ArticleInternational journal of environmental research and public health2023
Academic Performance and Peer or Parental Tobacco Use among Non-Smoking Adolescents: Influence of Smoking Interactions on Intention to Smoke.
Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Prevalence, determinants, and perceptions of tobacco use among male college students in Puducherry: a mixed-methods study.Journal of health, population, and nutrition · 2026Article
- Factors associated with intention to smoke cigarette in never-smoking South African school learners.BMC public health · 2026Article
- Study on adolescents' smoking intentions: the influence of peer smoking and the mediating roles of beliefs and attitudes toward smoking behavior.Frontiers in public health · 2026Article
- Use of Electronic Cigarettes and Associated Factors Among Public High School Students in Vietnam.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- Electronic and Conventional Cigarette Use and Academic Achievement Among Predominantly Low-Income Black High School Students.Children (Basel, Switzerland) · 2025Article
- Secondhand smoke exposure and sleep disturbances among Korean adolescents: A nationally representative cross-sectional study.Tobacco induced diseases · 2025Article
- Coping Tendency as a Mediator in the Relationship Between Psychological Resilience and Health Problems Among College Students.Psychology research and behavior management · 2024Article
- Research on the impact of the socio-educational environment on the academic performance of college students: the mediating role of study motivation.Frontiers in psychology · 2023Article
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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
backgroundIntention to smoke is an important predictor of future smoking among adolescents. The purpose of our study was to examine the interaction between academic performance and parents/peer tobacco use on adolescents' intention to smoke.
methodsA multi-stage stratified sampling was used to select participants, involving 9394 students aged between 9-16 years in Changchun city, northeastern China. Multiple logistic regression analyses were conducted to examine the individual effect of academic performance and peer/parental smoking behavior. Stratified logistic regressions were conducted to examine the protective effect of academic performance based on peer or parental smoking. Interaction effects of academic performance × peer/parental smoking on adolescents' intention to smoke were tested.
resultsOf all the non-smoking students sampled, 11.9% intended to smoke within the next five years. The individual effect of academic performance and peer/parental smoking was significant. The protective effect of academic performance on the intention to smoke was significant regardless of whether peers smoked or not. However, the protective effect was not significant among adolescents with only maternal smoking and both parental smoking. The current study found the significant interaction effects of academic performance × peer smoking and the academic performance × both parents' smoking. Students with poor academic performance were more likely to intend to smoke if their peers or both parents smoked.
conclusionThese preliminary results suggest that peer smoking or smoking by both parents reinforces the association between low academic performance and the intention to smoke among adolescents. Enhancing school engagement, focusing on social interaction among adolescents with low academic performance, and building smoke-free families may reduce adolescents' intention to smoke.
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