Çevik Cahide, Yalçınkaya Yasemen, Karavar Safiye
Afyonkarahisar Health Sciences University, Faculty of Health Sciences, Department of Public Health Nursing, 03200, Afyonkarahisar, Turkiye.
Afyonkarahisar Health Sciences University, Turkiye.
Public Health. 2025 Jul;244:105757. doi: 10.1016/j.puhe.2025.105757. Epub 2025 May 21.
Smoking addiction poses a major public health risk, with its onset frequently occurring during adolescence. Attitudes toward smoking significantly influence the development of smoking addiction, making the assessment of these attitudes essential for effective prevention and intervention strategies. This study aimed to develop a scale for assessing adolescents' attitudes toward smoking and to evaluate its psychometric properties.
This study employs a methodological framework for developing and validating a measurement scale.
The study was conducted among 10th and 11th-grade students at high schools. Data were collected from 602 high school students between February 19 and February 29, 2024. The students' mean age was 15.83 ± 0.74 years, with 58.8 % (n = 354) being female and 41.2 % (n = 248) male. The proportion of students who smoked was 11 % (n = 66). Among non-smokers, 36.4 % (n = 195) had attempted smoking. The mean age at which smokers began smoking was 14 ± 1.50 years. The selection of candidate items was based on a comprehensive literature review and focus group discussions with adolescents. The factor structure of the scale was analyzed using exploratory and confirmatory factor analyses across different sample groups. Convergent and discriminant validity were examined, and reliability was assessed through Cronbach's α coefficients, corrected item-total correlations, and test-retest analysis.
Exploratory factor analysis revealed that the Smoking Attitude Scale consists of three factors comprising 15 items, which focus on health risks, social influences, and peer pressure, accounting for 62.50 % of the total variance. Confirmatory factor analysis supported this structure. Both convergent and discriminant validity were established. The scale demonstrated high reliability, with an overall Cronbach's α value of 0.90, and factor values of 0.88, 0.78, and 0.84. Composite reliability scores for the factors were 0.88, 0.81, and 0.83, respectively.
The Smoking Attitude Scale is a valid and reliable instrument for evaluating adolescents' attitudes toward smoking.
吸烟成瘾对公众健康构成重大风险，其成瘾往往始于青春期。对吸烟的态度显著影响吸烟成瘾的发展，因此评估这些态度对于有效的预防和干预策略至关重要。本研究旨在开发一个评估青少年对吸烟态度的量表，并评估其心理测量特性。
本研究采用了一个用于开发和验证测量量表的方法框架。
该研究在高中十年级和十一年级学生中进行。于2024年2月19日至2月29日收集了602名高中生的数据。学生的平均年龄为15.83±0.74岁，其中58.8%（n = 354）为女性，41.2%（n = 248）为男性。吸烟学生的比例为11%（n = 66）。在不吸烟的学生中，36.4%（n = 195）曾尝试吸烟。吸烟者开始吸烟的平均年龄为14±1.50岁。候选项目基于全面的文献综述以及与青少年的焦点小组讨论来选择。通过对不同样本组进行探索性和验证性因素分析来分析量表的因素结构。检验了聚合效度和区分效度，并通过Cronbach's α系数、校正的项目 - 总分相关性和重测分析来评估信度。
探索性因素分析表明，吸烟态度量表由三个因素组成，包含15个项目，分别聚焦于健康风险、社会影响和同伴压力，解释了总方差的62.50%。验证性因素分析支持了这一结构。聚合效度和区分效度均得到确立。该量表显示出高信度，总体Cronbach's α值为0.9——0，各因素值分别为0.88、0.78和0.84。各因素的组合信度得分分别为0.88、0.81和0.83。
吸烟态度量表是评估青少年对吸烟态度的有效且可靠的工具。
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