Family Context Factors and the Risk of Smoking among Male Adolescents in Saudi Arabia

Background: Smoking behavior is related to numerous factors, including psychosocial parameters. This studyinvestigated the association between family context factors and smoking among male adolescents. Materials and
Methods: A cross-sectional, school-based study was conducted during 2014. The study sampled 900 studentsfrom intermediate and secondary schools in Madinah City, Saudi Arabia. Data concerning smoking status,sociodemographic, parental and friends’ smoking behavior, and family factors were collected using a selfadministeredquestionnaire. These data were employed to estimate the prevalence of smoking using appropriatestatistical analyses including multivariate logistic regression.
Results: Of 900 students, 870 completed the studyquestionnaire (96.7%). Of the respondents, 181 students (20.8%, 95% CI=18.1%-23.5%) were current smokers,and a much higher prevalence was observed among adolescents with most or all of their friends smoking (48.1%)and those living with neither parent (47.4%). The adjusted risk of smoking increased significantly amongadolescents who lived with neither parent (OR=3.3; 95% CI=1.1-9.2) and among those who reported little orno parental supervision (OR=1.5; 95% CI=1.0-2.1).
Conclusions: Family context factors are associated with anincreased risk of smoking behavior among male adolescents in Saudi Arabia.