Factors associated with tobacco use among Saudi Arabian youth: Application of the Theory of Planned Behavior

Introduction The epidemic of tobacco use poses one of the most severe public health challenges globally, responsible for over 8 million deaths annually according to the World Health Organization (WHO). This study investigates the factors associated with tobacco use among Saudi Arabian youth using th...

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Main Authors: Mosa A. Shubayr, Anwar S. Alhazmi, Mervat M. El Dalatony, Eman D. El Desouky, Abdulmohsen H. Al-Zalabani, Sarah S. Monshi, Ahmed A. Elkhobby, Shaikha K. Aldukhail, Mohammed M. Alqahtani, Mohammed S. Aldossary
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Language:English
Published: European Publishing 2024-12-01
Series:Tobacco Induced Diseases
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Online Access:https://www.tobaccoinduceddiseases.org/Factors-associated-with-tobacco-use-among-Saudi-Arabian-youth-Application-of-the,196678,0,2.html
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author Mosa A. Shubayr
Anwar S. Alhazmi
Mervat M. El Dalatony
Eman D. El Desouky
Abdulmohsen H. Al-Zalabani
Sarah S. Monshi
Ahmed A. Elkhobby
Shaikha K. Aldukhail
Mohammed M. Alqahtani
Mohammed S. Aldossary
author_facet Mosa A. Shubayr
Anwar S. Alhazmi
Mervat M. El Dalatony
Eman D. El Desouky
Abdulmohsen H. Al-Zalabani
Sarah S. Monshi
Ahmed A. Elkhobby
Shaikha K. Aldukhail
Mohammed M. Alqahtani
Mohammed S. Aldossary
author_sort Mosa A. Shubayr
collection DOAJ
description Introduction The epidemic of tobacco use poses one of the most severe public health challenges globally, responsible for over 8 million deaths annually according to the World Health Organization (WHO). This study investigates the factors associated with tobacco use among Saudi Arabian youth using the Theory of Planned Behavior (TPB) framework. Methods A cross-sectional study used the 2022 Global Youth Tobacco Survey (GYTS) to assess tobacco use among 5610 Saudi students aged 13–15 years. The structured, anonymous questionnaire collected demographic data and TPB constructs (e.g. attitudes, subjective norms, perceived behavioral control, and intentions) were derived from the validated GYTS questionnaire, with items grouped and scored to represent each construct. One-way ANOVA, t-tests, and logistic regression analyses were conducted, with a significance level set at 0.05. Results Of the surveyed students, 5610 (80.4%) aged 13–15 years met the inclusion criteria. Tobacco use was prevalent, with 31.3% having ever used tobacco and 8.78% currently using it. Negative attitudes toward tobacco were inversely associated with usage (AOR=0.97; 95% CI: 0.970–0.974). Subjective norms, reflecting perceived social pressure, were positively associated with tobacco use (AOR=1.17; 95% CI: 1.170–1.176). Perceived behavioral control, indicating the ease of quitting or avoiding tobacco, was strongly associated with use (AOR=1.87; 95% CI: 1.848–1.888). Stronger behavioral intentions to use tobacco were also associated with a higher likelihood of use (AOR=1.24; 95% CI: 1.226–1.246). Conclusions The high prevalence of tobacco use among Saudi Arabian youth, early initiation, and significant social influences highlight the need for comprehensive public health strategies. Targeted education, reduced tobacco accessibility, and programs to shift social norms and attitudes are essential. Addressing these factors can help prevent initiation and support cessation efforts among young people.
