Studies investigating smoking behavior among adolescents living in post-communistic Central-European countries are sparse. This study focused on the relationship between cigarette smoking, certain friendship factors, and social norm perceptions among 1,886 Central-Eastern European adolescents from high schools in Hungary, Slovakia, Czech Republic, and Romania. Smoking behavior was related to having friends who smoke, ease or difficulty making new friends, time spent with friends after school and during evenings, and estimations of the prevalence of smoking by schoolmates. Because these youth appear to overestimate the prevalence of smoking by schoolmates, the use of a norms-correction strategy may have potential merit in smoking prevention efforts targeting these adolescents. Smoking prevention and reduction are critical issues for Central-Eastern European youth because they appear to smoke cigarettes at a high rate.
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References
1.
AaroL. E.WoldB.KannasL., & RimpelaM. (1986). Health behaviour in schoolchildren. A WHO cross-national survey—presentation of philosophy, methods and selected results of the first surveys. Health Promotion, 1, 17–33.
2.
Audrain-McGovernJ.RodriguezD., & MossH. B. (2003). Smoking progression and physical activity. Cancer Epidemiology Biomarkers & Prevention, 12, 1121–1129.
3.
Audrain-McGovernJ.RodriguezD.TercyakK. P.CuevasJ.RodgersK., & PattersonF. (2004). Identifying and characterizing adolescent smoking trajectories. Cancer Epidemiology Biomarkers & Prevention, 13, 2023–2034.
4.
BerkowitzA. D. (2004). The Social Norms Approach: Theory, Research, and Annotated Bibliography [online report.] Retrieved October 24, 2005, from http://www.alanberkowitz.com
5.
BorsariB., & CareyK. B. (2003). Descriptive and injunctive norms in college student drinking: A meta-analytic investigation. Journal of Studies of Alcohol, 64, 331–341.
6.
BotvinG. J., & BotvinE. M. (1992). Adolescent tobacco, alcohol, and drug abuse: Prevention strategies, empirical findings, and assessment issues. Journal of Developmental Behavioral Pediatrics, 13, 290–301.
7.
BotvinG. J.GriffinK. W.DiazT., & Ifill-WilliamsM. (2001). Preventing binge drinking during early adolescence: One- and two-year follow-up of a school-based preventive intervention. Psychology of Addictive Behaviors, 15(4), 360–365.
8.
BrayI. (2000). Alcohol- and tobacco-related mortality to rise in Central Europe. European Journal of Cancer, 36, 1726–1727.
9.
BrenerN. D.CollinsJ. L.KannL.WarrenC. W., & WilliamsB. I. (1995). Reliability of the Youth Risk Behavior Survey Questionnaire. American Journal of Epidemiology, 141, 575–580
10.
BrenerN. D.KannL.McManusT.KinchenS. A.SundbergE. C., & RossJ. G. (2002). Reliability of the 1999 youth risk behavior survey questionnaire. Journal of Adolescent Health, 31, 336–342.
11.
BrownP. (2002). Smoking increases among teenagers in eastern Europe. British Medical Journal, 324, 442.
12.
CockerhamW. C. (2005). Health and Social Change in Russia and Eastern Europe. New York: Rutledge.
13.
CurrieC.RobertsC.MorganA.SmithR.SettertobulteW.SamdalO., & RasmussenV. B. (2004). Young people's health in context. Health Behaviour in School-aged Children (HBSC) study: International report from the 2001/2002 survey. Health Policy for Children and Adolescents, No. 4, Geneva, Switzerland: World Health Organization.
14.
de MatosM. G. (2004). Peers. In CurrieC.RobertsC.MorganA.SmithR.SettertobulteW.SamdalO., & RasmussenV. B. (Eds.), Young people's health in context. Health Behaviour in School-aged Children (HBSC) study: International report from the 2001/2002 survey. Health Policy for Children and Adolescents, No. 4, Geneva, Switzerland: World Health Organization.
15.
