ArticleSubstance abuse treatment, prevention, and policy2017
Parents' and peers' normative influence on adolescents' smoking: results from a Swiss-Italian sample of middle schools students.
Article in Substance abuse treatment, prevention, and policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Prevalence and Associated Factors of E-Cigarette Use among Adolescents in Southeast Asia: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Effectiveness of a Digital Health Game Intervention on Early Adolescent Smoking Refusal Self-Efficacy.Health education & behavior : the official publication of the Society for Public Health Education · 2024Trial
- Prevalence, determinants, and perceptions of tobacco use among male college students in Puducherry: a mixed-methods study.Journal of health, population, and nutrition · 2026Article
- The Role of Family and Peer Influence in Shaping Teen Smoking Attitudes in Romania.Journal of clinical medicine · 2026Article
- Prevalence and associated factors of adolescent tobacco use in Kingdom of Saudi Arabia: Findings from nationwide survey.PLOS global public health · 2026Article
- Mediation analysis investigating the mechanisms of two school-based smoking prevention interventions in adolescents from Northern Ireland and Bogotá.Frontiers in public health · 2026Article
- Cultural transmission of attitudes and behaviours from parents, peers and grandparents.PloS one · 2026Article
- Smoking habits and factors that influence them among school students from rural areas of Romania.Tobacco induced diseases · 2026Article
- Current scenario, challenges and way forward for augmenting tobacco control policies and programs in India: a community-based qualitative study.Global health action · 2025Article
- Tobacco Product Users Among School-Going Adolescents in Malaysia: Prevalence and Associated Factors.The Malaysian journal of medical sciences : MJMS · 2025Article
- Which reference groups matter for Taiwanese high school adolescent smoking? A card sorting study.BMJ open · 2024Article
- Tobacco use and khat chewing among adolescents in Yemen: a large-scale school-based cross-sectional study.BMC public health · 2024Article
- Prevalence and Determinants of Current Cigarette Smoking Among Adolescents in Thailand: Evidence From 2021 Global School-Based Health Survey.Journal of research in health sciences · 2024Article
- Exposure to pro-tobacco and anti-tobacco media messages and events and smoking behaviour among adolescents in Gambia.BMC public health · 2024Article
- Ethnic Disparities in Betel Nut Use: A Focus on Adolescents from Micronesia.International perspectives in psychology : research, practice, consultation · 2024Article
- COVID-19 vaccination attitudes and uptake: A sociocultural perspective focusing on parents and peers.PloS one · 2024Article
- Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen.Frontiers in public health · 2023Article
- Impact of Self-Control and Social Network of Friends on the Amount of Smoking among Out-of-School Youth.Healthcare (Basel, Switzerland) · 2022Article
- Smoking and drinking behavior, knowledge, and attitudes among urban and rural public-school students in Efate Island, Vanuatu: a comparative study.Archives of public health = Archives belges de sante publique · 2022Article
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Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
methodAdolescents observe and imitate people to whom they are associated in their social context, and the normative factors sent out by reference groups are crucial determinants of their decision to smoke. The aim of the study is to investigate how adolescents' smoking changes when they are exposed to factors of pro-smoking normative influence by parents and peers, and how age moderate this relation. A cross sectional survey collected data from 5657 students, aged between 11 and 14, from public and private middle schools in the Italian region of Switzerland (Ticino) on their smoking habits, perceived parents' and peers' approval and smoking.
resultsMultinomial logistic regression show that, as adolescents get older, more of the pro-smoking factors come from peers and parents, the higher the risk gets of being a "heavy smoker" has compared against having no experience with smoking. Living in a context with no factor of normative influence toward smoking play a protective role against smoking, and this effect becomes more important than more harmful the smoking behavior in question is. Furthermore, peers' descriptive norms are more influential for adolescents to become "light" and "heavy smokers", while smoking being approved by peers is important for adolescents to become accustomed to smoking.
conclusionsFindings support the different influence of parents' and peers' norms on adolescents' smoking, and highlight the importance of peers' model behavior as the most important factor influencing smoking during adolescence. Such results have implications for programs that aim to prevent or reduce smoking in early adolescence when friendship choice starts to become crucial.
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