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Background and purpose: Tobacco use is one of the main problems in public health and a major contributor to death from chronic diseases. This behavior starts from adolescence, hence, interventions are necessary to control and manage it. This study investigated the prevalence of smoking and the determinants of smoking behavior among male high school students in Babolsar, Iran. Material and Methods: This cross-sectional study was performed in 450 male students who were selected through multistage sampling. The Global Youth Tobacco Survey (GYTS) was used to collect the data. Chi-square, t-test, and logistic regression were used to analyze the data. Results: The prevalence of smoking among high school students was 17.2%. The mean age of the subjects experiencing tobacco use was 15.3+ 0.5 and the mean age of first experience was 12.2+0.8. The main reasons for tobacco use were internal factors (38.5%) which included personal feelings and motives (45.5%) and forgetting the problems (30%). Also, external factors including having a smoker in family (25%), having friends who smoke (29%), and poor educational performance (6.66%) were amongst the main reasons for tobacco use. riends and emtioal factors. This associate cigarettes using survey was done in Logestic regression models. Conclusion: Implementation of effective smoking prevention programs is necessary to reduce the risks associated with smoking in adolescents. These programs should focus on improving the youth’s life skills and also support their families, teachers, and school authorities in tackling this problem

Keywords: Cigarette, Babolsar, student

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