Teenage Cigarettes Smoking and the Situation in Saudi Arabia in Terms of Prevalence, Predicting and Preventing Factors, A Narrative Review


  •   Ahmad Yousif Alzahrani


Teenage smoking is a growing health issue in the Saudi population, and it could be predicted by some factors. To understand teenage smoking risk factors in our population, we reviewed the literature on related topics. A narrative review of the related literature published in the English language from 2008 to 9th July 2019 using PubMed database was performed to know the prevalence of teenage smoking, important predictors and possible preventive measures.  The prevalence of adolescent smoking was ranging from 9.2 to 20%. The main predicting factors were male gender, parental smoking, and education status, smoking peers, having pocket money and watching smoking sceneries in movies. The important preventive strategies were improving awareness, excising tax and increasing legal age of smoking to 21 years.  Our study revealed that most of the Saudi youth aged from 15-24 years started smoking at an age younger than 18 years which call for the development and implementation of preventive programs to minimize smoking initiation among teenagers.

Keywords: adolescents, cigarette, smoking, risks.


WHO Report on the Global Tobacco Epidemic 2008. Geneva-Switzerland; 2008. https://www.who.int/tobacco/mpower/2008/en/.

S. Lim, T. Vos, A. Flaxman, et al., "Comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010,'' Lancet, vol. 380(9859), pp. 2224-2260, December 2012.

K. Goldade, K. Choi, D. Bernat, E. Klein, K. Okuyemi, J. Forster,"Multilevel predictors of smoking initiation among adolescents: findings from the Minnesota Adolescent Community Cohort (MACC) Study," Prev Med (Baltim), vol. 54(3-4), pp. 242-246, March 2013.

M. Johns, R. Sacks, M. Rane,S. Kansagra, "Exposure to tobacco retail outlets and smoking initiation among New York City adolescents," J Urban Heal Bull New York Acad Med, vol. 90(6), pp. 1091-1101, 2013.

S. Veeranki, H. Mamudu, R. John, A. Ouma, "Prevalence and correlates of tobacco use among school-going adolescents in Madagascar," J Epidemiol Glob Health, vol. 5, pp. 239-247, January 2015.

M. Dahlui, N. Jahan, H. Majid, et al., "Risk and protective factors for cigarette use in young adolescents in a school setting: what could be done better?" PLoS One, vol. 10(6), pp. 1-12, June 2015.

B. Moeini, J. Poorolajal, Z. Gharghani, "Prevalence of cigarette smoking and associated risk factors among adolescents in Hamadan city, west of Iran in 2010," J Res Health Sci.,vol 12(1), pp. 31-37,February 2012.

B. Bendaou, B. Zarrouq, K. El Kinany, et al., "Risk factors and prevalence of use of different tobacco products among school adolescents in the north central region of Morocco: A cross-sectional study," Pan Afr Med J, vol. 30, pp. 1-7, May 2018.

J. Joffer, G. Burell, E. Bergström, H. Stenlund, L. Sjörs, L. Jerdén, "Predictors of smoking among Swedish adolescents," BMC Public Health, vol. 14(1269), pp. 1-9, 2014.

E. So, J. Yeo," Factors associated with early smoking initiation among Korean adolescents," Asian Nurs Res (Korean Soc Nurs Sci), vol. 9(2), pp. 115-119, January 2015.

N. Kusumawardani, I. Tarigan, A. Schlotheuber, "Socio-economic, demographic and geographic correlates of cigarette smoking among Indonesian adolescents: results from the 2013 Indonesian Basic Health Research (RISKESDAS) survey," Glob Health Action, vol. 11(1), pp. 1-9, April 2018.

H. Cremers, L. Mercken, H. Vries, A. Oenema," A longitudinal study on determinants of the intention to start smoking among Non-smoking boys and girls of high and low socioeconomic status," BMC Public Health, vol. 15(648), pp. 1-8, 2015.

A. Al-Bedah1, N. Qureshi, "The global youth tobacco survey : 2001 – 2002 in Riyadh region , the Kingdom of Saudi Arabia," Subst Abuse Rehabil, vol. 2, pp. 197-204, November 2011.

D. Alagili, H. Park, "The prevalence and determinants of tobacco use among adolescents in Saudi Arabia," J of School Health, vol. 82(3), pp. 131-138, 2012.

M. Mohammed, S. Eggers, F. Alotaiby, N. de Vries, H. de Vries, "Smoking uptake among Saudi adolescents: tobacco epidemic indicators and preventive actions needed," Glob Health Promot, vol. 25(2), pp. 6-15, July 2014.

A. Al-Makadma, M. Moynihan, S. Dobson, E. Saewyc, "Tobacco use among adolescents in Riyadh Saudi Arabia," Int J Adolesc Med Health, vol. 27(3), pp. 357-360, 2015.

A. Al-Zalabani, "Family context factors and the risk of smoking among male adolescents in Saudi Arabia," Asian Pacific J Cancer Prev, vol. 16(14), pp. 5847-5852, 2015.

M. Al Ghobain, M. Al Moamary, S. Al Shehri, M. AL-Hajjaj, "Prevalence and characteristics of cigarette smoking among 16 to 18 years old boys and girls in Saudi Arabia,". Ann Thorac Med, vol. 6(3), pp. 237,July 2011.

A. Al-Zalabani, K. Kasim, "Prevalence and predictors of adolescents’ cigarette smoking in Madinah, Saudi Arabia: A school-based cross-sectional study," BMC Public Health, vol. 15(1), pp. 1-7, 2015.

