Abstract

The purpose of this study was to examine the stage of secondhand smoke avoidance behavior of adolescents in rural areas of Vietnam and the related factors affecting such behavior. The participants were recruited from two middle schools located in Hai Thuong and Trieu Trach commune, Vietnam. Data were collected in January 2016 by distributing and collecting a self-administrated questionnaire. The collected data were analyzed (n = 166) using SPSS 21.0 for frequency, percentage, and ordinal logistic regression. The largest proportion of secondhand smoke avoidance behavior was classified in maintenance (41.6%), followed by action (19.9%), preparation (15.1%), pre-contemplation (13.3%), and contemplation (10.2%) stages. The factors related to higher secondhand smoke avoidance behavior were higher self-efficacy (p = 0.003) and more frequent discussion with parents about dangers of smoking (p = 0.001). The findings indicated that self-efficacy of avoiding secondhand smoke and discussion with parents were associated with secondhand smoke avoidance behavior of adolescents. These findings can be used for developing education programs to prevent secondhand smoke for adolescents in Vietnam.

Highlights

  • Secondhand smoking (SHS), known as environmental tobacco smoking, is the inhalation of smoke by a nonsmoker, released from the burning tobacco or exhaled by the smoker

  • The smoking rate among adolescents aged 13–15 years was found to be low at 2.3%, but the percentage experiencing SHS during the week was 73.7%; the majority of adolescents were found to be exposed to SHS [3]

  • The purpose of this study was to examine the stage of SHS avoidance behavior of adolescents in rural areas of Vietnam and related factors affecting this behavior

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Summary

Introduction

Secondhand smoking (SHS), known as environmental tobacco smoking, is the inhalation of smoke by a nonsmoker, released from the burning tobacco or exhaled by the smoker. In Vietnam, 23.8% of adults over the age of 15 are smokers, making it one of the countries with the highest smoking rate [2]. The smoking rate in Vietnam was found to be significantly higher in males (47.4%) than in females (1.4%), but there was no significant difference between rural (24%) and urban areas (23.3%). The total rate of SHS among adults within households was found to be 73.1%, and the rate was higher in rural areas (77.4%) compared to urban areas (63.3%) [2]. The smoking rate among adolescents aged 13–15 years was found to be low at 2.3%, but the percentage experiencing SHS during the week was 73.7%; the majority of adolescents were found to be exposed to SHS [3]

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