@article{2984179, title = "Smoking among high school students", author = "Heras, P. and Kritikos, K. and Hatzopoulos, A. and Kritikos, N. and Mitsibounas, D.", journal = "The American Journal of Drug and Alcohol Abuse", year = "2008", volume = "34", number = "2", pages = "219-224", issn = "0095-2990, 1097-9891", doi = "10.1080/00952990701877151", keywords = "adolescent; adult; article; female; Greece; health hazard; high school student; human; major clinical study; male; parental smoking; smoking; smoking habit; social aspect, Adolescent; Female; Greece; Humans; Male; Risk Factors; Sex Distribution; Smoking; Social Environment; Students", abstract = "Introduction: There are no recent data on smoking habits of high-school students in Greece. The primary objective of the study was to determine these epidemiological factors. Methods: The smoking habits of 927 high-school students (471 boys and 456 girls), aged between 15-18 years, in four regions of a Greek area (the island of Cos), were examined. Study data were collected using a questionnaire. Results: It was found that 32.48% of boys and 27.19% of girls are smokers; 43.3% had started smoking before the age of 14. The mean age for starting smoking was 14.4 ± 1.9 years for the boys and 14.9 ± 1.6 years for the girls. As many as 22.8% of the students smoke 6 to 10 cigarettes per day and 21.5% 16 to 20 cigarettes per day; 40.2% reported that they smoke out of spite. Students reported that their parents are aware that their offspring smoke in a proportion of 36.7%. Social standards and parental example were found to be the main determinants for starting smoking. The majority of the students (95.2%) stated that they are aware of the hazards associated with smoking. Discussion: Our findings highlight the need for smoking control interventions aimed at young people. Smoking is a major, yet preventable cause of morbidity and mortality. For these reasons, we view that adolescents should be targeted with a well-planned integrated anti-smoking policy and not just an initiative for raising awareness of smoking hazards. Copyright © Informa Healthcare USA, Inc." }