Original Article

Social Reactions and Reasoned Pathways of High School Students and School Dropouts’ Inclination toward Smoking Behavior: Prototype/willingness Modelling via Generalized Structural Equation

Abstract

Background: To investigate the determinants of smoking behavior among Iranian adolescents applying the Prototype/Willingness (P/W) Model.

Methods: In this cross-sectional study, a self-administered P/W model-based questionnaire was completed between 760 randomly selected adolescents (high school students and dropouts) in Hamadan, Iran, in 2015. Generalized structural equation modeling (GSEM) was applied to analyze data.

Results: Significant associations were found between subjective norms and positive attitudes toward smoking (P<0.001). The behavioral intention was also significantly related to the willingness and subjective norms (P<0.001). Prototype or risk image was not significantly related to the willingness among the dropout adolescents.

Conclusion: When social reaction and reasoned processes are modeled together, both may predict the smoking behavior. The high-risk perception and the high-risk image toward smoking behavior among the adolescents may originate from socio-cultural factors underlying the behavior. Further research is recommended to investigate the socio-cultural biases of the issue.

 

Jha P, Peto R (2014). Global effects of smoking, of quitting, and of taxing tobacco. N Engl J Med;370(1): 60-8.

WHO (2013). WHO report on the global tobacco epidemic, 2013: enforcing bans on tobacco advertising, promotion and sponsorship. Geneva: World Health Organization.

Jha P, MacLennan M, Chaloupka FJ et al (2015). Global Hazards of Tobacco and the Benefits of Smoking Cessation and Tobacco Taxes. In: Cancer: Disease Control Priorities. Third Edition. Gelband H, Jha P, Sankaranarayanan R, et al., editors. Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2015 Nov 1.

Centers for Disease Control and Prevention (2015) Youth and Tobacco Use. Available from: https://www.cdc.gov/tobacco/data_statistics/mmwrs/byyear/2015/index.htm

El Mhamdi S, Wolfcarius-Khiari G, Mhalla S et al (2011). Prevalence and predictors of smoking among adolescent schoolchildren in Monastir, Tunisia. East Mediterr Health J, 17(6):523-8.

Ogwell AE, Astrom AN, Haugejorden O (2003). Socio-demographic factors of pupils who use tobacco in randomly-selected primary schools in Nairobi province, Kenya. East Afr Med J, 80(5):235-41.

Pinilla J, Gonzalez B, Barber P, Santana Y (2002). Smoking in young adolescents: an approach with multilevel discrete choice models. J Epidemiol Community Health, 56(3):227-32.

Mohammadpoorasl A, Abbasi Ghahramanloo A, Allahverdipour H et al (2014). Prevalence of Hookah smoking in relation to religiosity and familial support in college students of Tabriz, northwest of Iran. J Res Health Sci,14(4):268-71.

Ayatollahi AS, Mohammadpoorasl A, Rajaeifard A (2005). Predicting the stages of smoking acquisition in the male students of Shiraz's high schools, 2003. Nicotine Tob Res, 7(6):845-51.

Jafarabadi MA, Allahverdipour H, Bashirian S et al (2012). Modeling the Underlying Predicting Factors of Tobacco Smoking among Adolescents. Iran J Public Health, 2012;41(5):46-57.

Allahverdipour H, MacIntyre R, Hidarnia A et al (2007). Assessing protective factors against drug abuse among high school students: self-control and the extended parallel process model. J Addict Nurse, 18(2): 65-73.

Nazarzadeh M, Bidel Z, Ayubi E et al (2013). Smoking status in Iranian male adolescents: a cross-sectional study and a meta-analysis. Addict Behav, 38(6):2214-8.

Gerrard M, Gibbons FX, Brody GH et al (2006). A theory-based dual-focus alcohol intervention for preadolescents: the Strong African American Families Program. Psychol Addict Behav, 20(2):185-95.

Ajzen I (1996). The social psychology of decision making In: Social Psychology: Handbook of Basic Principles. Eds, Higgins and Kruglanski, Guilford Publications. New York, pp.297 - 328.

Skalle S, Rise J (2006). The relationship between smoker and nonsmoker prototypes and smoking status among 14-year-old Norwegians. Addict Behav, 31(1):57-68.

Gerrard M, Gibbons FX, Stock ML et al (2005). The power of positive images: The role of social comparison in self-regulation. In: New perspectives on health behavior: The role of self-regulation. Ed(s), de Ridder and de Wit. Wiley, Hoboken. pp.107-136.

Rivis A, Sheeran P, Armitage CJ (2006). Augmenting the theory of planned behaviour with the prototype/willingness model: predictive validity of actor versus abstainer prototypes for adolescents' health-protective and health-risk intentions. Br J Health Psychol, 11(Pt 3):483-500.

Gibbons FX, Gerrard M, Lane DJ (2003). A social reaction model of adolescenthealth risk. In: Social psychological foundationsof health and illness Eds, Suls and Wallston. Blackwell series in health psychology and behaviouralmedicine. Blackwell Publishers. Malden, pp.107-136.

