ArticleTobacco prevention & cessation2026
Tobacco use perceptions and intentions to abstain among adolescents in the English-speaking Caribbean: A cross-sectional secondary analysis.
Article in Tobacco prevention & cessation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTobacco use among Caribbean adolescents surpasses global averages. Given the adverse effects, regional efforts have prioritized reduction and eventual elimination and have adopted the World Health Organization's Framework Convention on Tobacco Control (WHO-FCTC). Guided by the Health Belief Model, we examine changes in tobacco abstinence and abstinence-related perceptions before and after the WHO-FCTC.
methodsWe conducted a cross-sectional secondary analysis of Global Youth Tobacco Survey data. We specifically examined adolescents aged 13-15 years from three Caribbean countries, including participants surveyed in 2000 (n=3431) and 2017-2018 (n=3767). We first conducted chi-squared tests and t-tests to examine changes in tobacco abstinence and abstinence-related perceptions across survey years. We then used the latest survey data (2017-2018) and logistic regression to assess associations between perceptions and intentions to abstain in the next year, among adolescents who did not report tobacco use (n=3050). All analyses incorporated survey weights and clusters.
resultsCompared with 2000, adolescents surveyed in 2017-2018 had improved 30-day tobacco abstinence, including cigarette abstinence (89.67% to 95.39%, p<0.01). However, intentions to abstain in the next year declined over the study years (93.65% to 90.53%, p<0.01). Key tobacco abstinence-related perceptions, including perceived severity (88.51% to 83.87%, p<0.01) and refusal self-efficacy (91.08% to 88.67%, p<0.01), also declined. In regression analysis, perceived benefits of anti-tobacco campaigns (AOR=2.25; 95% CI: 1.40-3.60) and refusal self-efficacy (AOR=11.35; 95% CI: 7.55-17.04) were associated with higher intentions to abstain. Exposure to anti-tobacco messaging (AOR=0.52; 95% CI: 0.30-0.90) was negatively associated with abstinence intentions.
conclusionsGiven that abstinence-related perceptions declined across survey years and were associated with tobacco use intentions, these findings underscore the importance of continued attention to WHO-FCTC anti-tobacco initiatives that address tobacco-related perceptions. Incorporating culturally sensitive messaging may enhance the relevance and effectiveness of such efforts.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.