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spelling doaj-art-8510d950c68c4d12b0eedc4e73c9a9ce2024-12-31T20:04:00ZengEuropean PublishingTobacco Induced Diseases1617-96252024-12-0122December11210.18332/tid/196678196678Factors associated with tobacco use among Saudi Arabian youth: Application of the Theory of Planned BehaviorMosa A. Shubayr0https://orcid.org/0000-0001-9529-0052Anwar S. Alhazmi1https://orcid.org/0000-0001-5469-3226Mervat M. El Dalatony2https://orcid.org/0000-0002-2399-439XEman D. El Desouky3https://orcid.org/0000-0002-4517-4181Abdulmohsen H. Al-Zalabani4https://orcid.org/0000-0002-4937-6100Sarah S. Monshi5https://orcid.org/0000-0002-2360-8575Ahmed A. Elkhobby6https://orcid.org/0000-0002-7105-3113Shaikha K. Aldukhail7https://orcid.org/0000-0001-9373-545XMohammed M. Alqahtani8https://orcid.org/0000-0003-1656-0881Mohammed S. Aldossary9https://orcid.org/0000-0002-0380-7905Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi ArabiaPublic Health and Community Medicine Department, Faculty of Medicine, Menoufia University, Shibin El Kom, EgyptGeneral Directorate of Research and Studies, Ministry of Health, Riyadh, Saudi ArabiaDepartment of Family and Community Medicine, College of Medicine, Taibah University, Medina, Saudi ArabiaDepartment of Health Administration and Hospitals, College of Public Health and Health Informatics, Umm Al-Qura University, Mecca, Saudi ArabiaTobacco Control Program, Ministry of Health, Riyadh, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi ArabiaDepartment of Respiratory Therapy, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaGeneral Directorate of Research and Studies, Ministry of Health, Riyadh, Saudi ArabiaIntroduction The epidemic of tobacco use poses one of the most severe public health challenges globally, responsible for over 8 million deaths annually according to the World Health Organization (WHO). This study investigates the factors associated with tobacco use among Saudi Arabian youth using the Theory of Planned Behavior (TPB) framework. Methods A cross-sectional study used the 2022 Global Youth Tobacco Survey (GYTS) to assess tobacco use among 5610 Saudi students aged 13–15 years. The structured, anonymous questionnaire collected demographic data and TPB constructs (e.g. attitudes, subjective norms, perceived behavioral control, and intentions) were derived from the validated GYTS questionnaire, with items grouped and scored to represent each construct. One-way ANOVA, t-tests, and logistic regression analyses were conducted, with a significance level set at 0.05. Results Of the surveyed students, 5610 (80.4%) aged 13–15 years met the inclusion criteria. Tobacco use was prevalent, with 31.3% having ever used tobacco and 8.78% currently using it. Negative attitudes toward tobacco were inversely associated with usage (AOR=0.97; 95% CI: 0.970–0.974). Subjective norms, reflecting perceived social pressure, were positively associated with tobacco use (AOR=1.17; 95% CI: 1.170–1.176). Perceived behavioral control, indicating the ease of quitting or avoiding tobacco, was strongly associated with use (AOR=1.87; 95% CI: 1.848–1.888). Stronger behavioral intentions to use tobacco were also associated with a higher likelihood of use (AOR=1.24; 95% CI: 1.226–1.246). Conclusions The high prevalence of tobacco use among Saudi Arabian youth, early initiation, and significant social influences highlight the need for comprehensive public health strategies. Targeted education, reduced tobacco accessibility, and programs to shift social norms and attitudes are essential. Addressing these factors can help prevent initiation and support cessation efforts among young people.https://www.tobaccoinduceddiseases.org/Factors-associated-with-tobacco-use-among-Saudi-Arabian-youth-Application-of-the,196678,0,2.htmltobacco useglobal youth tobacco surveysaudi arabian youththeory of planned behavior
spellingShingle Mosa A. Shubayr
Anwar S. Alhazmi
Mervat M. El Dalatony
Eman D. El Desouky
Abdulmohsen H. Al-Zalabani
Sarah S. Monshi
Ahmed A. Elkhobby
Shaikha K. Aldukhail
Mohammed M. Alqahtani
Mohammed S. Aldossary
Factors associated with tobacco use among Saudi Arabian youth: Application of the Theory of Planned Behavior
Tobacco Induced Diseases
tobacco use
global youth tobacco survey
saudi arabian youth
theory of planned behavior
title Factors associated with tobacco use among Saudi Arabian youth: Application of the Theory of Planned Behavior
title_full Factors associated with tobacco use among Saudi Arabian youth: Application of the Theory of Planned Behavior
title_fullStr Factors associated with tobacco use among Saudi Arabian youth: Application of the Theory of Planned Behavior
title_full_unstemmed Factors associated with tobacco use among Saudi Arabian youth: Application of the Theory of Planned Behavior
title_short Factors associated with tobacco use among Saudi Arabian youth: Application of the Theory of Planned Behavior
title_sort factors associated with tobacco use among saudi arabian youth application of the theory of planned behavior
topic tobacco use
global youth tobacco survey
saudi arabian youth
theory of planned behavior
url https://www.tobaccoinduceddiseases.org/Factors-associated-with-tobacco-use-among-Saudi-Arabian-youth-Application-of-the,196678,0,2.html
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