title: The relationship between secondhand smoke exposure, pro-tobacco social influences, and smoking susceptibility among nonsmoking Zambian adolescents.
abstract: BACKGROUND
  We tested the hypothesis that the extent of secondhand smoke (SHS) exposure among nonsmoking adolescents would be associated with their overall exposure to pro-tobacco social influences.
  
  
  METHODS
  Data were analyzed using descriptive and multivariate methods from the 2011 Zambia Global Youth Tobacco Survey.
  
  
  RESULTS
  The odds of SHS exposure increased with increasing exposure to pro-tobacco advertisements. About 39.5% of the gap in SHS exposure between nonsmokers with low versus high smoking susceptibility was attributable to differences in parental or peer smoking.
  
  
  CONCLUSIONS
  Sustained efforts are needed to denormalize tobacco use in order to reduce youth susceptibility to tobacco use.
authors.affiliation: 1Center for Global Tobacco Control, Harvard School of Public Health, Boston, Massachusetts, USA.
authors.forename: Israel Terungwa
authors.initials: IT
authors.lastname: Agaku
authors.forename: Tino
authors.initials: T
authors.lastname: Maliselo
authors.forename: Olalekan A
authors.initials: OA
authors.lastname: Ayo-Yusuf
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002648:Child; D005260:Female; D015438:Health Behavior; D006306:Health Surveys; D006801:Humans; D008297:Male; D008402:Mass Media; D015999:Multivariate Analysis; D010290:Parents / Q000523:psychology; D010379:Peer Group; D010565:Persuasive Communication; D012907:Smoking / Q000453:epidemiology / Q000523:psychology*; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D012931:Social Environment; D014028:Tobacco Smoke Pollution / Q000706:statistics & numerical data*; D015024:Zambia / Q000453:epidemiology
chemical_list: D014028:Tobacco Smoke Pollution
keywords: adolescents; cigarettes; secondhand smoke; smoking; susceptibility; tobacco