JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 3.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Predicting Tobacco Use Based on the Theory of Planned Behavior in Adolescent Girls

JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 3.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Predicting Tobacco Use Based on the Theory of Planned Behavior in Adolescent Girls

Adolescent, Female students, Smoking, Tobacco

Introduction: Tobacco use poses a serious threat to global health. The tobacco epidemic is
spreading in low- and middle-income countries, where the tobacco industries mainly target
young people and women.
Objective: This study aims to determine the predictors of tobacco use based on the Theory
of Planned Behavior (TPB) in female high school students.
Materials and Methods: This cross-sectional study was conducted on 340 female high
school students aged 14-18 in Rasht City, Iran, who were selected using a multi-stage
sampling method. The data collection tool was the TPB questionnaire for tobacco use in

Persian. The obtained data were analyzed using the Mann-Whitney U test, Kolmogorov-
Smirnov test, Spearman correlation test and logistic regression analysis.

Results: The TPB constructs of attitude (OR=0.91, 95%CI: 0.85-0.97, P=0.007) and behavioral
intention (OR=0.75, 95%CI; 0.64-0.88, P=0.001) could predict cigarette smoking. Also,
constructs of perceived behavioral control (OR=0.92, 95%CI; 0.87-0.97, P=0.007), subjective
norms (OR=0.83, 95%CI; 0.70-0.97, P=0.02), and behavioral intention (OR=0.88, 95% CI; 0.78
-0.99, P=0.03) could predict hookah smoking in girls students.
Conclusion: Considering the predictive power of the TPB constructs in tobacco use by adolescent
girls, it is possible to plan to reduce its rate in this group by a focus on the TPB constructs.

Maryam Ghasemipour , Rabiollah Farmanbar , Parisa Kasmaee , Zahra Atrkar Roshan , Sima Nickandish

July 2021, Volume 31, Number 3

peri irawan

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