Based on social cognitive theory, this Study explores knowledge of, attitude toward and environmental influences on cigarette smoking in Taiwanese adolescents. Eleventh grade students from a comprehensive high school in Taichung County were purposely selected and asked to fill out questionnaires. Out of a total of 1219 questionnaires, 718 complete and valid questionnaires were returned. More boys than girls were active smokers. The older the student, more he or she smoked. Students whose families indulged them were more likely to smoke than children whose families practiced either strict or democratic disciple. There were significant differences in the knowledge smokers and nonsmokers had with regard to harmfulness of smoking, cigarette addiction, the effect of smoking on sexual function, and the regulation of smoking (P<0.01), Smokers were more likely than non-smokers to believe that smoking was a way to release emotions, make themselves comfortable, relieve stress, and express personal freedom (P<0.05). Smokers and nonsmokers had significantly different attitudes with regard to societal acceptance, public responsibility, making friends, laws against cigarette advertising, and the need for more anti-tobacco laws (P<0.05). In conclusion, a tobacco prevention education program for adolescents can be made more effective by helping these young people change their perceptions of smoking, manage stress and combat environmental pressures to smoke.
Based on social cognitive theory, this Study explores knowledge of, attitude toward and environmental influences on cigarette smoking in Taiwanese adolescents. Eleventh grade students from a comprehensive high school in Taichung County were purposely selected and asked to fill out questionnaires. Out of a total of 1219 questionnaires, 718 complete and valid questionnaires were returned. More boys than girls were active smokers. The older the student, more he or she smoked. Students whose families indulged them were more likely to smoke than children whose families practiced either strict or democratic disciple. There were significant differences in the knowledge smokers and nonsmokers had with regard to harmfulness of smoking, cigarette addiction, the effect of smoking on sexual function, and the regulation of smoking (P<0.01), Smokers were more likely than non-smokers to believe that smoking was a way to release emotions, make themselves comfortable, relieve stress, and express personal freedom (P<0.05). Smokers and nonsmokers had significantly different attitudes with regard to societal acceptance, public responsibility, making friends, laws against cigarette advertising, and the need for more anti-tobacco laws (P<0.05). In conclusion, a tobacco prevention education program for adolescents can be made more effective by helping these young people change their perceptions of smoking, manage stress and combat environmental pressures to smoke.