Journal of Immigrant and Minority Health

, Volume 10, Issue 6, pp 567–574 | Cite as

Correlates and Predictors of Tobacco Use Among Immigrant and Refugee Youth in a Western Canadian City

Original Paper


Background Tobacco control is a priority of the British Columbia Ministry of Health as illnesses associated with tobacco use are the leading cause of preventable death in the province. As a result of increased immigration, British Columbia’s demographic profile is becoming more diverse and necessitates approaches to health promotion and disease prevention that are culturally relevant. In order to develop culturally relevant anti-smoking messages and resources for immigrant and refugee youth, surveys were administered to 194 youth to better understand their attitudes towards smoking and to explore predictors of tobacco use. Results Twelve percent of respondents reported smoking all or part of a cigarette within the past 30 days. Male respondents were three times more likely to smoke than female respondents. Logistic regression analysis showed that immigrant and refugee youth were more likely to be non-smokers if they did not have a father who smokes, drank alcohol less frequently and had fewer close friends who smoke. Implications These findings support previous research studies that relate youth smoking to social influences and demonstrate a need to address gender differences, the confluence of smoking and drinking and the significance of family and peer pressure on smoking when designing culturally relevant anti-smoking resources.


Immigrant and refugee youth Tobacco use Minority health Tobacco control 


  1. 1.
    Citizenship & Immigration Canada. The monitor (2006). Retrieved on 9 Sept 2007 at Canada
  2. 2.
    British Columbia Ministry of Health. Tobacco control program (2006). Retrieved on 24 June 2006 at
  3. 3.
    The Tobacco Working Group-Toronto Cancer Prevention Coalition. Tobacco use: attitudes and beliefs of South Asian teens in Toronto (2001). Retrieved on 1 Feb 2005 at
  4. 4.
    Griffin KW, Botvin GJ, Scheier LM, Doyle MM, Williams C. Common predictors of cigarette smoking, alcohol use, aggression and delinquency among inner-city minority youth. Addict Behav. 2003;28(6):1141–8.PubMedCrossRefGoogle Scholar
  5. 5.
    Wiecha JM. Differences in patterns of tobacco use in Vietnamese, African-American, Hispanic, and Caucasian adolescents in Worcester, Massachusetts. Am J Prev Med. 1996;12(1):29–37.PubMedGoogle Scholar
  6. 6.
    Alexander CS, Allen P, Crawford MA, McCormick LK. Taking a first puff: cigarette smoking experiences among ethnically diverse adolescents. Ethn Health. 1999;4(4):245–57.PubMedCrossRefGoogle Scholar
  7. 7.
    Epstein JA, Botvin GJ, Diaz T. Ethnic and gender differences in smoking prevalence among a longitudinal sample of inner-city adolescents. J Adolesc Health. 1998;23(3):160–6.PubMedCrossRefGoogle Scholar
  8. 8.
    Hanson MJS. Cross-cultural study of beliefs about smoking among teenaged females. West J Nurs Res. 1999;21(5):635–51.PubMedCrossRefGoogle Scholar
  9. 9.
    Crump RL, Lillie-Blanton M. The influence of self-esteem on smoking among African-American school children. J Drug Educ. 1997;27(3):277–91.PubMedGoogle Scholar
  10. 10.
    Ma GX, Lan Y, Edwards RL, Shive SE, Chau T. Evaluation of a culturally tailored smoking prevention program for Asian American Youth. J Alcohol Drug Educ. 2004;48(3):17–39.Google Scholar
  11. 11.
    Asbridge M, Tanner J, Wortley S. Ethno-specific patterns of adolescent tobacco use and the mediating role of acculturation, peer smoking and sibling smoking. Addiction. 2005;100(9):1340–52.PubMedCrossRefGoogle Scholar
  12. 12.
    Barber JG, Bolitho F, Bertrand LD. The predictors of adolescent smoking. J Soc Serv Res. 1999;26(1):51–66.CrossRefGoogle Scholar
  13. 13.
    Byrne DG, Reinhart MI. Psychological determinants of adolescent smoking behaviour: a prospective study. Aust J Psychol. 1998;50(1):29–34.CrossRefGoogle Scholar
  14. 14.
    Flay BR, Hu FB, Richardson J. Psychosocial predictors of different stages of cigarette smoking among high school students. Prev Med. 1998;27:A9–18.PubMedCrossRefGoogle Scholar
  15. 15.
    Griffin KW, Botvin GJ, Doyle MM, Diaz T, Epstein JA. A six-year follow-up study of determinants of heavy cigarette smoking among of high-school seniors. J Behav Med. 1999;22(3):271–84.PubMedCrossRefGoogle Scholar
  16. 16.
    Killen JD, Robinson TN, Haydel KF, Hayward C, Wilson DM, Hammer LD, et al. Prospective study of risk factors for the initiation of cigarette smoking. J Consult Clin Psychol. 1997;65(6):1011–6.PubMedCrossRefGoogle Scholar
