McClure-Thomas Caitlin, Lim Carmen, Sebayang Susy, Fausiah Fitri, Gouda Hebe, Leung Janni
School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, QLD, Australia.
National Centre for Youth Substance Use Research (NCYSUR), Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, QLD, Australia.
Asia Pac J Public Health. 2022 Nov;34(8):770-777. doi: 10.1177/10105395221115220. Epub 2022 Jul 25.
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), lack of close friends (OR = 1.43), and lack of parental understanding (OR = 1.35). There was significant interactions between sex with loneliness, close friends, and parental understanding ( < .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.
东南亚地区青少年吸烟现象颇为普遍。本研究旨在探讨心理社会因素（感知到的孤独感、同伴关系和亲子关系）是否与青少年吸烟有关，以及这些影响在性别和年龄上是否存在差异。数据来源于2012年至2015年在文莱、柬埔寨、印度尼西亚、老挝、马来西亚、菲律宾、泰国、东帝汶和越南开展的全球基于学校的学生健康调查。64578名13至18岁的青少年（男性占48.5%）完成了调查。过去一个月吸烟的患病率为10.6%。青少年吸烟与孤独感（比值比=1.75）、缺少亲密朋友（比值比=1.43）和缺乏父母理解（比值比=1.35）有关。性别与孤独感、亲密朋友和父母理解之间存在显著交互作用（<0.001）。交互作用表明，缺少亲密朋友与吸烟有关，且对女性的影响比对男性更强。相反，孤独感与吸烟的关联在男性中比在女性中更强。结果表明，心理社会因素与东南亚青少年吸烟有关，这表明进一步研究心理社会因素与吸烟之间的关系及其潜在因素很有必要。
