Abstract

BackgroundTobacco use is the single most preventable cause of death in the world. Evidence indicates that behaviours such as tobacco use can influence social networks, and that social network structures can influence behaviours. Social network analysis provides a set of analytic tools to undertake methodical analysis of social networks. We will undertake a systematic review to provide a comprehensive synthesis of the literature regarding social network analysis and tobacco use. The review will answer the following research questions: among participants who use tobacco, does social network structure/position influence tobacco use? Does tobacco use influence peer selection? Does peer selection influence tobacco use?MethodsWe will follow the Preferred Reporting Items for Systemic Reviews and Meta-Analyses (PRISMA) guidelines and search the following databases for relevant articles: CINAHL (Cumulative Index to Nursing and Allied Health Literature); Informit Health Collection; PsycINFO; PubMed/MEDLINE; Scopus/Embase; Web of Science; and the Wiley Online Library. Keywords include tobacco; smoking; smokeless; cigarettes; cigar and ‘social network’ and reference lists of included articles will be hand searched. Studies will be included that provide descriptions of social network analysis of tobacco use.Qualitative, quantitative and mixed method data that meets the inclusion criteria for the review, including methodological rigour, credibility and quality standards, will be synthesized using narrative synthesis. Results will be presented using outcome statistics that address each of the research questions.DiscussionThis systematic review will provide a timely evidence base on the role of social network analysis of tobacco use, forming a basis for future research, policy and practice in this area. This systematic review will synthesise the evidence, supporting the hypothesis that social network structures can influence tobacco use. This will also include exploring the relationship between social network structure, social network position, peer selection, peer influence and tobacco use across all age groups, and across different demographics. The research will increase our understanding of social networks and their impact on tobacco use, informing policy and practice while highlighting gaps in the literature and areas for further research.

Highlights

  • Tobacco use is the single most preventable cause of death in the world

  • We anticipate that the systematic review will synthesise evidence, including network characteristics, that social network structures can influence behaviour such as tobacco use

  • An expected strength of the review will be its ability to examine the relationship between social network structure, social network position and tobacco use across all age groups, and potentially different cultures and demographics

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Summary

Methods

This systematic review will follow the Preferred Reporting Items for Systemic Reviews and Meta-Analyses (PRISMA) guidelines [46]. As per the PRISMA guidelines, data will be extracted from each study that meets the inclusion criteria, including: participants; interventions; comparisons; outcomes; study design (PICOS); social network analysis methodology, follow-up period; and funding source [45,46]. Analysis Qualitative, quantitative and mixed-method data that meets the inclusion criteria for the review, including methodological rigour, credibility and quality standards as outlined, will be described and synthesized using narrative synthesis [48]. This approach is used to synthesise the evidence relevant to the research questions, summarising and explaining the findings of included studies. Meta-analysis and pooling of statistical results will not be undertaken in this instance

Discussion
Background
Limitations
17. World Health Organization
21. Krohn MD
30. Alexander M
35. Valente T
Findings
39. Christakis NA
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