School of Communication, Universiti Sains Malaysia, Penang, Malaysia.
BMC Public Health. 2022 May 27;22(1):1057. doi: 10.1186/s12889-022-13386-4.
Impulsivity is a formidable cause of waterpipe tobacco smoking among youth, however, it is understudied among African youth. Using PRIME behavioural theory, this study aimed to develop a model that examines the motivators of impulsivity to smoke waterpipe tobacco in linkage to the moderating role of social media normalisation of waterpipe tobacco, specifically among youth in Nigeria who smoke waterpipe tobacco.
Data were drawn from 695 respondents who smoke waterpipe tobacco across six Nigerian universities in the South-West zone using the chain-referral sampling procedure. Descriptive analyses of the obtained data were carried out using the Statistical Package for Social Sciences (SPSS) version 25. The constructs in the developed model were validated through Partial Least Squares Structural Equation Modelling (PLS-SEM) in SmartPLS version 3.
Among Nigerian youth who smoke waterpipe tobacco, intention (β = 0.442, P < 0.001) was the strongest motivator of impulsivity to smoke waterpipe tobacco as compared to positive evaluations (β = 0.302, P < 0.001). In addition, social media normalisation of waterpipe tobacco acted as a moderator that strengthened the relationship between intention and impulsivity (β = 0.287, P < 0.01), as well as, between positive evaluations and impulsivity (β = 0.186, P < 0.01) among youth.
Intention greatly instigates Nigerian youth's impulsivity to smoke waterpipe tobacco, and social media normalisation of waterpipe tobacco also considerably increases their impulsivity to smoke waterpipe tobacco. Youth-focused educational waterpipe tobacco cessation-oriented programmes that utilise diverse constructive-based learning approaches like illustrative learning and counselling, can help to enlighten and encourage Nigerian youth on the importance of shunning the desirability to smoke waterpipe tobacco.
冲动是导致年轻人吸食水烟的一个重要因素，但在非洲年轻人中，这一问题的研究还很不足。本研究运用 PRIME 行为理论，旨在构建一个模型，考察冲动吸食水烟的动机，以及社交媒体对水烟正常化在其中的调节作用，特别是在吸食水烟的尼日利亚青年中。
本研究采用链式 referrals 抽样程序，从尼日利亚西南部六所大学的 695 名吸食水烟的受访者中抽取数据。使用社会科学统计软件包（SPSS）第 25 版对获得的数据进行描述性分析。在 SmartPLS 版本 3 中使用偏最小二乘结构方程建模（PLS-SEM）验证所开发模型中的结构。
在吸食水烟的尼日利亚青年中，与积极评价（β=0.302，P<0.001）相比，意图（β=0.442，P<0.001）是冲动吸食水烟的最强动机。此外，水烟的社交媒体正常化作为一个调节因素，加强了意图与冲动（β=0.287，P<0.01）以及积极评价与冲动（β=0.186，P<0.01）之间的关系。
意图极大地激发了尼日利亚青年吸食水烟的冲动，而水烟的社交媒体正常化也大大增加了他们吸食水烟的冲动。针对青年的教育水烟戒烟计划，采用如说明性学习和咨询等多样化的建设性学习方法，可以帮助尼日利亚青年认识到避免吸食水烟的重要性，并鼓励他们这样做。
