title: The Prevalence and Predictors of Cigarette Smoking among Secondary School Students in Nigeria.
abstract: OBJECTIVE
  This study was carried out to determine the prevalence of smoking among secondary school students and identify factors that influence smoking amongst them.
  
  
  METHODS
  This descriptive and explorative study was conducted among 1,183 secondary school students, selected by multistage sampling from each of the 6 geopolitical zones in Nigeria. Data was collected by using interviewer administered structured questionnaires.
  
  
  RESULTS
  This study recorded a lifetime smoking prevalence of 26.4% and current smoking prevalence of 17.1% among secondary school students in Nigeria. Most (82%) of the students had seen warnings against smoking and most of them were aware that it is possible for cigarette smoking to damage body organs. Unfortunately, however, seeing such warnings had no significant effect on their decision to smoke or not. The students who smoke were introduced to smoking mainly by their friends (67.4 %), and the television (13.4%). Smoking habits of the respondents were influenced by parents' educational status (p<0.05), having friends who smoke (p<0.05) and living with a smoker (p<0.05).
  
  
  CONCLUSIONS
  Over a quarter of secondary school students had ever smoked. Peer pressure was the main reason cited by respondents for initiating smoking. It is suggested that our smoking prevention programmes be reviewed and appropriate health education and smoking cessation programmes be developed and implemented in order to prevent and control smoking among Nigerian students.
authors.affiliation: Department of Community Health, College of Medicine, University of Lagos, Lagos, Nigeria.
authors.forename: K A
authors.initials: KA
authors.lastname: Odeyemi
authors.forename: A
authors.initials: A
authors.lastname: Osibogun
authors.forename: A O
authors.initials: AO
authors.lastname: Akinsete
authors.forename: L
authors.initials: L
authors.lastname: Sadiq
mesh_terms: D006266:Health Education; D006801:Humans; D009549:Nigeria / Q000453:epidemiology; D015995:Prevalence; D012907:Smoking / Q000453:epidemiology; D013334:Students