  17. 17.
    O’Loughlin J, Renaud L, Paradis G, Meshefedjian G, Zhou X. Prevalence and correlates of early smoking among elementary schoolchildren in multiethnic, low-income inner-city neighborhoods. Ann Epidemiol. 1998;8:308–18.PubMedCrossRefGoogle Scholar
  18. 18.
    O’Loughlin J, Paradis G, Renaud L, Gomez LS. One-year predictors of smoking initiation and of continued smoking among elementary school children in multiethnic, low-income, inner-city neighbourhoods. Tob Control. 1998;7:268–75.PubMedGoogle Scholar
  19. 19.
    Piko B. Smoking in adolescence: do attitudes matter? Addict Behav. 2001;26(2):201–17.PubMedCrossRefGoogle Scholar
  20. 20.
    Simons-Morton B, Crump AD, Haynie DL, Saylor KE, Eitel P, Yu K. Psychosocial, school, and parent factors associated with recent smoking among early-adolescent boys and girls. Prev Med. 1999;28(2):138–48.PubMedCrossRefGoogle Scholar
  21. 21.
    Wang MQ, Eddy JM, Fitzhugh EC. Smoking acquisition: peer influence and self selection. Psychol Rep. 2000;86:1241–6.PubMedCrossRefGoogle Scholar
  22. 22.
    Valois RF, Dowda M, Trost S, Weinrich M, Felton G, Pate RR. Cigarette smoking experimentation among rural fifth grade students. Am J Health Behav. 1998;22(2):101–7.Google Scholar
  23. 23.
    Gritz ER, Prokhorov AV, Suchanek Hudmon K, Mullin Jones M, Rosenblum C, Chang CC, et al. Predictors of susceptibility to smoking and ever smoking: a longitudinal study in a triethnic sample of adolescents. Nicotine Tob Res. 2003;5(4):493–606.PubMedCrossRefGoogle Scholar
  24. 24.
    Tomori M, Zalar B, Kores-Plesnicar B, Ziherl S, Stergar E. Smoking in relation to psychosocial risk factors in adolescents. Eur Child Adolesc Psychiatry. 2001;10(2):143–50.PubMedCrossRefGoogle Scholar
  25. 25.
    Guthrie BJ, Young AM, Boyd CJ, Kintner EK. Dealing with daily hassles: smoking and African-American adolescent girls. J Adolesc Health. 2001;29(2):109–15.PubMedCrossRefGoogle Scholar
  26. 26.
    Simantov E, Schoen C, Klein JD. Health-compromising behaviors: why do adolescents smoke or drink? Identifying underlying risk and protective factors. Arc Pediatr Adolesc Med. 2000;154(10):1025–33.Google Scholar
  27. 27.
    Austin SB, Gortmaker SL. Dieting and smoking initiation in early adolescent girls and boys. A prospective study. Am J Pub Health. 2001;91(3):446–51.PubMedGoogle Scholar
  28. 28.
    Crisp AH, Sedgwick P, Halek C, Joughin N, Humphrey H. Why may teenage girls persist in smoking? J Adolesc. 1999;22(5):657–72.PubMedCrossRefGoogle Scholar
  29. 29.
    Wiseman CV, Turco RM, Sunday SR, Halmi KA. Smoking and body image concerns in adolescent girls. Int J Eat Disord. 1997;24(4):429–33.CrossRefGoogle Scholar
  30. 30.
    Chassin L, Presson CC, Todd M, Rose JS, Sherman SJ. Maternal socialization of adolescent smoking: the intergenerational transmission of parenting and smoking. Dev Psychol. 1998;34(6):1189–201.PubMedCrossRefGoogle Scholar
  31. 31.
    Pederson LL, Koval JJ, O’Connor K. Are psychosocial factors related to smoking in grade-6 students? Addict Behav. 1997;22(2):169–81.PubMedCrossRefGoogle Scholar
  32. 32.
    Patton GC, Hibbert M, Rosier MJ, Carlin JB, Caust J, Bowes G. Is smoking associated with depression and anxiety in teenagers? Am J Pub Health. 1996;86(2):225–30.PubMedCrossRefGoogle Scholar
  33. 33.
    Health Canada. Canadian tobacco use monitoring survey 2005. Retrieved on 1 Dec 2006
  34. 34.
    Georgiades K, Boyle MH, Duku E, Racine Y. Tobacco use among immigrant and nonimmigrant adolescents: individual and family level influences. J Adolesc Health. 2006;38:443.e1–e7.CrossRefGoogle Scholar
  35. 35.
    The Global Youth Tobacco Survey Collaborative Group. Tobacco use among youth: a cross country comparison. Tob Control. 2002;11:252–70.CrossRefGoogle Scholar
  36. 36.
    Health Canada 2005. Canadian tobacco use monitoring survey. Retrieved on 1 June 2007 at
  37. 37.
    Cotton S, Zebracki K, Rosenthal SL, Tsevat J, Drotar D. Religion/spirituality and adolescent health outcomes: a review. J Adolesc Health. 2006;38:472–80.PubMedCrossRefGoogle Scholar
  38. 38.
    Rew L, Wong YJ. A systematic review of associations among religiosity/spirituality and adolescent health attitudes and behaviors. J Adolesc Health. 2006;38:433–42.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.AMES (Access to Media Education Society)Galiano IslandCanada
  2. 2.Immigrant Services Society of B.C.VancouverCanada
  3. 3.Division of Midwifery, Faculty of MedicineUniversity of British ColumbiaVancouverCanada

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