Gibbons FX, Gerrard M, Ouellette JA et al (1998). Cognitive antecedents to adolescent health risk: Discriminating between behavioral intention and behavioral willingness. Psychology and Health, 13(2):319-39.

Gerrard M, Gibbons FX, Stock ML et al (2005). Images of smokers and willingness to smoke among African American pre-adolescents: an application of the prototype/willingness model of adolescent health risk behavior to smoking initiation. J Pediatr Psychol, 30(4):305-18.

Pomery EA, Gibbons FX, Reis-Bergan M et al (2009). From willingness to intention: experience moderates the shift from reactive to reasoned behavior. Pers Soc Psychol Bull, 35(7):894-908.

Gibbons FX, Gerrard M, Reimer RA et al (2006). Unintentional behavior: A subrational approach to health risk. In: Self-regulation in Health Behavior. Ed(s), de Ridder and de Wit. John Wiley & Sons. Chichester, pp. 45-70.

Gerrard M, Gibbons FX, Houlihan AE et al (2008). A dual-process approach to health risk decision making: The prototype willingness model. Developmental Review, 28(1):29-61.

Zimmermann F, Sieverding M (2010). Young adults' social drinking as explained by an augmented theory of planned behaviour: the roles of prototypes, willingness, and gender. Br J Health Psychol, 15(Pt 3):561-81.

Gagné T, Frohlich KL, Abel T (2015). Cultural capital and smoking in young adults: applying new indicators to explore social inequalities in health behaviour. Eur J Public Health, 25(5):818-23.

Glanz K, Rimer BK, Viswanath K (2008). Health behavior and health education: theory, research, and practice. 1st ed. John Wiley and Sons, Chichester.

Hanson MD, Chen E (2007). Socioeconomic status and health behaviors in adolescence: a review of the literature. J Behav Med, 30(3):263-285.

Kann L, McManus T, Harris WA et al (2016). Youth Risk Behavior Surveillance—United States, 2015. Surveillance Summaries, 10;65(6):1-174.

Pampel FC, Krueger PM, Denney JT (2010). Socioeconomic disparities in health behaviors. Annu Rev Sociol, 36:349-70.

Mohammadpoorasl A, Nedjat S, Yazdani K et al (2012). Intention to start smoking and its related factors in never smoked adolescents in tabriz, 2010. Int J Prev Med, 3(12):880-6.

Gibbons FX, Gerrard M (1997). Health, Coping, and Well-Being: Perspectives from Social Comparison Theory. In: Health, coping and wellbeing: Perspectives from social comparison theory. Ed(s), Buunk and Gibbons. Lawrence Erlbaum Associates. Mahwah, pp. 63-94.

Muthén LK, Muthén BO (2007). Mplus: Statstical Analysis With Latent Variables - User’s Guide. 6th ed. Muthén & Muthén, Los Angeles.

Tinsley HEA, Brown SD (2000). Handbook of Applied Multivariate Statistics and Mathematical Modeling. 1st ed. Academic Press, San Diego.

Gibbons FX, Gerrard M, Blanton H et al (1998). Reasoned action and social reaction:Willingness and intention as independent predictors of health risk. J Pers Soc Psychol, 74(5):1164-1180.

Hammer JH, Vogel DL (2013). Assessing the utility of the willingness/prototype model in predicting help-seeking decisions. J Couns Psychol, 60(1):83-97.

Schomerus G, Matschinger H, Angermeyer MC (2009). Attitudes that determine willingness to seek psychiatric help for depression: a representative population survey applying the Theory of Planned Behaviour. Psychol Med, 39(11):1855-65.

Larsen JT, Cohen LM (2009). Smoking attitudes, intentions, and behavior among college student smokers: Positivity outweighs negativity. Addiction Research & Theory, 17(6):637-649.

Todd J, Mullan B (2011). Using the theory of planned behaviour and prototype willingness model to target binge drinking in female undergraduate university students. Addict Behav, 36(10):980-6.

Hukkelberg SS, Dykstra JL (2009). Using the Prototype/Willingness model to predict smoking behaviour among Norwegian adolescents. Addict Behav, 34(3):270-6.

Abedini S, MorowatiSharifabad M, Kordasiabi MC et al (2014). Predictors of non-hookah smoking among high-school students based on prototype/willingness model. Health Promot Perspect, 4(1):46-53.

Barati M, Allahverdipour H, Hidarnia A et al (2015). Predicting Tobacco Smoking Among Male Adolescents in Hamadan City, West of Iran in 2014: An Application of the Prototype Willingness Model. J Res Health Sci, 15(2):113-118.

Files
IssueVol 47 No 9 (2018) QRcode
SectionOriginal Article(s)
Keywords
School dropouts P/W model Smoke High school students Generalized structural equation modeling

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
ASGHARI JAFARABADI M, NADRIAN H, ALLAHVERDIPOUR H. Social Reactions and Reasoned Pathways of High School Students and School Dropouts’ Inclination toward Smoking Behavior: Prototype/willingness Modelling via Generalized Structural Equation. Iran J Public Health. 2018;47(9):1353-1362.