Pretoria 0001, South Africa)

  • Masego M. Rantao

    (Department of Community Dentistry, School of Dentistry, Oral & Dental Hospital, Faculty of Health Sciences, University of Pretoria, Pretoria 0001, South Africa)

Abstract

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.

Suggested Citation

  • Olalekan A. Ayo-Yusuf & Masego M. Rantao, 2013. "Influence of Rural Non-Smoking Adolescents’ Sense of Coherence and Exposure to Household Smoking on Their Commitment to a Smoke-Free Lifestyle," IJERPH, MDPI, vol. 10(6), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:6:p:2427-2440:d:26411
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    References listed on IDEAS

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    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    2. Torsheim, Torbjorn & Aaroe, Leif Edvard & Wold, Bente, 2001. "Sense of coherence and school-related stress as predictors of subjective health complaints in early adolescence: interactive, indirect or direct relationships?," Social Science & Medicine, Elsevier, vol. 53(5), pages 603-614, September.
    3. Antonovsky, Aaron, 1993. "The structure and properties of the sense of coherence scale," Social Science & Medicine, Elsevier, vol. 36(6), pages 725-733, March.
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