EastonA., & KissE. (2005). Covariates of current cigarette smoking among secondary school students in Budapest, Hungary, 1999. Health Education Research, 20(1), 92–100.
16.
EngelsR.VitaroF.BloklandE.de KempR., & ScholteR. (2004). Influence and selection processes in friendships and adolescent smoking behaviour: The role of parental smoking. Journal of Adolescence, 27, 531–544.
17.
EnnettS. T., & BaumanK. E. (1994). The contribution of influence and selection to adolescent peer group homogeneity: The case of adolescent cigarette smoking. Journal of Personality and Social Psychology, 67, 653–663.
18.
FlanaganC. A.Elek-FiskE., & GallayL. S. (2004). Friends don't let friends … or do they? Developmental and gender differences in intervening in friends' ATOD use. Journal of Drug Education, 34(4), 351–371.
19.
GaviriaA., & RaphaelS. (2001). School based peer effects and juvenile behavior. Review of Economics and Statistics, 83(2), 257–268.
20.
GibbonsF. X., & BuunkB. P. (1999). Individual differences in social comparison: Development of a scale of social comparison orientationJournal of Personality and Social Psychology, 76, 129–142.
21.
GolanL.LubandaJ. C.NetukaM.LubandaH.LinhartA., & SimekS.CharalampidiC., & AschermannM. (2004). Tobacco use amongst high school students in the Czech Republic. Central European Journal of Public Health, 12(1), 32–35.
KawaguchiD. (2004). Peer effects on substance use among American teenagers. Journal of Population Economics, 17, 351–357.
27.
LeviF.LucchiniF.NegriE., & La VecchiaC. (2004). Trends in mortality from major cancers in the European Union, including acceding countries, in 2004. Cancer, 101, 2843–2850.
28.
LewisohnP. M.BrownR. A.SeeleyJ. R., & RamseyS. E. (2000). Psychosocial correlates of cigarette smoking abstinence, experimentation, persistence and frequency during adolescence. Nicotine & Tobacco Research, 2(2), 121–131.
29.
LiC.UngerJ. B.SchusterD.RohrbachL. A.Howard-PittneyB., & NormanG. (2003). Youths' exposure to environmental tobacco smoke (ETS): Associations with health beliefs and social pressure. Addictive Behaviors, 28, 39–53.
30.
MaxwellK. A. (2002). Friends: The role of peer influences across adolescent risk behaviors. Journal of Youth and Adolescence, 31(4), 267–277.
31.
MackayJ., & EriksenM. (2002) The Tobacco Atlas. Geneva, Switzerland: World Health Organization.
32.
McKeeM., & ShkolnikovV. (2001). Understanding the toll of premature death among men in eastern Europe. British Medical Journal, 232, 1051–1055.
33.
Miller-DayM., & BarnettJ. M. (2004). “I'm not a druggie”: Adolescents' ethnicity and (erroneous) beliefs about drug use norms. Health Communication, 16(2), 207–228.
34.
NemethA. (2003). Global youth tobacco survey, Hungary, 2003, National Report. Budapest, Hungary: National Centre of Health Promotion and Development.
35.
PageR. M.ZarcoE. P.SuwanteerangkulJ.LeeC. M.MiaoN. F., & TaylorJ. (2005). Perceptions of the prevalence of cigarette smoking by peers: A study of Taiwanese, Filipino, and Thai high school students. The Southeast Asian Journal of Tropical Medicine and Public Health, 36(5), 1–5.
36.
PerkinsH. W., & CraigD. A. (2003). The Imaginary lives of peers: Patterns of substance use and misperceptions of norms among secondary school students (Chapter 12). In PerkinsH. W. (Ed.), The social norms approach to preventing school and college age substance abuse: A handbook for educators, counselors, clinicians. San Francisco, CA: Jossey-Bass.
37.
PerryC. L.KelderS. H.MurrayD. M., & Knut-IngeK. (1992). Community wide smoking prevention: Long-term outcomes of the Minnesota Heart Health Program and the Class of 1989 Study. American Journal of Public Health, 82(9),1210–1216.
