Document Type : Original Article
Authors
- . Reza Sadeghi
- . Seyed Saeed Mazloomy Mahmoodabad
- . Hossein Fallahzadeh 1
- . Mohsen Rezaeian 2
- . Reza Bidaki 3
- . Narges Khanjani 4
1 tatistics and Epidemiology, School of Public Health, Research Center of Prevention and Epidemiology of Non‑Communicable Disease, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2 Department of Epidemiology and Biostatistics, Occupational Environmental Research Center, Rafsanjan Medical School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
3 Research Center of Addiction and Behavioral Sciences, Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4 Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
Abstract
BACKGROUND: Smoking hookahs is one of the most preventable risk factors for non communicable
diseases. It is also considered as the gateway to youth addiction. Planning and training to prevent
this health problem is considered an important priority. The aim of this study was to determine the
predictive factors for preventing hookah smoking (PHS) in the youth of Sirjan city, based on the
protection motivation theory (PMT).
MATERIALS AND METHODS: This research was a cross‑sectional study conducted in 2018, and
participants were chosen by simple random sampling. Data were collected by a researcher‑made
questionnaire which was valid and reliable and was designed based on the PMT constructs. This
questionnaire was completed by 280 young people in Sirjan, Iran. Data were analyzed through
descriptive statistics, Pearson correlation coefficients, and linear regression.
RESULTS: Pearson correlation coefficients showed that there was a significant correlation between
protection motivation and the structures of the PMT, except for the response cost structure.
The strongest correlation was between protection motivation and self‑efficacy (r = 0.502) and
fear (r = 0.470). The structures of the PMT predicted 36.5% of PHS, and fear (β =0.27) was the
strongest predictor of PHS.
CONCLUSION: The results of this study show that the constructs of the PMT can partially predict
PHS. This theory can be used as a tool for designing and implementing educational interventions to
prevent hookah smoking among the youth.
Keywords
disease worldwide. Thorac Surg Clin 2013;23:103‑12.
2. Lovato C, Watts A, Stead LF. Impact of tobacco advertising
and promotion on increasing adolescent smoking behaviours.
Cochrane Database Syst Rev 2011;10:CD003439.
3. Coleman BN, Johnson SE, Tessman GK, Tworek C, Alexander J,
Dickinson DM, et al. “It’s not smoke. It’s not tar. It’s not 4000
chemicals. Case closed”: Exploring attitudes, beliefs, and
perceived social norms of e‑cigarette use among adult users. Drug
Alcohol Depend 2016;159:80‑5.4. Sadeghi R, Mahmoodabad SS, Fallahzadeh H, Rezaeian M,
Bidaki R, Khanjani N. A systematic review about educational
interventions aimed to prevent hookah smoking. Int J Ayurvedic
Med 2019;10:14‑21.
5. Pirdehghan A, Aghakoochak A, Vakili M, Poorrezaee M.
Determination of predicting factors of hookah smoking
among pre‑university students in Yazd in 2015. Pajouhan Sci J
2016;15:28‑36.
6. Arazi H, Hosseini R, Rahimzadeh M. Comparison of cigarette and
hookah smoking between physical education and non‑physical
education students. J Jahrom Univ Med Sci 2013;11:57‑63.
7. Minaker LM, Shuh A, Burkhalter RJ, Manske SR. Hookah use
prevalence, predictors, and perceptions among Canadian youth:
Findings from the 2012/2013 youth smoking survey. Cancer
Causes Control 2015;26:831‑8.
8. Dehdari T, Jafari A, Joveyni H. Students’ perspectives in Tehran
University of Medical Sciences about factors affecting smoking
hookah. Razi J Med Sci 2012;19:17‑24.
9. Momtazi S, RawsonR. Substance abuse among Iranian high school
students. Curr Opin Psychiatry 2010;23:221‑6.
10. Poyrazoğlu S, Sarli S, Gencer Z, Günay O. Waterpipe (narghile)
smoking among medical and non‑medical university students in
Turkey. Ups J Med Sci 2010;115:210‑6.
11. Anjum Q, Ahmed F, Ashfaq T. Knowledge, attitude and
perception of water pipe smoking (Shisha) among adolescents
aged 14‑19 years. J Pak Med Assoc 2008;58:312‑7.
12. Agha MT, Eftekhar H, Mohammad K. Application of health
belief model to behavior change of diabetic patients. Payesh
2005;4:263‑9.
13. CrosslerRE, editor. Protection Motivation Theory: Understanding
Determinants To Backing up Personal Data. 43rd Hawaii
International Conference on System Sciences. IEEE; 2010.
14. Tsai HS, Jiang M, Alhabash S, LaRose R, Rifon NJ, Cotten SR.
Understanding online safety behaviors: A protection motivation
theory perspective. Comput Secur 2016;59:138‑50.
