@article{Sabbagh_H-2022_92956,
title = {Cigarettes' use and capabilities-opportunities-motivation-for-behavior model: a multi-country survey of adolescents and young adults},
author = {Sabbagh, H. and Abdelaziz, W. and Quritum, M. and Alkhateeb, N. and Abourdan, J. and Qureshi, N. and Qureshi, S. and Hamoud, A. and Mahmoud, N. and Odeh, R. and Al-Khanati, N. and Jaber, R. and Balkhoyor, A. and Shabi, M. and Folayan, M. and Alade, O. and Gomaa, N. and Alnahdi, R. and Mahmoud, N. and El Wazziki, H. and Alnaas, M. and Samodien, B. and Mahmoud, R. and Abu Assab, N. and Saad, S. and Alhachim, S. and El Tantawi, M.},
month = {jul},
year = {2022},
abstract = {The use of cigarettes among adolescents and young adults (AYA) is an important issue. This study assessed the association between regular and electronic-cigarettes use among AYA and factors of the Capability-Motivation-Opportunity-for-Behavior-change (COM-B) model. A multi-country survey was conducted between August-2020 and January-2021, Data was collected using the Global-Youth-Tobacco-Survey and Generalized-Anxiety-Disorder-7-item-scale. Multi-level logistic-regression-models were used. Use of regular and electronic-cigarettes were dependent variables. The explanatory variables were capability-factors (COVID-19 status, general anxiety), motivation-factors (attitude score) and opportunity-factors (country-level affordability scores, tobacco promotion-bans, and smoke free-zones) controlling for age and sex. Responses of 6,989-participants from 25-countries were used. Those who reported that they were infected with COVID-19 had significantly higher odds of electronic-cigarettes use (AOR = 1.81, P = 0.02). Normal or mild levels of general anxiety and negative attitudes toward smoking were associated with significantly lower odds of using regular-cigarettes (AOR = 0.34, 0.52, and 0.75, P &lt; 0.001) and electronic-cigarettes (AOR = 0.28, 0.45, and 0.78, P &lt; 0.001). Higher affordability-score was associated with lower odds of using electronic-cigarettes (AOR = 0.90, P = 0.004). Country-level-smoking-control policies and regulations need to focus on reducing cigarette affordability. Capability, motivation and opportunity factors of the COM-B model were associated with using regular or electronic cigarettes.},
volume = {10},
journal = {Frontiers in Public Health},
publisher = {Frontiers Media},
url = {https://doi.org/10.3389/fpubh.2022.875801},
}
