Bashirian Saeed, Barati Majid, Karami Manoochehr, Hamzeh Behrooz, Ezati Elahe
Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.
Tob Prev Cessat. 2020 Aug 31;6:50. doi: 10.18332/tpc/125357. eCollection 2020.
Given the increasing prevalence of shisha smoking (SS) in adolescent females, it is necessary to determine the factors influencing adolescent's choice of shisha. This study aimed to determine predictors of shisha smoking among adolescent females in Western Iran based on the Prototype-Willingness Model (PWM).
This cross-sectional study was conducted on 1302 adolescent females in Kermanshah city, western Iran, in 2019. The method was multi-stage sampling with a systematic random approach. Data were collected using a questionnaire consisting of sociodemographic questions, history of shisha smoking, and Prototype-Willingness Model structure-based questions. Data were analyzed using SPSS 22 software. Statistical tests included descriptive statistics, Pearson correlation test, and linear and logistic regression analyses.
The prevalence of current consumers of shisha was 20.4%. Attitude and behavioral willingness and subjective norms were the most important predictors of behavioral intentions, whereas subjective norms, attitudes, and prototypes were the most important predictors for behavioral willingness. The results obtained from the logistic regression analysis revealed that both pathways of PWM constructs (behavioral intention OR=1.37; behavioral willingness OR=1.32) were significant predicting factors for shisha smoking among adolescent females.
Given the efficient role of behavioral willingness and intention for shisha smoking (SS) in adolescent females, it is necessary to consider these structures in designing educational strategies for the prevention of adolescent smoking.
鉴于水烟吸食（SS）在青春期女性中的患病率不断上升，有必要确定影响青少年选择水烟的因素。本研究旨在基于原型-意愿模型（PWM）确定伊朗西部青春期女性水烟吸食的预测因素。
2019年，对伊朗西部克尔曼沙阿市的1302名青春期女性进行了这项横断面研究。采用多阶段抽样和系统随机抽样方法。使用包含社会人口学问题、水烟吸食史以及基于原型-意愿模型结构的问题的问卷收集数据。使用SPSS 22软件进行数据分析。统计检验包括描述性统计、Pearson相关检验以及线性和逻辑回归分析。
当前水烟消费者的患病率为20.4%。态度、行为意愿和主观规范是行为意图的最重要预测因素，而主观规范、态度和原型是行为意愿的最重要预测因素。逻辑回归分析结果显示，PWM结构的两条路径（行为意图OR = 1.37；行为意愿OR = 1.32）都是青春期女性水烟吸食的显著预测因素。
鉴于行为意愿和意图在青春期女性水烟吸食（SS）中的有效作用，在设计预防青少年吸烟的教育策略时，有必要考虑这些结构。
