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Peer effects   on
smoking amongst NUS
students
NM3220 | Sem1 AY 12/13 | Group 5 
Li Ting . Shiqi . Sihui . Nicholas . Aishah
Intro
Methodology
Findings           How does peer influence
Discussion
Limitation         affect smoking behavior
                   amongst NUS students?
   Theoretical framework:
   Social Cognitive Theory
     •  Passive vs. active peer influence
Intro
              Focus Group Interviews
                –  Qualitative, formative research
Methodology
Findings        –  Five 1 hour focus groups
Discussion      –  Semi-structured
Limitation
              Snowball sampling
                –  23 participants
                –  5 groups of 4-5 participants

              Coding and Thematic
              Analyses
                –  3 coders in total
Intro
              Passive peer-related effects
Methodology   1.  No active peer pressure
Findings        •    Old enough to choose
Discussion      •    Encourage peers who are trying to
Limitation           quit

              2.  Camaraderie of being a
                  marginalized group
                •    Shared identity as deviants

                •    Shared experience of ‘’seeing the light”

              3.  A form of social captial
                •    Social networking activity
                •    “Smoker’s Creed”
Intro
              Passive peer-related effects
Methodology   4.  Stigma of smoking
Findings        •    Contradiction between being a
                     SMOKER and being an ELITE
Discussion
                •    Need to “tread cautiously” in certain
Limitation           contexts
                •    Gender bias


              5.  Smoking behavior changes with
                  peers
                •    Smoke more with friends
                •    Difficult to quit when surrounded by
                     smoking friends
Health-related issues
Intro
Methodology   1.  Exaggerated health implications
Findings       “It’s like I’ll probably die from
Discussion     heart disease or like from
Limitation     jaywalking before I get killed
               by cigarettes”

              2.  “Success” stories

              3.  Physiological benefits
                 •    Energized and keep awake
                 •    Weight loss
                 •    Ayurveda: Coffee + smoking gets rid of
                      water retention
Smoking perceived as a
Intro
Methodology
                 personal choice
Findings         1.  Therapeutic effects of smoking
Discussion          •    Stress relief
Limitation
                 2.  Self-efficacy
                    •    Self-control over smoking behavior

      “You won’t get addicted to
      cigarettes unless you really want
      to get addicted to cigarettes.”
Intro         Modeling behavior
Methodology
Findings      1.  Passive peer effects as a
Discussion        dominant theme: in-group
Limitation        identification

              2.  Disassociation with out-group
                 •    ‘The Other’: Judgmental vs. Open-
                      minded smokers


              3.  Identification with >1 in-group
                 •    Conflicting systems of norms of
                      separate in-groups
                 •    Smoker vs. elite
Intro
Methodology
Findings      Positionality of NUS
Discussion
Limitation
              smoking population
              •  “Elite smokers”
                –    “Seen the light”
                –    previously held “JC attitude”
                –    Different from other smokers in wider
                     society
Intro
Methodology
Findings
Discussion
Limitation
              Recommendation:
               -  Understanding the unique
                  social circle of NUS smokers
               -  Move away from traditional
                  anti-smoking messages/angles
Intro
Methodology   Rationalizing of smoking
Findings      behavior
Discussion    •  Personal choice based on rational
Limitation       weighing of benefits and costs
                   –    Linked to self-efficacy (discipline to quit)
                   –    Using positive physiological effects of
                        smoking to counter negative health
                        implications
              •    NUS smokers = high educational
                   status, perceived ability to process
                   and analyze information
                   –    Be it sound or delusional
Intro
Methodology
Findings
Discussion
Limitation
             Recommendation:
              -  Understand that NUS students are
                 positioned to perceive themselves as
                 rationalizing individuals
              -  Future communication messages
                 should be logical and persuasive
              -  And crafted by taking into account
                 possible counterarguments
Intro
Methodology   Sampling
Findings      •  Did not foresee gender
Discussion
                 differences / differences
Limitations
                 between faculties
                –  Need for more purposive

