Health Promotion Perspectives

Volume 1 - Number Supple.1

Article Type: Original Article
Abstract: Introduction: Tobacco use among adolescents, morbidity and mortality due to smoking are negative aspects of smoking. Based on CDC reports 8.11% of secondary schools' students  and 22.3% of high school students reported that they have used tobacco in the last month. Additionally, tobacco use was known as gateway for using drugs such Marijuana, cocaine, and LSD. It is therefore important to identify aspects and related factors of smoking among students; as a result, this study used the Prototype/Willingness Model (PWM) to examine factors related to onset of smoking. Materials and Methods: This study was a cross sectional study that applicability of extending the theory of planned behavior and Prototype/willingness Model was assessed for explaining the normative processes in tobacco use among Iranian youth. Participants were 871 adolescents including high school students, employee, and unemployment adolescents who were living in Hamadan, Iran. The self report and written questionnaire was used for recruiting data about tobacco use pattern and the predictability of theory of planned behavior and Prototype/willingness Models' for smoking among youth people. Results: our findings showed that there is significant relation between unemployment (X2: 12.8, Sig 0<000) and tobacco use and it was found relation between having smoker friends and smoking (X2:134.7, sig:0<000). In addition, it was found significant correlation between subjective norms and behavioral intention (r: 0.63), subjective norms and willingness (r: 0.53), positive attitudes and behavioral intention for smoking (r: 0.65). Moreover, prototype and behavioral intention were important factors for predicting smoking. In other side having smoker friends, peer pressure, truancy, and improper relation with parents are predisposing factors for beginning tobacco use among adolescents. Discussion and conclusion: Results demonstrated the unique importance of the reasoned intention path in which attitudes and subjective norms are antecedents of behavioral intention when examining smoking behavior among high school students. Life skills, resistance skills and drug resistance training would be useful for protecting youth people against tobacco use and consequently drug abuse. Adjacent to school health programs, public health providers must extend their activities beyond employment and street adolescents.