15. Rippetoe PA, Rogers RW. Effects of components of
protection‑motivation theory on adaptive and maladaptive
coping with a health threat. J Pers Soc Psychol 1987;52:596‑604.
16. Norman P, Conner M. Predicting and changing health behaviour:
Future directions. Predicting Health Behav 2005;2:324‑71.
17. Yan Y, Jacques‑Tiura AJ, Chen X, Xie N, Chen J, Yang N, et al.
Application of the protection motivation theory in predicting
cigarette smoking among adolescents in China. Addict Behav
2014;39:181‑8.
18. Sabahy AR, Divsalar K, Nakhaee N. Attitude of university
students towards waterpipe smoking: Study in Iran. Addict
Health 2011;3:9‑14.
19. Fakhari A, Mohammadpoorasl A, Nedjat S, Sharif Hosseini M,
Fotouhi A. Hookah smoking in high school students and its
determinants in Iran: A longitudinal study. Am J Mens Health
2015;9:186‑92.
20. Macdonell K, ChenX, YanY, Li F, Gong J, Sun H, et al. A protection
motivation theory‑based scale for tobacco research among
Chinese youth. J Addict Res Ther 2013;4:154.
21. Mazloomy Mahmoodabad SS, Sadeghi R, Fallahzadeh H,
Rezaeian M, Bidaki R, Khanjani N. Validity and reliability of the
preventing hookah smoking (PHS) questionnaire in adolescents
based on the protection motivation theory. Int J Pediatr
2018;6:8327‑37.
22. Martinasek MP, McDermott RJ, Martini L. Waterpipe (hookah)
tobacco smoking among youth. Curr Probl Pediatr Adolesc Health
Care 2011;41:34‑57.
23. Sadeghi R, Mahmoodabad SS, Fallahzadeh H, Rezaeian M,
Bidaki R, Khanjani N. Readability and suitability assessment of
adolescent education material in preventing hookah smoking. Int
J High Risk Behav Addiction 2019; 8: e83117.
24. Jahanpour F, Vahedparast H, Ravanipour M, Azodi P. The trend
of hookah use among adolescents and youth: A qualitative study.
J Qual Res Health Sci 2015;3:340‑8.
25. Morowati Sharifabad MA, Momeni Sarvestani M, Barkhordari
Firoozabadi A, Fallahzadeh H. Predictors of unsafe driving in
Yazd city, Based on protection motivation theory in 2010. Horizon
Med Sci 2012;17:49‑59.
26. Lowe JB, Borland R, Stanton WR, Baade P, White V, Balanda KP.
Sun‑safe behaviour among secondary school students in
Australia. Health Educ Res 2000;15:271‑81.
27. Zare Sakhvidi MJ, Zare M, Mostaghaci M, Mehrparvar AH,
Morowatisharifabad MA, Naghshineh E. Psychosocial predictors
for cancer prevention behaviors in workplace using protection
motivation theory. Adv Prev Med 2015;2015:467498.
28. Tazval J, Ghafari M, Mohtashami Yeganeh F, Babazadeh T,
Rabati R. Efficiency of protection motivation theory on prediction
of skin cancer and sunlight preventive behaviors in farmers in
Ilam county. J Health 2016;7:656‑67.
29. Babazadeh T, Nadrian H, Banayejeddi M, Rezapour B.
Determinants of skin cancer preventive behaviors among rural
farmers in Iran: An application of protection motivation theory.
J Cancer Educ 2017;32:604‑12.
30. Mohammadi S, Baghiani Moghadam MH, Noorbala MT,
Mazloomi SS, Fallahzadeh H, Daya A. Survey about the role of
appearance concern with skin cancer prevention behavior based
on protection motivation theory. J Dermatol Cosmetic 2010;1:70‑7.
31. Hadi L. Study of determinants of lung cancer protective behaviors
in Esfahan steel company workers based on protection motivation
theory. J Toloo E Behdasht 2015;16:67‑80.
32. Plotnikoff RC, Trinh L, Courneya KS, Karunamuni N, Sigal RJ.
Predictors of aerobic physical activity and resistance training
among Canadian adults with type 2 diabetes: An application
of the protection motivation theory. Psychol Sport Exerc
2009;10:320‑8.
33. Baghianimoghaddam MH, Mohammadi S, Norbala MT,
Mazloomi SS. The study of factors relevant to skin cancer
preventive behavior in female high school students in Yazd based
on protection motivation theory. Knowledge and Health 2010;
5:10‑15.
34. Sharifirad G, Yarmohammadi P, Morowati SM, Rahayi Z. The
status of preventive behaviors regarding influenza (A) H1N1
pandemic based on protection motivation theory among female
high school students in Isfahan, Iran. Health system research
2011;7:108‑117.
35. Floyd DL, Prentice‐Dunn S, Rogers RW. A meta‐analysis of
research on protection motivation theory. J Appl Soc Psychol
2000;30:407‑29.
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