Development and psychometric evaluation of the smoking attitude scale in adolescents

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-05-21 DOI:10.1016/j.puhe.2025.105757

Cahide Çevik , Yasemen Yalçınkaya , Safiye Karavar

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引用次数: 0

Abstract

Objectives

Smoking addiction poses a major public health risk, with its onset frequently occurring during adolescence. Attitudes toward smoking significantly influence the development of smoking addiction, making the assessment of these attitudes essential for effective prevention and intervention strategies. This study aimed to develop a scale for assessing adolescents' attitudes toward smoking and to evaluate its psychometric properties.

Study design

This study employs a methodological framework for developing and validating a measurement scale.

Methods

The study was conducted among 10th and 11th-grade students at high schools. Data were collected from 602 high school students between February 19 and February 29, 2024. The students' mean age was 15.83 ± 0.74 years, with 58.8 % (n = 354) being female and 41.2 % (n = 248) male. The proportion of students who smoked was 11 % (n = 66). Among non-smokers, 36.4 % (n = 195) had attempted smoking. The mean age at which smokers began smoking was 14 ± 1.50 years. The selection of candidate items was based on a comprehensive literature review and focus group discussions with adolescents. The factor structure of the scale was analyzed using exploratory and confirmatory factor analyses across different sample groups. Convergent and discriminant validity were examined, and reliability was assessed through Cronbach's α coefficients, corrected item-total correlations, and test-retest analysis.

Results

Exploratory factor analysis revealed that the Smoking Attitude Scale consists of three factors comprising 15 items, which focus on health risks, social influences, and peer pressure, accounting for 62.50 % of the total variance. Confirmatory factor analysis supported this structure. Both convergent and discriminant validity were established. The scale demonstrated high reliability, with an overall Cronbach's α value of 0.90, and factor values of 0.88, 0.78, and 0.84. Composite reliability scores for the factors were 0.88, 0.81, and 0.83, respectively.

Conclusions

The Smoking Attitude Scale is a valid and reliable instrument for evaluating adolescents' attitudes toward smoking.

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青少年吸烟态度量表的编制与心理测量学评价

目的吸烟成瘾是一项重大的公共健康风险，其发病往往发生在青少年时期。对吸烟的态度显著影响吸烟成瘾的发展，因此对这些态度的评估对于有效的预防和干预策略至关重要。本研究旨在编制青少年吸烟态度量表，并评估其心理测量特性。研究设计本研究采用方法学框架来开发和验证测量量表。方法以高中10年级和11年级学生为研究对象。数据是在2024年2月19日至2月29日期间从602名高中生中收集的。学生平均年龄为15.83±0.74岁，其中女性占58.8% (n = 354)，男性占41.2% （n = 248）。学生吸烟的比例为11% （n = 66）。在非吸烟者中，36.4% （n = 195）曾尝试吸烟。吸烟者开始吸烟的平均年龄为14±1.50岁。候选项目的选择是基于全面的文献综述和与青少年的焦点小组讨论。采用探索性因子分析和验证性因子分析对不同样本组的量表因子结构进行分析。检验了收敛效度和判别效度，并通过Cronbach's α系数、校正的项目-总相关和重测分析来评估信度。结果探索性因子分析显示，吸烟态度量表由健康风险、社会影响和同伴压力3个因素组成，共15个条目，占总方差的62.50%。验证性因子分析支持这一结构。建立了收敛效度和判别效度。量表具有较高的信度，总体Cronbach’s α值为0.90，因子值为0.88、0.78和0.84。各因子的综合信度得分分别为0.88、0.81、0.83。结论吸烟态度量表是评价青少年吸烟态度的有效、可靠的工具。

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.