Abstract
Background: Tobacco smoking is one of the most important public health problems that may be prevented. There is limited information about its relationship with communication skills. Findings on the relationships between self-esteem and cigarette/hookah smoking are inconsistent. The aim of this study was to investigate the relationships between cigarette and hookah smoking,self-esteem and communication skills among a representative sample of high school students. Methods: In this cross-sectional study, a sample of 1321 tenth-grade students (14-17 years) was selected through multi-stage proportionally cluster sampling in Tabriz, 2017. The participants completed a self–administered multiple choice questionnaire including questions about cigarette smoking, hookah smoking, self-esteem, and communication skills. Results: After controlling for potential confounders, the results demonstrated that higher score of self-esteem protects students against being in advanced stages of cigarette smoking (odds ratio [OR] = 0.95, 95% CI: 0.92-0.99, P=0.012). However, there was no significant association between self-esteem score and the hookah smoking. Also, there was no significant association between communication skills score and cigarette and hookah smoking. Conclusion: According to our findings, self-esteem was associated with cigarette smoking, but not with hookah smoking. Furthermore, there was no statistically significant association between communication skills score and cigarette and hookah smoking.
Highlights
Adolescents smoking is associated with significant health problems and it may increase the risk factors of health problems during adulthood.[1]
Considering the inconsistency and ambiguity in the literature of the relationship between self-esteem and communication skills with cigarette and hookah smoking and, due to limited studies available in Iran, this study aimed to investigate the relationship between self-esteem and communication skills with stages of cigarette smoking and hookah use among a representative sample of adolescents
As seen in the table, gender, general risk taking behaviors, having self-injury experience, having smoker friend(s), having smoker in the family member(s), hookah smoking status, self-esteem, attitude towards smoking and average grades of previous year were statistically associated with cigarette smoking
Summary
Adolescents smoking is associated with significant health problems and it may increase the risk factors of health problems during adulthood.[1]. Findings on the relationships between self-esteem and cigarette/hookah smoking are inconsistent. The aim of this study was to investigate the relationships between cigarette and hookah smoking, self-esteem and communication skills among a representative sample of high school students. Results: After controlling for potential confounders, the results demonstrated that higher score of self-esteem protects students against being in advanced stages of cigarette smoking (odds ratio [OR] = 0.95, 95% CI: 0.92-0.99, P = 0.012). There was no significant association between self-esteem score and the hookah smoking. There was no significant association between communication skills score and cigarette and hookah smoking. Conclusion: According to our findings, self-esteem was associated with cigarette smoking, but not with hookah smoking. There was no statistically significant association between communication skills score and cigarette and hookah smoking
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