Cigarettes' use and capabilities-opportunities-motivation-for-behavior model: A multi-country survey of adolescents and young adults
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info:eu-repo/semantics/openAccessAttribution 4.0 Internationalhttps://creativecommons.org/licenses/by/4.0/Date
2022Author
Sabbagh, Heba JafarAbdelaziz, Wafaa
Quritum, Maryam
AlKhateeb, Nada AbuBakr
Abourdan, Joud
Qureshi, Nafeesa
Qureshi, Shabnum
Hamoud, Ahmed H. N.
Mahmoud, Nada
Odeh, Ruba
Al-Khanati, Nuraldeen Maher
Jaber, Rawiah
Balkhoyor, Abdulrahman Loaie
Shabi, Mohammed
Folayan, Morenike Oluwatoyin
Alade, Omolola
Gomaa, Noha
Alnahdi, Raqiya
Mahmoud, Nawal A.
El Wazziki, Hanane
Alnaas, Manal
Samodien, Bahia
Mahmoud, Rawa A.
Abu Assab, Nour
Saad, Sherin
Alhachim, Sondos G.
El Tantawi, Maha
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Sabbagh, H. J., Abdelaziz, W., Quritum, M., AlKhateeb, N. A., Abourdan, J., Qureshi, N. ... El Tantawi, M. (2022). Cigarettes' use and capabilities-opportunities-motivation-for-behavior model: A multi-country survey of adolescents and young adults. Frontiers in Public Health, 10. http://doi.org/10.3389/fpubh.2022.875801Abstract
The use of cigarettes among adolescents and young adults (AYA) is an important issue. This study assessed the association between regular and electronic-cigarettes use among AYA and factors of the Capability-Motivation-Opportunity-for-Behavior-change (COM-B) model. A multi-country survey was conducted between August-2020 and January-2021, Data was collected using the Global-Youth-Tobacco-Survey and Generalized-Anxiety-Disorder-7-item-scale. Multi-level logistic-regression-models were used. Use of regular and electronic-cigarettes were dependent variables. The explanatory variables were capability-factors (COVID-19 status, general anxiety), motivation-factors (attitude score) and opportunity-factors (country-level affordability scores, tobacco promotion-bans, and smoke free-zones) controlling for age and sex. Responses of 6,989-participants from 25-countries were used. Those who reported that they were infected with COVID-19 had significantly higher odds of electronic-cigarettes use (AOR = 1.81, P = 0.02). Normal or mild levels of general anxiety and negative attitudes toward smoking were associated with significantly lower odds of using regular-cigarettes (AOR = 0.34, 0.52, and 0.75, P < 0.001) and electronic-cigarettes (AOR = 0.28, 0.45, and 0.78, P < 0.001). Higher affordability-score was associated with lower odds of using electronic-cigarettes (AOR = 0.90, P = 0.004). Country-level-smoking-control policies and regulations need to focus on reducing cigarette affordability. Capability, motivation and opportunity factors of the COM-B model were associated with using regular or electronic cigarettes.
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