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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

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Sibling cigarette smoking and peer network influences on substance use potential among adolescent: a population based study

Samira Mahboubi
  • Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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/ Yahya Salimi
  • Department of Epidemiology, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
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/ Zahra Jorjoran Shushtari
  • Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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/ Hasan Rafiey
  • Social welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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/ Homeira Sajjadi
  • Corresponding author
  • Social welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Koodakyar Alley, Daneshjoo Blv., Velenjak, P.O Box: 1985713834, Tehran, Iran, Phone: +98-21-222180008, Fax: +98-21-22180115
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Published Online: 2017-12-15 | DOI: https://doi.org/10.1515/ijamh-2017-0162



Peer and parental substance use are established predictors for substance use among adolescent, little is known about influence of sibling cigarette smoking and its interaction with peer network on substance use potential that can introduce an important way for substance use prevention programs.


The aim of present study was to explore the association of sibling cigarette smoking and peer network with substance use potential among high school students in Tehran.


Data were drawn from the population-based cross-sectional study of among 650 high schools students.


Multiple linear regression was used in order to determine the adjusted association between cigarette smoking among family members, peer network, their interaction and substance use potential.


Having a sister who smokes (B = 3.19; p < 0.01) and peer network quality were associated with substance use potential (B = −0.1; p < 0.05). The increase in mean of substance use potential associated with decreases in peer network quality score is much more than in who have a sister with a cigarette smoking habit.


Having a sister who smokes interacts with peer network quality; appears to be one of the important mechanisms for adolescents’ tendency to substance use. These findings can help in a better understanding of substance use potential mechanisms, screening efforts and the formulation of prevention programs.

Keywords: adolescent; family cigarette smoking; peer network quality; substance use potential


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About the article

Received: 2017-09-19

Accepted: 2017-10-19

Published Online: 2017-12-15

Conflict of interest: The authors declare that they have no conflict of interest.

Citation Information: International Journal of Adolescent Medicine and Health, 20170162, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0162.

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