TY - JOUR
T1 - Exploring the Association between Suicidality and Smoking Behavior among School-Based Children in Lao People’s Democratic Republic (PDR)
AU - Kim, Harris Hyun soo
AU - Kim, Hyun Jin
AU - Kim, Eun Mee
N1 - Funding Information:
This study was supported by the National Research Foundation of Korea [NRF-2014-2014S1A5A2A03066021] and the Bill & Melinda Gates Foundation.
Publisher Copyright:
© 2019, © 2019 Taylor & Francis Group, LLC.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - This study examines the relationship between suicidality and smoking behavior. Specifically, it examines how and the degree to which suicide ideation and plan are associated with the probability of being a regular smoker among school-based children. Data come from Lao Student Health Survey (2017), a project funded by the National Research Foundation of Korea. Using primary hierarchically nested data (students clustered in classrooms across schools), we investigate the complex interplay between suicidality and smoking behavior in Lao PDR, a low-income country located in Southeast Asia. Results from fitting two-level random intercept models show that net of controls (e.g., gender, age, parental regulation, self-rated health, household SES), the likelihood of daily smoking is higher among students who have seriously considered committing suicide or have planned a suicide attempt. Controlling for individual-level factors, significant classroom-level contextual effects are also found with respect to peer relations. Finally, we observe a cross-level interaction: the positive association between suicide intent and odds of smoking is weaker in classrooms with better peer relations.
AB - This study examines the relationship between suicidality and smoking behavior. Specifically, it examines how and the degree to which suicide ideation and plan are associated with the probability of being a regular smoker among school-based children. Data come from Lao Student Health Survey (2017), a project funded by the National Research Foundation of Korea. Using primary hierarchically nested data (students clustered in classrooms across schools), we investigate the complex interplay between suicidality and smoking behavior in Lao PDR, a low-income country located in Southeast Asia. Results from fitting two-level random intercept models show that net of controls (e.g., gender, age, parental regulation, self-rated health, household SES), the likelihood of daily smoking is higher among students who have seriously considered committing suicide or have planned a suicide attempt. Controlling for individual-level factors, significant classroom-level contextual effects are also found with respect to peer relations. Finally, we observe a cross-level interaction: the positive association between suicide intent and odds of smoking is weaker in classrooms with better peer relations.
KW - Laos
KW - peer relations
KW - Smoking behavior
KW - suicide intent
KW - suicide plan
UR - http://www.scopus.com/inward/record.url?scp=85078632072&partnerID=8YFLogxK
U2 - 10.1080/02791072.2019.1707914
DO - 10.1080/02791072.2019.1707914
M3 - Article
C2 - 31888423
AN - SCOPUS:85078632072
SN - 0279-1072
VL - 52
SP - 46
EP - 55
JO - Journal of Psychoactive Drugs
JF - Journal of Psychoactive Drugs
IS - 1
ER -