Cigarette Initiation Among Chinese Male Teenagers in Early Smoking Interactions

Vivian C SHEER*, Chang Mao

*Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

3 Citations (Scopus)
25 Downloads (Pure)


To collect in-depth information regarding cigarette initiation interactions in the early smoking experimentation among male youth in China, twenty focus groups with male teenagers (N = 165) were conducted. Focus group discussions indicated a high prevalence of cigarette initiation among peers, and such initiation often translated into immediate smoking. Of the identified cigarette initiation appeals, “face” and normative pressure appeals were the most difficult to reject. Upon first initiation attempts, more teenagers accepted cigarettes than rejected them. The reasons behind both cigarette initiation and acceptance primarily related to facilitating social interaction. Upon being rejected, initiating teenagers (agents) who insisted on offering cigarettes often gained compliance. Profiles of peer agents were constructed in this study. Key practical implications suggest simultaneously prioritizing efforts to reduce cigarette initiation and encouraging cigarette refusal.

Original languageEnglish
Pages (from-to)392-400
Number of pages9
JournalHealth Communication
Issue number4
Publication statusPublished - 3 Apr 2018

Scopus Subject Areas

  • Health(social science)
  • Communication


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