Risk factors for smoking in adolescence : evidence from a cross-sectional survey in Switzerland

Altwicker-Hámori, Szilvia; Ackermann, Kurt Alexander; Furchheim, Pia; Dratva, Julia; Truninger, Dominique; Müller, Steffen; Wieber, Frank

doi:10.1186/s12889-024-18695-4

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-30595

Publication type:	Article in scientific journal
Type of review:	Open peer review
Title:	Risk factors for smoking in adolescence : evidence from a cross-sectional survey in Switzerland
Authors:	Altwicker-Hámori, Szilvia Ackermann, Kurt Alexander Furchheim, Pia Dratva, Julia Truninger, Dominique Müller, Steffen Wieber, Frank
et. al:	No
DOI:	10.1186/s12889-024-18695-4 10.21256/zhaw-30595
Published in:	BMC Public Health
Volume(Issue):	24
Issue:	1
Page(s):	1165
Issue Date:	25-Apr-2024
Publisher / Ed. Institution:	BioMed Central
ISSN:	1471-2458
Language:	English
Subjects:	Adolescence; Smoking behaviour; Smoking prevention; Switzerland
Subject (DDC):	305: Groups (age, origine, gender, income) 614: Public health and prevention of disease
Abstract:	Background: Cigarette smoking during adolescence is a major public health concern with far-reaching health implications. Adolescents who smoke are at an increased risk of developing long-term health problems and are more likely to continue smoking into adulthood. Therefore, it is vital to identify and understand the risk factors that contribute to adolescent smoking – which in turn facilitate the development of targeted prevention and intervention programs. Methods: Data was drawn from a cross-sectional survey conducted between October and December 2021, encompassing adolescents of adolescents aged 14 to 19 residing in Switzerland (n = 2,683). Multiple logistic regression analysis was employed to explore which demographic, household, behavioural and psychographic factors are associated with current smoking status. Results: The regression results showed higher odds of smoking for female respondents (OR 1.39; p-value 0.007); older adolescents (OR 1.30; p-value < 0.001); those living in the French-speaking part of Switzerland (OR 1.39; p-value 0.021), in suburban areas (OR 1.35; p-value 0.023) and with a smoker in the same household (OR 2.41; p-value < 0.001); adolescents consuming alcohol (OR 4.10; p-value < 0.001), cannabis products (OR 6.72; p-value < 0.001) and hookah (OR 5.07; p-value < 0.001) at least once a month; respondents not engaging in sports (OR 1.90; p-value < 0.001) or music (OR 1.42; p-value 0.031) as top five leisure activities and those experiencing high stress levels at home (OR 1.74; p-value < 0.001). Adolescents with high scores in health awareness (OR 0.33; p-value < 0.001), on the relational self-esteem scale (OR 0.78; p-value 0.054) and on the general well-being scale (OR 0.52; p-value 0.022) were less likely to smoke than their counterparts with lower scores. High risk-seeking was associated with higher odds of smoking (OR 2.15; p-value < 0.001). Conclusions: Our results suggest the importance of a comprehensive approach at both individual and institutional levels to reduce smoking rates in adolescents. More specifically, a holistic strategy that encompasses adolescents, families, schools and policymakers ranging from strengthening adolescents’ self-esteem, smoking cessation support for parents, to increasing engagement in musical and physical activities, and enhancing health awareness in the school curriculum.
URI:	https://digitalcollection.zhaw.ch/handle/11475/30595
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences School of Management and Law
Organisational Unit:	Institute of Marketing Management (IMM) Institute of Public Health (IPH)
Appears in collections:	Publikationen School of Management and Law

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Altwicker-Hámori, S., Ackermann, K. A., Furchheim, P., Dratva, J., Truninger, D., Müller, S., & Wieber, F. (2024). Risk factors for smoking in adolescence : evidence from a cross-sectional survey in Switzerland. BMC Public Health, 24(1), 1165. https://doi.org/10.1186/s12889-024-18695-4

Altwicker-Hámori, S. et al. (2024) ‘Risk factors for smoking in adolescence : evidence from a cross-sectional survey in Switzerland’, BMC Public Health, 24(1), p. 1165. Available at: https://doi.org/10.1186/s12889-024-18695-4.

S. Altwicker-Hámori et al., “Risk factors for smoking in adolescence : evidence from a cross-sectional survey in Switzerland,” BMC Public Health, vol. 24, no. 1, p. 1165, Apr. 2024, doi: 10.1186/s12889-024-18695-4.

ALTWICKER-HÁMORI, Szilvia, Kurt Alexander ACKERMANN, Pia FURCHHEIM, Julia DRATVA, Dominique TRUNINGER, Steffen MÜLLER und Frank WIEBER, 2024. Risk factors for smoking in adolescence : evidence from a cross-sectional survey in Switzerland. BMC Public Health. 25 April 2024. Bd. 24, Nr. 1, S. 1165. DOI 10.1186/s12889-024-18695-4

Altwicker-Hámori, Szilvia, Kurt Alexander Ackermann, Pia Furchheim, Julia Dratva, Dominique Truninger, Steffen Müller, and Frank Wieber. 2024. “Risk Factors for Smoking in Adolescence : Evidence from a Cross-Sectional Survey in Switzerland.” BMC Public Health 24 (1): 1165. https://doi.org/10.1186/s12889-024-18695-4.

Altwicker-Hámori, Szilvia, et al. “Risk Factors for Smoking in Adolescence : Evidence from a Cross-Sectional Survey in Switzerland.” BMC Public Health, vol. 24, no. 1, Apr. 2024, p. 1165, https://doi.org/10.1186/s12889-024-18695-4.