Effect of mental health on tobacco use among adolescents in rural Sichuanï¼ mediation of life satisfaction
Journal Title: Shanghai Journal of Preventive Medicine - Year 2023, Vol 35, Issue 10
Abstract
ObjectiveTo understand the current situation of tobacco use among rural adolescents in Sichuan Province and its influencing factorsï¼ to explore the relationship between smoking behavior and psychosocial influencing factors of rural adolescents in Sichuan Provinceï¼ and to provide a scientific basis for the prevention and control of smoking among rural adolescents.MethodsAn "Adolescent Health Questionnaire" was used as the survey tool to investigate 2 671 students in the 8th and 11th grades of two township middle schools in Zizhong Countyï¼ Sichuan Province. The structural equation model in Mplus 7.0 was used to analyze the relationship between adolescent tobacco use behaviorï¼ mental healthï¼ and life satisfaction.ResultsAmong the surveyed adolescentsï¼ 28.3% ï¼756/2 671ï¼ had tried tobacco productsï¼ and 9.5% ï¼255/2 671ï¼ had used tobacco products in the past 30 days. The prevalence of tobacco use was higher among boys ï¼16.6%ï¼ than girls ï¼3.5%ï¼ï¼ and among 11th grade students ï¼21.9%ï¼ compared to 8th grade students ï¼7.3%ï¼ï¼ with statistically significant differences ï¼Ï2=131.99 and 4.24ï¼ both P<0.05ï¼. The current tobacco use rate increased with the increase in monthly allowance ï¼Ï2=46.96ï¼ P<0.05ï¼. The structural equation model of smoking behavior showed that mental health had a positive and direct impact on smoking behaviorï¼ and an indirect impact on smoking behavior through living environment satisfaction. Living environment satisfaction had a negative and direct impact on smoking behavior with the mediating effect accounting for 19.2% of the total effect. The non-standardized mediating effect of mental health on smoking behavior through life environment satisfaction and its 95%CI were 0.007 ï¼0.002â0.012ï¼.ConclusionAdolescent smoking behavior is a complex psychosocial behaviorï¼ and the situation of adolescent tobacco use in rural areas in Sichuan is severe. There is a correlation between adolescent tobacco use behavior and psychosocial influencing factors. Psychosocial influencing factors can predict adolescentsâ tobacco use behavior. Attention should be paid to the important role of psychosocial influencing factors when intervening in rural adolescentsâ smoking behavior.
Authors and Affiliations
JI Yuanyi,YANG Ting,YANG Ruixi,LIU Qiaolan,
Keywords
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