[Relationship of general self-efficacy, motivation and peer with refusal skills for no tobacco among adolescents].

Objective: To explore the prevalence of each of the refusal strategies (refuse, explain, leave) as they apply to tobacco offers and the relationship of self-efficacy, motivation and peer with tobacco refusal strategies.

Methods: A total of 641 students from four high schools in Baise cities, ranging in age between 14 and 21 years, filled the general self-efficacy scale, smoking motivation questionnaire, refusal strategies questionnaire and peer questionnaire.

Results: Adolescents were more likely to use the refuse (77.69%) and leave strategy (58.81%) for initial tobacco offers and follow-up tobacco offers. There were significant differences of self-efficacy scores in both refuse and leave strategy (7.169/0.000 and 7.647/0.000). Significant differences of motivation were seen in refuse strategy for initial tobacco offers and for follow-up tobacco offers (P < 0.05). Enhancement and social motivation showed significant differences in leave strategy for follow-up tobacco offers. The results of the logistic regression showed that self-efficacy was significant variable that predicted the use of explain strategy (beta = -0.078) and the use of leave strategy (beta = -0.081) for both initial tobacco refusals and follow-up tobacco refusals, while enhancement and coping motivation were significant for the use of leave strategy (beta = -0.621and beta = -0.303).

Conclusion: There were significant effects of self-efficacy and motivation in effecting explain and leave strategies for tobacco refusals.