| Background: Considering the increasing prevalence rate of smoking among Iranian adolescents,
and recent evidence on the relationship between obscenity of smoking and tendency of adolescents
towards the behavior, there is a need for an appropriate measurement tool to measure the level of
obscenity on cigarette smoking among adolescents. This study was conducted to develop a valid
and reliable questionnaire for measuring the obscenity of cigarette smoking in adolescents.
Methods: This study was conducted in Tabriz, Iran, using an exploratory sequential mixed
methods design. To explain the concept of obscenity and develop the questionnaire’s items, 18
students attended semi-structured individual interviews and 13 others took part in focus group
discussions (FGDs) in three groups of 4-5. Extracting and summarizing the codes derived from the
interviews, an item pool was developed, from which the initial draft of the scale was provided.
Next, the psychometric properties of the scale were assessed using face, content, construct, and
predictive validity, as well as internal consistency, and reliability in a sample of 1013 high school
students.
Results: The 22-item Cigarette Smoking Obscenity Scale (CSOS) was developed based on the
codes derived from qualitative data. Explanatory factor analysis revealed five-factor structure
(Negative Attitude; Negative Consequence; Negative Valuation; Inappropriate Relationship; A
gateway to addiction). In confirmatory factor analysis, the χ
/df ratio was 3.911 for the CSOS
five-factor structure. Suitable values were obtained for the goodness of fit indices (GFI = 0.88,
AGFI = 0.85, NFI = 0.87, IFI = 0.90, CFI = 0.90, RFI = 0.85, and RMSEA = 0.072). The Cronbach’s
alpha and intraclass correlation (ICC) coefficients for the constructs ranged between 0.77 to 0.90
and 0.80 to 0.91, respectively.
Conclusion: The validity and reliability of the CSOS was appropriate; therefore, it can be used in
future studies as a suitable tool for measuring the obscenity of cigarette smoking in adolescents.
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