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    Por favor, use este identificador para citar o enlazar este ítem: https://hdl.handle.net/10259/12284

    Título
    Influence of microenvironmental factors on tobacco consumption among Spanish youth
    Autor
    Sota Rodrigo, CristinaUBU authority Orcid
    Escolar Llamazares, María del CaminoUBU authority Orcid
    Mercado Val, ElviraUBU authority Orcid
    Martínez Martín, María ÁngelesUBU authority Orcid
    Sanllorente Rodríguez, Ángela
    Sáiz Manzanares, María ConsueloUBU authority Orcid
    Publicado en
    Clinical Epidemiology and Global Health. 2025, V. 34, 102109
    Editorial
    Elsevier
    Fecha de publicación
    2025-06
    ISSN
    2213-3984
    DOI
    10.1016/j.cegh.2025.102109
    Abstract
    Introduction: The onset of tobacco use is occurring at increasingly younger ages. Numerous studies have identified risk and protective factors associated with smoking in adolescents, with family factors being among the most influential. Likewise, the group of friends and the role of teachers as role models also exert a notable influence on the onset of consumption. Objective: To analyze the influence of social and family role models on tobacco consumption in adolescents, considering these factors as elements of the microenvironment. Method: A retrospective cohort study was conducted at three points (2011, 2016 and 2019). The sample, incidental in nature, consisted of 3928 Spanish students aged 12–14 years, enrolled in Compulsory Secondary Education in 54 educational centers. Data collection was performed by means of a self-administered questionnaire designed ad hoc, with adequate internal consistency (Cronbach’s alpha). Previously, a health education and prevention program developed by the Spanish Association Against Cancer (Asociaci´ on Espa˜ nola Contra el C´ancer) was applied. Both the intervention and data collection complied with the established ethical principles. Statistical analysis included descriptive techniques, bivariate and multivariate analyses and binary logistic regression models. Results: The influence of family and social models on tobacco use varied between cohorts. The paternal figure showed an influence of 1.3 % in 2011, .7 % in 2016, and 0.8 % in 2019; the maternal figure of 2.2 %, 1.5 % and 0.3 %, respectively. Siblings had an influence of 4.3 % in 2011, 1.6 % in 2016 and 0.5 % in 2019. The influence of the best friend was 23.2 % in 2011, 18.7 % in 2016 and 1.7 % in 2019. The figure of the teacher was relevant in 2011 (0.9 %) and 2019 (0.4 %). Regarding multivariate predictive models, in 2011 older age explained 10.5 % of consumption. In 2016, older age, peer pressure and less family communication explained 20.4 %. In 2019, younger age, more available money and peer pressure explained 2.4 % of consumption. Conclusions: The results reinforce the importance of social and family patterns as risk factors in the early stages of adolescent smoking. The multicausal nature of smoking in this vital stage justifies the design of preventive interventions aimed at modifying risk factors and promoting protective factors.
    Palabras clave
    Tobacco
    Adolescents
    Consumption
    Models
    Family
    Friends
    Materia
    Adolescentes-Consumo de tabaco
    Teenagers-Tobacco use
    URI
    https://hdl.handle.net/10259/12284
    Versión del editor
    https://doi.org/10.1016/j.cegh.2025.102109
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