Attitudinal Factors Protective Against Youth Smoking: An Integrative Review
Article first published online: 24 JAN 2014
© 2014 Sigma Theta Tau International
Journal of Nursing Scholarship
Volume 46, Issue 3, pages 167–175, May 2014
How to Cite
Arens, C. R., White, T. L. and Massengill, N. (2014), Attitudinal Factors Protective Against Youth Smoking: An Integrative Review. Journal of Nursing Scholarship, 46: 167–175. doi: 10.1111/jnu.12065
- Issue published online: 5 MAY 2014
- Article first published online: 24 JAN 2014
- Manuscript Accepted: 1 DEC 2013
- sense of coherence;
- health promotion
This review examines recent literature with the purpose of uncovering associations between attitudinal factors and smoking among youth populations.
Organizing Construct and Methods
Researchers conducted an integrative review of the literature in late 2012 and early 2013. As inclusion criteria, potential articles were measured against the following statement: “There is valid evidence of (an) attitudinal factor(s) potentially associated with smoking among youth.”
Researchers employed the salutogenic model as a theoretical framework to analyze search results. The narrative synthesis indicates that primary attitudinal factors protective against smoking among youth include the following: (a) a perception that there is little benefit to smoking, (b) a belief that smoking is likely harmful and addictive in the short term, and (c) a denial that smoking provides stress abatement, makes one look cool or more grown-up, or is common and accepted. Moreover, research signals that youth who smoke often demonstrate essentially the opposite beliefs and attitudes.
Findings suggest attitudinal factors play a role in protection against youth smoking. Those youth who assign realistic values to smoking risks and benefits are more equipped to engage in the health-protective behavior of not smoking. Youth, adolescents, and young adults appear vulnerable to inappropriate designation of risk and benefit values of smoking. Theoretical interpretation suggests that bolstering attitudinal factors during youth might counteract immature risk assessment. These findings justify further research related to protective mechanisms against youth smoking and youth-based smoking prevention interventions.
The establishment of associations between attitudinal factors and protection against smoking can help determine interventions effective in reducing smoking among youth.