       ≠           sampling
                   •    Better representation of the
                        studied population
                   •    Homogeneity within each
                        group
End.
Questions?
NM3220 | Sem1 AY 12/13 | Group 5 
Li Ting . Shiqi . Sihui . Nicholas . Aishah

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OSHE pre-campaign research

  • 1. Peer effects on smoking amongst NUS students NM3220 | Sem1 AY 12/13 | Group 5 Li Ting . Shiqi . Sihui . Nicholas . Aishah
  • 2. Intro Methodology Findings How does peer influence Discussion Limitation affect smoking behavior amongst NUS students? Theoretical framework: Social Cognitive Theory •  Passive vs. active peer influence
  • 3. Intro Focus Group Interviews –  Qualitative, formative research Methodology Findings –  Five 1 hour focus groups Discussion –  Semi-structured Limitation Snowball sampling –  23 participants –  5 groups of 4-5 participants Coding and Thematic Analyses –  3 coders in total
  • 4. Intro Passive peer-related effects Methodology 1.  No active peer pressure Findings •  Old enough to choose Discussion •  Encourage peers who are trying to Limitation quit 2.  Camaraderie of being a marginalized group •  Shared identity as deviants •  Shared experience of ‘’seeing the light” 3.  A form of social captial •  Social networking activity •  “Smoker’s Creed”
  • 5. Intro Passive peer-related effects Methodology 4.  Stigma of smoking Findings •  Contradiction between being a SMOKER and being an ELITE Discussion •  Need to “tread cautiously” in certain Limitation contexts •  Gender bias 5.  Smoking behavior changes with peers •  Smoke more with friends •  Difficult to quit when surrounded by smoking friends
  • 6. Health-related issues Intro Methodology 1.  Exaggerated health implications Findings “It’s like I’ll probably die from Discussion heart disease or like from Limitation jaywalking before I get killed by cigarettes” 2.  “Success” stories 3.  Physiological benefits •  Energized and keep awake •  Weight loss •  Ayurveda: Coffee + smoking gets rid of water retention
  • 7. Smoking perceived as a Intro Methodology personal choice Findings 1.  Therapeutic effects of smoking Discussion •  Stress relief Limitation 2.  Self-efficacy •  Self-control over smoking behavior “You won’t get addicted to cigarettes unless you really want to get addicted to cigarettes.”
  • 8. Intro Modeling behavior Methodology Findings 1.  Passive peer effects as a Discussion dominant theme: in-group Limitation identification 2.  Disassociation with out-group •  ‘The Other’: Judgmental vs. Open- minded smokers 3.  Identification with >1 in-group •  Conflicting systems of norms of separate in-groups •  Smoker vs. elite
  • 9. Intro Methodology Findings Positionality of NUS Discussion Limitation smoking population •  “Elite smokers” –  “Seen the light” –  previously held “JC attitude” –  Different from other smokers in wider society
  • 10. Intro Methodology Findings Discussion Limitation Recommendation: -  Understanding the unique social circle of NUS smokers -  Move away from traditional anti-smoking messages/angles
  • 11. Intro Methodology Rationalizing of smoking Findings behavior Discussion •  Personal choice based on rational Limitation weighing of benefits and costs –  Linked to self-efficacy (discipline to quit) –  Using positive physiological effects of smoking to counter negative health implications •  NUS smokers = high educational status, perceived ability to process and analyze information –  Be it sound or delusional
  • 12. Intro Methodology Findings Discussion Limitation Recommendation: -  Understand that NUS students are positioned to perceive themselves as rationalizing individuals -  Future communication messages should be logical and persuasive -  And crafted by taking into account possible counterarguments
  • 13. Intro Methodology Sampling Findings •  Did not foresee gender Discussion differences / differences Limitations between faculties –  Need for more purposive ≠ sampling •  Better representation of the studied population •  Homogeneity within each group
  • 14. End. Questions? NM3220 | Sem1 AY 12/13 | Group 5 Li Ting . Shiqi . Sihui . Nicholas . Aishah