Alqahtani Rajaa T, Moody James, Alhemodi Naurah N, Alghamdi Mohammed S, Alhajhussein Serene
King Abdulaziz University, Jeddah, Saudi Arabia.
Duke University, Durham, NC, USA.
Socius. 2024 Jan-Dec;10. doi: 10.1177/23780231241286735. Epub 2024 Oct 15.
Smoking declines are uneven around the world, and we have few studies on the correlates of youth smoking in contexts like Saudi Arabia, where declines have been slowest. Using a broadly socio-ecological framework and network data, we report on one of the few studies to simultaneously examine peer, family, and school features associated with smoking in the Saudi context. We find strong and consistent peer and family associations with both occasional and regular smoking via direct modeling (level of peers/family that also smoke) and substantive interactions (lying to parents in the family domain, engaging in unsupervised youth-centric activities, or seeking popularity in the peer domain). Although our design precludes causal claims, our results are consistent with smoking initiation being driven by occasional use surrounding attempts to gain youth social status, whereas regular use depends on implicit family and peer acceptance.
全球吸烟率的下降并不均衡，而在沙特阿拉伯这样吸烟率下降最为缓慢的地区，我们几乎没有关于青少年吸烟相关因素的研究。我们运用一个广泛的社会生态框架和网络数据，报告了为数不多的同时考察沙特环境中与吸烟相关的同伴、家庭和学校特征的研究之一。我们通过直接建模（吸烟同伴/家庭成员的比例）和实质性互动（在家庭领域向父母说谎、参与以青少年为中心的无监督活动或在同伴领域追求受欢迎程度）发现，偶尔吸烟和经常吸烟都与同伴和家庭有着强烈且一致的关联。尽管我们的研究设计无法得出因果关系的结论，但我们的结果与吸烟行为的起始是由围绕获得青少年社会地位的尝试的偶尔吸烟所驱动，而经常吸烟则取决于家庭和同伴的隐性接受这一观点一致。
