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Gepubliceerd in:

01-04-2010

Nicotine dependence and problem behaviors among urban South African adolescents

Auteurs: Kerstin Pahl, David W. Brook, Neo K. Morojele, Judith S. Brook

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2010

Abstract

Tobacco use and its concomitant, nicotine dependence, are increasing in African countries and other parts of the developing world. However, little research has assessed nicotine dependence in South Africa or other parts of the African continent. Previous research has found that adolescent problem behaviors, including tobacco use, tend to cluster. This study examined the relationship between nicotine dependence and adolescent problem behaviors in an ethnically diverse sample of urban South African adolescents. A community sample (N = 731) consisting of “Black,” “White,” “Coloured,” and “Indian” youths aged 12–17 years was drawn from the Johannesburg metropolitan area. Structured interviews were administered by trained interviewers. Nicotine dependence was assessed by the Fagerström Test of Nicotine Dependence. Logistic regression analyses showed that higher levels of nicotine dependence significantly predicted elevated levels of violent behavior, deviant behavior, marijuana and other illegal drug use, binge drinking, early sexual intercourse, multiple sexual partners, and inconsistent condom use, despite control on the adolescents’ demographic characteristics, peer smoking, conflict with parents, peer deviance, and the availability of legal and illegal substances. These relationships were robust across ethnicity and gender. The findings indicate the need for policy makers and prevention and intervention programs in South Africa to consider adolescent nicotine dependence in conjunction with comorbid problem behaviors, including other substance use, sexual risk behaviors, and deviant behaviors.

vorige artikel Pilot study of a family physical activity planning intervention among parents and their children

volgende artikel Using self-determination theory to promote physical activity and weight control: a randomized controlled trial in women

South Africans were categorized according to their race during apartheid as “Black African” (of African descent), “Coloured” (of mixed European and African descent), “Indian” (of Asian/Indian descent) or “White” (of European descent). These racial categories continue to be employed by the South African census today. The authors do not subscribe to these classifications in any way.

Black adolescents were chosen as the implied reference group because, compared to adolescents of other ethnic groups, they showed the lowest levels of engagement in problem behaviors.

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Titel: Nicotine dependence and problem behaviors among urban South African adolescents
Auteurs: Kerstin Pahl
David W. Brook
Neo K. Morojele
Judith S. Brook
Publicatiedatum: 01-04-2010
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2010
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-009-9242-3

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