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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Volume 29, Issue 2


Media exposure, interactive health literacy, and adolescents’ susceptibility to future smoking

Akira Sudo / Yoshiki Kuroda
Published Online: 2015-11-04 | DOI: https://doi.org/10.1515/ijamh-2015-0052



Few studies have investigated interactive health literacy (IHL)’s relationship with adolescents’ smoking-related behavior. This study investigated IHL’s association with adolescents’ susceptibility to future smoking.

Materials and methods:

We conducted a school-based cross-sectional study of Japanese students enrolled in public junior high school, grades 7–9 (n=1937), who completed a self-report questionnaire. Variables were grade, gender, media exposure [television (TV), internet, and magazines], IHL (interest in learning about health, understanding what they hear about health, trying to follow what is taught about health), and susceptibility to future smoking.


Significant findings were: [1] media exposure was positively associated with adolescents’ susceptibility to future smoking (TV: p<0.01, internet: p<0.01, magazines: p<0.01); [2] IHL was negatively associated with adolescents’ susceptibility to future smoking (interest in learning about health: p<0.001; understanding what they hear about health: p<0.05; trying to follow what is taught about health: p<0.001). IHL’s influence on susceptibility to future smoking was found to be marginally stronger than that of media exposure.


School health-education programs that promote adolescents’ IHL may effectively reduce adolescents’ susceptibility to future smoking.

Keywords: health literacy; mass media; smoking


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About the article

Corresponding author: Yoshiki Kuroda, Faculty of Medicine, Department of Public Health, University of Miyazaki, 5200 Kihara, Kiyotake-cho, Miyazaki City, Miyazaki 889-1692, Japan, Phone: +81-985-85-0874, Fax: +81-985-85-0874, E-mail: ykuroda@med.miyazaki-u.ac.jp

Received: 2015-06-01

Accepted: 2015-08-16

Published Online: 2015-11-04

Published in Print: 2017-04-01

Funding: The authors have not received any financial support from any external agency or commercial entity.

Citation Information: International Journal of Adolescent Medicine and Health, Volume 29, Issue 2, 20150052, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2015-0052.

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