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Adolescents' knowledge and opinions about smoking: a qualitative study from the Jhaukhel-Duwakot Health Demographic Surveillance Site, Bhaktapur District, Nepal
Unit for Health Promotion Research, University of Southern Denmark, Esbjerg, Denmark.
Institute of Medicine, Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy at University of Gothenburg, Sweden / Public Health and Environment Research Centre, Katmandu, Nepal.
Centre for Applied Biostatistics, Occupational and Environmental Medicine, University of Gothenburg, Sweden.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Institute of Medicine, Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy at University of Gothenburg, Sweden / Faculty of Health Sciences, Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway. (Fysisk aktivitet, idrott, hälsa och digital teknik)ORCID iD: 0000-0002-4583-9315
2016 (English)In: International Journal of Adolescent Medicine and Health, ISSN 0334-0139, E-ISSN 2191-0278Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: The use of tobacco products among adolescents in Southeast Asia represents a major public health burden. Two out of ten adolescents attending school are tobacco users and several factors influence them to initiate tobacco use. Most studies related to tobacco use are quantitative, whereas qualitative studies exploring adolescents' smoking behavior and their views, knowledge and experiences are scarce.

OBJECTIVE: To gain a deep understanding of Nepalese adolescents' knowledge and opinions about smoking and reasons for smoking initiation.

SUBJECTS: Adolescents from four secondary schools in the Bhaktapur district, Nepal.

METHODS: Eight focus-group discussions were conducted with 71 adolescents aged 13-16 years and from grades 8-10. Data were analyzed using manifest qualitative content analysis.

RESULTS: The participants knew that smoking represents health risks as well as socio-economic risks, but few described the addictive nature of tobacco and health risks related to passive smoking. Most participants related smoking initiation to the smoking behavior of peers and family members, but easy accessibility to cigarettes, ineffective rules and regulations, and exposure to passive smoking also created environments for smoking. Some expressed confidence to resist peer pressure and refuse to start smoking, but also expressed the need for prevention strategies in schools and for governmental initiatives, such as more strict implementation of tobacco control and regulations to prevent and reduce smoking.

CONCLUSION: Curbing the tobacco epidemic in Nepal requires healthy public policies and multifaceted interventions to address the knowledge gap on health consequences associated with smoking among adolescents, teachers and parents/adults.

Place, publisher, year, edition, pages
Walter de Gruyter, 2016.
Keyword [en]
adolescents, health behavior, health promotion, Nepal, smoking
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-12128DOI: 10.1515/ijamh-2015-0124PubMedID: 27060737OAI: oai:DiVA.org:his-12128DiVA: diva2:918809
Available from: 2016-04-12 Created: 2016-04-12 Last updated: 2016-10-17Bibliographically approved

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Krettek, Alexandra

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