TY - JOUR
T1 - Perceived Loneliness, Peer, and Parental Relationship With Smoking
T2 - A Cross-Sectional Analysis of Adolescents Across South-East Asia
AU - McClure-Thomas, Caitlin
AU - Lim, Carmen
AU - Sebayang, Susy
AU - Fausiah, Fitri
AU - Gouda, Hebe
AU - Leung, Janni
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The study is supported by Global Strategy and Partnerships Seed Funding Scheme 2020.
Publisher Copyright:
© 2022 APJPH.
PY - 2022/11
Y1 - 2022/11
N2 - Tobacco use among youth in the South-East Asian region is quite prevalent. This study aims to examine if psychosocial factors (perceived loneliness, peer, and parental relationships) were associated with adolescent smoking, and whether the effects were different according to sex and age. Data came from the Global School-based Student Health Surveys collected between 2012 and 2015 in Brunei, Cambodia, Indonesia, Laos, Malaysia, Philippines, Thailand, Timor-Leste, and Vietnam. 64 578 (males = 48.5%) adolescents aged 13-18 completed the survey. Prevalence of past-month cigarette use was 10.6%. Adolescent smoking was associated with loneliness (OR = 1.75, 95% CI [1.74, 1.75]), lack of close friends (OR = 1.43, 95% CI [1.42, 1.43]), and lack of parental understanding (OR = 1.35, 95% CI [1.34, 1.35]). There was significant interactions between sex with loneliness, close friends, and parental understanding (p <.001). Interactions indicated having no close friends is associated with smoking and is stronger for females than males. Conversely, loneliness was associated with smoking more strongly in males than females. Results indicate that psychosocial factors are linked to adolescent smoking in South-East Asia, suggesting a further need for research on the relation of psychosocial factors with smoking, and their underlying factors.
AB - Tobacco use among youth in the South-East Asian region is quite prevalent. This study aims to examine if psychosocial factors (perceived loneliness, peer, and parental relationships) were associated with adolescent smoking, and whether the effects were different according to sex and age. Data came from the Global School-based Student Health Surveys collected between 2012 and 2015 in Brunei, Cambodia, Indonesia, Laos, Malaysia, Philippines, Thailand, Timor-Leste, and Vietnam. 64 578 (males = 48.5%) adolescents aged 13-18 completed the survey. Prevalence of past-month cigarette use was 10.6%. Adolescent smoking was associated with loneliness (OR = 1.75, 95% CI [1.74, 1.75]), lack of close friends (OR = 1.43, 95% CI [1.42, 1.43]), and lack of parental understanding (OR = 1.35, 95% CI [1.34, 1.35]). There was significant interactions between sex with loneliness, close friends, and parental understanding (p <.001). Interactions indicated having no close friends is associated with smoking and is stronger for females than males. Conversely, loneliness was associated with smoking more strongly in males than females. Results indicate that psychosocial factors are linked to adolescent smoking in South-East Asia, suggesting a further need for research on the relation of psychosocial factors with smoking, and their underlying factors.
KW - adolescent
KW - adolescent smoking
KW - loneliness
KW - smoking
KW - South-East Asia
KW - tobacco
KW - tobacco prevalence
UR - http://www.scopus.com/inward/record.url?scp=85135001881&partnerID=8YFLogxK
U2 - 10.1177/10105395221115220
DO - 10.1177/10105395221115220
M3 - Article
AN - SCOPUS:85135001881
SN - 1010-5395
VL - 34
SP - 770
EP - 777
JO - Asia-Pacific Journal of Public Health
JF - Asia-Pacific Journal of Public Health
IS - 8
ER -