ArticleInternational journal of environmental research and public health2015
Perspectives on Smoking Initiation and Maintenance: A Qualitative Exploration among Singapore Youth.
Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 37 citations in OpenAlex.
- Development and initial testing of the brief adolescent smoking curiosity scale (ASCOS).Addictive behaviors · 2018Trial
- Female smokers' perspectives on tobacco use and smoking cessation: a qualitative study guided by health belief model.NPJ primary care respiratory medicine · 2026Article
- Prevalence and correlates of nonsuicidal self-injury among youths in Singapore: findings from the National Youth Mental Health Study.Child and adolescent psychiatry and mental health · 2025Article
- Perceptions and reasons for quitting and transitioning between smoking and smokeless tobacco products: Findings from four waves of the ITC Bangladesh survey.Tobacco induced diseases · 2023Article
- Factors affecting smoking initiation and cessation among adult smokers in Fiji: A qualitative study.Tobacco induced diseases · 2021Article
- A Qualitative Study of Factors Influencing the Onset of Hookah Smoking among Iranian Men with Turkmen Ethnicity.Journal of epidemiology and global health · 2020Article
- The Ominous beginning" Perceptions of Smokeless Tobacco Initiation among the Paniya Tribes of Wayanad: A qualitative Study.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Perceived social benefits versus perceived harms of smoking among Indonesian boys aged 12-16 years: A secondary analysis of Global Youth Tobacco Survey 2014.Tobacco prevention & cessation · 2020Article
- Assessing factors influencing smoking and smoking cessation within Chinese communities in the Greater Vancouver Area: A qualitative exploratory study.Tobacco prevention & cessation · 2020Article
- Prevalence and correlates of smoking and nicotine dependence: results of a nationwide cross-sectional survey among Singapore residents.BMJ open · 2019Article
- Intergenerational Transfer of Tobacco Use Behaviour from Parent to Child: A Case Control Study.Asian Pacific journal of cancer prevention : APJCP · 2019Article
- How Menthol Is Key to the Tobacco Industry's Strategy of Recruiting and Retaining Young Smokers in Singapore.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019Article
- Customers' Perceptions of Compliance with a Tobacco Control Law in Restaurants in Hanoi, Vietnam: A Cross-Sectional Study.International journal of environmental research and public health · 2018Article
- Boy Smokers' Rationalisations for Engaging in Potentially Fatal Behaviour: In-Depth Interviews in The Netherlands.International journal of environmental research and public health · 2018Article
- Parents' and peers' normative influence on adolescents' smoking: results from a Swiss-Italian sample of middle schools students.Substance abuse treatment, prevention, and policy · 2017Article
- Qualitative study of Singaporean youths' perception of antismoking campaigns: what works and what does not.Tobacco control · 2016Article
- An Examination of the Ethnicity-Specific Prevalence of and Factors Associated with Substance Use and Misuse: Cross-Sectional Analysis of Croatian and Bosniak Adolescents in Bosnia and Herzegovina.International journal of environmental research and public health · 2016Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Studies among adolescents have shown that several important interpersonal, intrapersonal and environmental factors are associated with smoking behaviour. The current qualitative research project aimed to explore the determinants of smoking initiation and maintenance, from a youth perspective, among young people who smoked, living in a multi-ethnic Asian country. Focus group discussions (FGDs) were conducted with youths in Singapore in youth-friendly and accessible locations. Young people, from a variety of social contexts-varying on age, gender, ethnicity and educational level, were included in the study. All FGDs were conducted in English and participants were recruited using a mix of network and purposive sampling. All FGDs were audio recorded and transcribed verbatim. The data were analyzed using qualitative content analysis, allowing themes to emerge from the data with the goal of answering the research question. Ninety-one youth smokers (54 males, 37 females), aged between 14 to 29 years, participated in the study. The majority were males (59%) and of Chinese ethnicity (52%). Participants identified multiple personal, social, and familial influences on young adults' smoking behaviors. Peer and family influences, as well as risk minimization, played a key role in smoking initiation and maintenance. While young people were aware of policies that restricted smoking, these did not directly affect their decision to start smoking. The theory of triadic influence provided a promising theoretical framework to understand smoking initiation and maintenance in a sample of young adult smokers from a multi-ethnic Asian country. It also provides actionable information for initiatives to prevent smoking in young people, which includes their perspectives and emphasizes an inclusive approach without stigmatizing those who smoke.
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