{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:32:26Z","timestamp":1785418346089,"version":"3.56.0"},"reference-count":31,"publisher":"AOSIS","issue":"0","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Young smokers are said to have increased risk of nicotine addiction, even at lower levels of consumption compared to adults, making smoking cessation among this group much more difficult. A survey previously conducted in South Africa indicated an early smoking debut age of below 18 years.\n\nAim:\u00a0This study investigated the prevalence of cigarette smoking and associated factors among high school learners.\n\nSetting:\u00a0The study was conducted at a high school located in Madadeni township of KwaZulu- Natal.\n\nMethods:\u00a0This cross-sectional study collected data through interviews using self-administered questionnaires. Data analysis was conducted on Epi Info 7 and STATA 17.\n\nResults:\u00a0Eighty-four (21%) of the 400 participants reported smoking cigarettes. Of these, forty-nine (58.3%) had a smoking friend. Sixty out of 81 (74.1%) accessed cigarettes from the shops, whilst 69.2% (n\u00a0= 54\/78) smoked inside the school premises. Seventy-seven (92.7%) of 83 smokers expressed intention to quit smoking. Higher odds of cigarette smoking were observed among participants who were male and those who had a smoking family member, respectively, (adjusted odds ratio [AOR] = 2.33, 95% CI = 1.29\u20134.17) and (AOR = 5.82, 95% CI = 3.08\u201311.0),\u00a0p\u00a0= &lt;0.05.\n\nConclusion:\u00a0This study found 21% of high school learner participants who smoked cigarettes. Laws prohibiting smoking in schools and sale of cigarettes to minors should be reinforced.\n\nContribution:\u00a0intention to quit cigarette smoking as expressed by smoking learners calls for the establishment of school-based programme for smoking cessation.<\/jats:p>","DOI":"10.4102\/hsag.v30i0.2832","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T05:01:46Z","timestamp":1742187706000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with cigarette smoking among learners at a high school in KwaZulu-Natal"],"prefix":"10.4102","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3454-285X","authenticated-orcid":false,"given":"Gcinile V.","family":"Ngwenya","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/003hsr719","id-type":"ROR","asserted-by":"publisher"}],"name":"Sefako Makgatho Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2948-9802","authenticated-orcid":false,"given":"Refiloe M.","family":"Malaka","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/003hsr719","id-type":"ROR","asserted-by":"publisher"}],"name":"Sefako Makgatho Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2148-7439","authenticated-orcid":false,"given":"Lindiwe P.","family":"Cele","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/003hsr719","id-type":"ROR","asserted-by":"publisher"}],"name":"Sefako Makgatho Health Sciences 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