38.
PhongsavanP.Olatunbosun-AlakijaA.HaveaD.BaumanA.SmithB. J.GaleaG., & ChenJ. (2005). Health behaviour and lifestyle of Pacific youth surveys: A resource for capacity building. Health Promotion International, 20(3), 238–248.
39.
PikoB. (2001). Smoking in adolescence: Do attitudes matter?Addictive Behavior, 26, 201–217.
40.
PikoB., & FitzpatrickK. M. (2001). Adolescent risk behavior in the mirror of culture: Cross-cultural comparisons among Hungarian and American youth. Health Education, 42, 249–252.
41.
PikoB. F.LuszczynskaA.GibbonsF. X., & TekozelM. (2005). A culture-based study of personal and social influences of adolescent smoking. European Journal of Public Health, 15(4), 393–398.
42.
PrinsteinM. J.BoergersJ., & SpiritoA. (2001). Adolescents' and their friends' health risk behavior: Factors that alter or add to peer influence. Journal of Pediatric Psychology, 26(5), 287–298.
43.
PuskaP. (1996). Smoking in central and eastern Europe. In WallerM., & LipponenS. (Eds.), Smoke free Europe: A forum for networks (pp. 138–145). Helsinki: Finnish Centre for Health Promotion.
44.
ReynoldsT. (1995). Smoking deaths soar in Central and Eastern Europe. Journal of National Cancer Institute, 87(18), 1348–1349.
45.
ScalP.IrelandM., & BorowskyW. (2003). Smoking among American adolescents: A risk and protective factor analysis. Journal of Community Health, 28(2), 79–97.
46.
SovinovaH., & CsemyL. (2004). Smoking behaviour of Czech adolescents: Results of the Global Youth Tobacco Survey in the Czech Republic, 2002. Central European Journal of Public Health, 12(1), 26–31.
47.
ThombsD. L.Ray-TomasekJ.OsbornC. J., & OldsR. S. (2005). The role of sex-specific normative beliefs in undergraduate alcohol use. American Journal of Health Behavior, 29(4), 342–351.
48.
TyasS. L., & PedersonL. L. (1998). Psychosocial factors related to adolescent smoking: A critical review of the literature. Tobacco Control, 7, 409–420.
49.
TyczynskiJ. E.BrayF.AareleidT.DalmasM.KurtinaitisJ.PleskoI.Pompe-KirnV.StengrevicsA., & ParkinM. (2004). Lung cancer mortality patterns in selected central, eastern, and southern European countries. International Journal of Cancer, 109, 598–610.
50.
UngerJ. B., & RohrbachL. A. (2002). Why do adolescents overestimate their peers' smoking prevalence? Correlates of prevalence estimates among California 8th-grade students. Journal of Youth and Adolescence, 31, 147–153.
51.
WardleJ.SteptoeA.GulisG.SartoryG.SekH.TodorovaI.VogeleC.ZiarkoM. (2004). Depression, perceived control, and life satisfaction in university students from Central-Eastern and Western Europe. International Journal of Behavioral Medicine, 11(1), 27–36.
52.
WatsonP. (1995). Explaining rising mortality among men in Eastern Europe. Social Science Medicine, 41(7), 923–934.
53.
WestP.SweetingH., & EcobR. (1999). Family and friends' influences on the uptake of regular smoking from mid-adolescence to early adulthood. Addiction, 94, 1397–1412.
54.
WhiteV., & HaymanJ. (2004). Smoking behaviours of Australian secondary students in 2002. National Drug Strategy Monograph Series No. 54. Canberra: Australian Government Department of Health and Ageing.
55.
World Health Organization Regional Office for Europe. (2002). Hazardous harmonization in smoking by European youth, the European report on tobacco control policy; Press backgrounder, Copenhagen and Warsaw, 15 February. Retrieved October 26, 2005 from http://www.euro.who.int/document/cma/PB032002e.pdf
