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Virginia Rice


This study examined the relationship between the personal and environmental factors of parental and peer tobacco use behaviors, psychological factors of self-esteem, health risk action of experimentation of tobacco use, and different forms of tobacco use and narghile use among Yemeni American adolescents. A mid-range model of Yemeni American Adolescents-Tobacco/Narghile use (YAA-T/NU) derived from Pender's Health Promotion Model was tested. Participants consisted of 297 Yemeni American adolescents who attended one of two high schools or a teen's health clinic located in the suburb of Detroit, Michigan, ages ranging from 14 to 18 years, with a mean age of 15.73 years (S.D. = 1.28). Study measures used included the Demographic and Cultural Information, Rosenberg Self-Esteem Scale, Family and Friends Tobacco Use Scale, Tobacco Use Intention Scale, and Tobacco Use Questionnaire. Multiple regression and hierarchical logistic regression were used to examine the proposed hypotheses and the proposed model. Results revealed that educational performance and family income had a positive significant effect on self-esteem and that peer influence had a significant indirect effect on both outcomes of different forms of tobacco use and narghile use. For the model of different forms of tobacco use, age, parental smoking, and experimentation with tobacco had a positive significant effect on different forms of tobacco use, while educational performance had a negative significant effect on it. The amount of variance accounted for was 39.0%. For the narghile model, only experimentation with tobacco use had a positive significant effect on narghile use. The amount of variance accounted for was 24.0%. These findings have implications for nursing practice in the assessment and planning of culturally sensitive interventions to prevent tobacco and narghile use in Yemeni American adolescents. The findings add to the body of theoretical knowledge in nursing and the value of a mid-range theory.

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