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Mediated, moderated and direct effects of country of residence, age, and gender on the cognitive and social determinants of adolescent smoking in Spain and the UK: a cross-sectional study

By Wolfgang A. Markham, María Luisa López, Paul Aveyard, Pablo Herrero, Christopher Bridle, Àngel Comas, Anne Charlton and Hywel Thomas

Abstract

Background\ud \ud European trans-national adolescent smoking prevention interventions based on social influences approaches have had limited success. The attitudes-social influences-efficacy (ASE) model is a social cognition model that states smoking behaviour is determined by smoking intention which, in turn, is predicted by seven ASE determinants; disadvantages, advantages, social acceptance, social norms, modelling, perceived pressure, self-efficacy. Distal factors such as country of residence, age and gender are external to the model. The ASE model is, thus, closely related to the Theory of Planned Behaviour. This study assessed the utility of the ASE model using cross-sectional data from Spanish and UK adolescents.\ud \ud Methods\ud \ud In 1997, questionnaires were simultaneously administered to Spanish (n = 3716) and UK adolescents (n = 3715) who were considered at high risk of smoking. Participants' age, gender, smoking intentions and ASE determinant scores were identified and linear regression analysis was used to examine the mediated, moderated and direct effects of country of residence, age and gender on participants' smoking intentions.\ud \ud Results\ud \ud All UK participants were aged 12 or 13 and most Spanish participants were aged between 12 and 14 (range 12–16 years). Amongst 12 and 13 year olds, regular smoking was more common in Spain. Almost half the participants were female (47.2% in Spain; 49.9% in the UK). Gender did not vary significantly according to age.\ud \ud The distribution of ASE determinant scores varied by country and predicted intention. The influence of each ASE determinant on intention was moderated by country. Country had a large direct influence on intention (1.72 points on a 7 point scale) but the effects of age and gender were mediated by the ASE determinants.\ud \ud The findings suggest resisting peer pressure interventions could potentially influence smoking amongst UK adolescents but not Spanish adolescents. Interventions that promote self-efficacy, on the other hand, would possibly have a greater influence on smoking amongst Spanish adolescents.\ud \ud Conclusion\ud \ud The ASE model may not capture important cultural factors related to adolescent smoking and the relative contribution of particular ASE determinants to adolescent smoking intentions may differ between countries. Future European trans-national adolescent smoking prevention programmes may benefit from greater undestanding of country-level cultural norms

Topics: HV, RA
Publisher: BioMed Central Ltd.
Year: 2009
OAI identifier: oai:wrap.warwick.ac.uk:906

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Citations

  1. (2007). 7th Framework Programme for Research and Technological Development. doi
  2. (1975). Ajzen I: Belief, attitude, intention and behavior: an introduction to theory and research doi
  3. (1998). Armitage JA: Extending the theory of planned behavior; a review and avenues for further research. doi
  4. (2004). Asshauer M: Fifteen-month follow-up results of a school-based life-skills approach to smoking prevention. Health Educ Res doi
  5. (1994). Backbier E: Self efficacy as an important determinant of quitting among pregnant women who smoke; the omega pattern. Prev Med doi
  6. (2006). Candel M: The European smoking prevention framework approach (ESFA): effects after 24 and 30 months. Health Educ Res
  7. (1980). Cleary PD: The smoking problem: a review of research and theory in behavioural risk modification. Psychol Bull
  8. (1998). Data analysis in social psychology.
  9. (2004). De Vries H: Association between tobacco billboard advertising, school environments and smoking behaviour in Spanish adolescents.
  10. (2004). De Vries H: Effects of inschool and tailored out-of-school smoking prevention among Dutch vocational school students. Health Educ Res doi
  11. (2004). De Vries H: Future smoking intentions of 12–13 year old UK African Caribbean, Indian, Pakistani and white young people. Health Educ Res doi
  12. (1995). De Vries H: Starting participation in an employee fitness program: attitudes, social influence, and self-efficacy. Prev Med doi
  13. (1998). Do intentions predict condom use? Meta analysis and examination of six moderator variables. doi
  14. (1994). GK: A Dutch social influence smoking prevention approach for vocational school students. Health Educ Res doi
  15. (2001). Health Educ Res
  16. (1972). Ide L: Smoking by children in Great Britain. A review of the literature London: Social Science Research Council/Medical Research Council;
  17. (1999). Parcel GS: Effectiveness of two Dutch smoking prevention programmes with boosters. Health Educ Res doi
  18. (1992). Practical statistics for medical students London: doi
  19. (1998). Predicting and explaining intention and behavior: how well are we doing? J Appl Soc Psychol doi
  20. (2000). Shokoohi DF: Tobacco control country profiles Atlanta:
  21. Smoking amongst UK Bangladeshi adolescents aged 14–
  22. (2001). Social class and smoking at age 15: the effect of different definitions of smoking. Addiction doi
  23. (1976). Social foundations of thought and action: a social cognitive theory doi
  24. (1995). The impact of social influences in the context of attitude, self-efficacy, intention and previous behaviors as predictors of smoking onset. doi
  25. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. J Pers Soc Psychol doi
  26. (1991). The theory of planned behaviour. doi
  27. (1995). VJ: Self-efficacy as a predictor for the cessation of smoking: methodological issues and implications for smoking cessation programs. Psychol Health doi
  28. (1994). Wolff JA: The time interval in the intention-behaviour relationship.: Meta analysis. doi
  29. (1995). Zimmermanns N: Perceived behavioural control, unrealistic optimism and dietary change: an exploratory study. Appetite doi

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