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 < 0.001) and electronic-cigarettes (AOR = 0.28, 0.45, and 0.78, P < 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.

Rights

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) [http://creativecommons.org/licenses/by/4.0/]. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

Cite as

Sabbagh, H., Abdelaziz, W., Quritum, M., AlKhateeb, N., Abourdan, J., Qureshi, N., Qureshi, S., Hamoud, A., Mahmoud, N., Odeh, R., Al-Khanati, N., Jaber, R., Balkhoyor, A., Shabi, M., Folayan, M., Alade, O., Gomaa, N., Alnahdi, R., Mahmoud, N., El Wazziki, H., Alnaas, M., Samodien, B., Mahmoud, R., Abu Assab, N., Saad, S., Alhachim, S. & El Tantawi, M. 2022, 'Cigarettes' use and capabilities-opportunities-motivation-for-behavior model: a multi-country survey of adolescents and young adults', Frontiers in Public Health, 10, article no: 875801. https://doi.org/10.3389/fpubh.2022.875801

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Last updated: 22 August 2022
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