Youth smoking: prevention and awareness techniques to improve healthcare sustainability

Journal title SALUTE E SOCIETÀ
Author/s Emilio Greco, Eliseo Sciarretta, Riccardo Mancini, Riccardo Sebastiani
Publishing Year 2025 Issue 2025/2 Suppl.
Language English Pages 12 P. 11-22 File size 362 KB
DOI 10.3280/SES2025-19152
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This manuscript, starting from scientific evidence linking cigarette smoking with the occurrence of genetic mutations and increased risk of cancer, aims to investigate the motivations behind the growing tobacco consumption among adolescents. As the costs of healthcare systems are always rising, solutions are needed to improve sustainability, by aiming at prevention and awareness programs. Through a survey addressed to students, the authors have studied the reasons behind the smoking-related behavior, in order to define the most suitable techniques for a prevention program. Results indicate that family and friends can affect the decisions of young people, so any planned intervention should target them too, through the involvement of parents and peer support groups. Equally important is the school environment. This work aims to make an important contribution to the understanding of the challenges of tobacco use among adolescents and demonstrates the effectiveness of targeted interventions to counter this issue in the school community from both a sociological and pedagogical/educational perspective.

Keywords: smoking; prevention; sustainable healthcare; youth; support group; active lifestyle.

  1. Ajzen I. (1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50:179-211. DOI: 10.1016/0749-5978(91)90020T
  2. Aldakhil A.M., Nassani A.A., Abro, M.M.Q., Zaman K. (2018). Food-beveragetobacco consumption, smoking prevalence, and high-technology exports influenced healthcare sustainability agenda across the globe. Environ Sci Pollut Res, 25: 33249–33263 2018.
  3. CDC, Centers for Disease Control and Prevention (2021). Best Practices for Comprehensive Tobacco Control Programs. 2021. Available online: https://www.cdc.gov/tobacco/stateandcommunity/guides/pdfs/2014/comprehen sive.pdf (last accessed on 12 June 2024).
  4. Chassin L., Presson C.C., Rose J., Sherman S.J., Davis M.J., Gonzalez J.M. (2005). Parenting Style and Smoking-Specific Parenting Practices as Predictors of Adolescent Smoking Onset. Journal of Pediatric Psychology, 30(4).
  5. Cipriano C., Zieher A.K., Strambler M.J. (2023). Apprendimento Sociale ed Emotivo: Una meta-analisi sull’efficacia e sugli esiti. Psicologia Educativa, 115(2): 337-355.
  6. Deci E.L., Ryan R.M. (1985). Intrinsic Motivation and Self-Determination in Human Behavior. New York: Plenum.
  7. Deci E.L., Ryan, R.M. (2000). The “What” and “Why” of Goal Pursuits: Human Needs and the Self-Determination of Behavior. Psychological Inquiry, 11: 227-268. DOI: 10.1207/S15327965PLI1104_0
  8. Dobbie F., Purves R., McKell J., Dougall N., Campbell R., White J., Amos A., Moore L., Bauld L. (2019). Implementation of a peer-led school based smoking prevention programme: a mixed methods process evaluation, BMC Public Health, 19.
  9. Droogers M., Jansen D., Lindert J., Saboga-Nunes L., Rudén M., Guichardon M., Zeegers Paget D. (2020). Health-related Sustainable Development Goals: countdown on alcohol use, smoking prevalence, child overweight and suicide mortality. European Journal of Public Health 2020, 30(Supplement_1): i10– i13.
  10. Horn K., Dino G., Hamilton C., Noerachmanto N., Zhang J. (2013). Peer and teacher influences on the social acceptability of smoking: A mixed-methods study among adolescents. Health Education Research, 28(4): 563-576.
  11. Hornik R., Yanovitzky I. (2003). Using theory to design evaluations of communication campaigns: the case of the National Youth Anti-Drug Media Campaign. Communication Theory, 13(2): 204-224.
  12. Hu H., Cohen G., Sharma B., Yin H., McConnell R. (2022). Sustainability in health care. Annual Review of Environment and Resources, 47(1): 173-196.
  13. Locke E.A., Latham G.P. (1990). A Theory of Goal Setting and Task Performance.
  14. Englewood Cliffs: Prentice Hall.
  15. May S., West R., Hajek P., McEwen A., McRobbie H. (2014). Social support and success in smoking cessation: An update on the effectiveness of the buddy system. Addiction Research & Theory, 22(3): 183-197.
  16. National Cancer Institute (2008). The Role of the Media in Promoting and Reducing Tobacco Use. Tobacco Control Monograph, 19. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute. NIH Pub. No. 07-6242.
  17. Prochaska J.O., DiClemente C.C. (1983). The Stages and Processes of Self-Change in Smoking: Towards an Investigative Model of Change. Journal of Consulting and Clinical Psychology, 51: 390-395. DOI: 10.1037/0022-006X.51.3.39
  18. Rooney B.L., Murray D.M. (2017). A meta-analysis of smoking prevention programs after adjustment for errors in unit of analysis. Health Education Research 2017, 13(1): 35-46. DOI: 10.1177/10901981960230010
  19. Rosenstock I. (1974). Historical Origins of the Health Belief Model. Health Education & Behavior, 2: 328-335. DOI: 10.1177/10901981740020040
  20. Soneji S., Barrington-Trimis J.L., Wills T.A. et al. (2017). Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: a systematic review and meta-analysis. JAMA Pediatr , 171:788–797.
  21. Thomas R.E., McLellan J., Perera R. (2013). School-based programmes for preventing smoking. Cochrane Database of Systematic Reviews, 4. Art. No.: CD001293.
  22. Wakefield M., Loken B., Hornik R.C (2010). Use of mass media campaigns to change health behaviour. Lancet, 376(9748): 1261-1271. DOI: 10.1016/S01406736(10)60809-
  23. WHO (2018a). Global Action Plan On Physical Activity 2018-2030. More active people for a healthier world. 2018. Available online: https://iris.who.int/bitstream/handle/10665/272722/9789241514187-eng.pdf (last accessed on 12 June 2024).
  24. WHO (2018b). WHO Global Report on Trends in Prevalence of Tobacco Use 2000–2030. 2018. Available online: https://iris.who.int/bitstream/handle/10665/375711/9789240088283-eng.pdf (last accessed on 12 June 2024).

Emilio Greco, Eliseo Sciarretta, Riccardo Mancini, Riccardo Sebastiani, Youth smoking: prevention and awareness techniques to improve healthcare sustainability in "SALUTE E SOCIETÀ" 2 Suppl./2025, pp 11-22, DOI: 10.3280/SES2025-19152