Learning Objectives: Identify significant predictors of tobacco use in Arab American 9th Graders using the Arab American Tobacco Use Model (AA-TUM).
Abstract: Tobacco use in Arab American adults is among the highest in the world (WHO, 1999); less is known about tobacco use rates in Arab American teens. This randomized, community-based intervention study is designed to determine tobacco use patterns, the forces that contribute to tobacco use, and to evaluate the effectiveness of a tobacco prevention/cessation intervention. Seven hundred eighty four 9th grade, Arab American 14-18 year olds constitute the sample. Fifty-three percent are male; average age was 14.6 years (SD=0.8); 51% percent were immigrants; and 93% of parents were born in Arab countries. Thirty-seven percent of fathers and 23% of mothers reportedly smoked. Bivariate and multivariate logistic regressions were used to examine 24 predictors in a proposed Arab American Tobacco Use Model. Success of the three regression models (‘Smoked one or more cigarettes in the past 30 days’, ‘Ever smoked a cigarette’, and ‘Risk for habitual use’) demonstrated a good fit with classifications of 98%, 81%, and 85% respectively. The most important predictors included social environmental factors (mothers born in the US, brothers who smoke, and buddies who smoke). Youth whose mothers were born in the US were 7.6 times more likely to have smoked in the past 30 days. Those with one or more close friends who smoked were 3.18 times more likely to have smoked in the past 30 days and 3.94 times more likely to be at risk for habitual tobacco use. Peer and family tobacco use are powerful predictors of Arab American adolescent tobacco use.
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