A. Abdalla, A. Saeed, B. Abdulrahman, A. Al-Kaabba, H. Raat, "Correlates of ever-smoking habit among adolescents in Tabuk, Saudi Arabia," East Mediterr Heal J., vol. 15(4), pp. 983-992, 2009.

A. Gaffar, R. Alsanosy, M. Mahfouz," Sociodemographic factors associated with tobacco smoking among intermediate and secondary school students in Jazan region of Saudi Arabia,'' Subst Abus, vol. 34(4), pp. 381-388, 2013.

H. Roohafza, K. Heidari, T. Alinia, "Smoking motivators are different among cigarette and waterpipe smokers : the results of ITUPP," J Epidemiol Glob Health, vol. 5, pp. 249-258, January 2015.

O. Odukoya, K. Odeyemi, A. Oyeyemi, R. Upadhyay, "Determinants of smoking initiation and susceptibility to future smoking among school-going adolescents in Lagos State, Nigeria," Asian Pac J Cancer Prev., vol. 14(3), pp. 1747-1753, 2013.

A. Selya, L. Dierker, J. Rose, D. Hedeker, R. Mermelstein, "Risk factors for adolescent smoking: parental smoking and the mediating role of nicotine dependence," Drug Alcohol Depend., vol. 124(3), pp. 311-318, August 2012.

F. Bobo, P. Thanasekaran, A. Joice, B. Yadecha, A. Alebel, "Susceptibility to cigarette smoking and associated factors among high school students in western Ethiopia," BMC Res Notes., vol. 11(1), pp. 1-5, 2018.

L. Ladusingh, P. Dhillon, P. Narzary,"Why do the youths in northeast India use tobacco?," J Environ Public Health, vol. 2017,pp. 1-7, May 2017.

C. Agu, S. Weaver,W. Abe, et al.,"Are Adolescents likely to start smoking early if their parents are smokers? a study of Jamaican high school students," Asian Pac J Cancer Prev, vol. 19(S1), pp. 25-31,2018.

D. Kim, S. Kim, "Impact of nearby smoking on adolescent smoking behavior in Korea," Med (United States), vol. 97(45), pp. 1-7, 2018.

D. Luh, H. Chen, A. Yen, et al., "Effect of self-reported home smoking restriction on smoking initiation among adolescents in Taiwan : a prospective cohort study," BMJ Open, vol.5, pp. 1-10, 2015.

J. Tucker, M. Edelen, D. Kennedy, "Resisting smoking when a best friend smokes: do intrapersonal and contextual factors matter?," J Res Adolsc, vol. 22(1), pp. 113-122, March 2012.

R. Jaber, P. Madhivanan, E. Veledar, Y. Khader, F. Mzayek, W. Maziak, "Waterpipe a gateway to cigarette smoking initiation among adolescents in Irbid , Jordan : a longitudinal study," Int J Tuberc Lung Dis, vol. 19,pp. 481-487, November 2015.

. E. Florek, K. Hunt, H. Sweeting, F. Mathis, "Smoking in movies and adolescent smoking initiation: longitudinal study in six european countries," Am J Prev Med, vol. 44(4), pp. 339-344, April 2014.

M. Farrelly, K. Kamyab, J. Nonnemaker, E. Crankshaw, J. Allen, "Movie smoking and youth initiation: parsing smoking imagery and other adult content," PLoS One, vol. 7(12), pp. 26-28, December 2012.

B. Oyewole, V. Animasahun, H. Chapman, "Tobacco use in nigerian youth: a systematic review," PLoS One, vol. 13(5), pp. 1-13, May 2018.

M. Nazir, K. Almas, "Awareness about the effects of tobacco consumption on oral health and the possibility of smoking behavior among male Saudi schoolchildren," Eur J Dent, vol. 11(1), pp. 29-35, January 2017.

M. Mohammed, S. Eggers, F. Alotaiby, N. de Vries, H. de Vries,"Effects of a randomized controlled trial to assess the six-months effects of a school based smoking prevention program in Saudi Arabia," Prev Med (Baltim), vol. 90, pp. 100-106, 2016.

S. Morain, J. Winickoff, M. Mello, "Have Tobacco 21 Laws come of age?," N Engl J Med, vol. 374(17), pp. 1601-1604, April 2016.

J. Winickoff, M. Gottlieb, M. Mello, "Tobacco 21 — an idea whose time has come," N Engl J Med, vol. 370(4), pp. 2011-2016, January 2014.

M. Al-Munif, Report on Tobacco Control Program of Ministry Of Health in Saudi Arabia. Riyadh-Saudi Arabia; 2009. http://www.sa-tcp.com/newsite/user/pdf/REPORT_ON_TCP.pdf.

M. lakeh, C. ElBcheraoui, M. Tuffaha, et al., "Tobacco consumption in the Kingdom of Saudi Arabia , 2013 : findings from a national survey," BMC Public Health, vol 15(611), 2015.

M. Sharbaugh, A. Althouse, F. Thoma, J. Lee, V. Figueredo, S. Mulukutla, "Impact of cigarette taxes on smoking prevalence from 2001-2015: A report using the Behavioral and Risk Factor Surveillance Survey (BRFSS)," PLoS One, vol. 13(9), pp. 1-10, September 2018.


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How to Cite
Alzahrani, A. (2020). Teenage Cigarettes Smoking and the Situation in Saudi Arabia in Terms of Prevalence, Predicting and Preventing Factors, A Narrative Review. European Journal of Medical and Health Sciences, 2(3). https://doi.org/10.24018/ejmed.2020.2.3.226