SUMMARY
BACKGROUND: Smoking is one of the most serious health issues among all age groups, particularly in children globally including the Gulf region. However, there are little data about the prevalence in public and private schools and determinants of smoking among adolescents in Saudi Arabia.AIM: The purpose of this study was to estimate the prevalence, compare, and determine smoking habits among male children in public and private schools.METHOD: This cross-sectional study was conducted in Dammam city, KSA. The data were collected from 866 male children studying in public and private schools. Sample was calculated through stratified random sampling. The modified “Global Youth Tobacco Survey (GYTS)” was used to collect information.RESULTS: The total number of children recruited was 866 (223 from private and 643 from public schools). The mean age of children studied was 14.20 ± 1.03 years in both groups. The result shows that overall 27.8% of children tried to smoke cigarette both in public and private schools. The prevalence of smoking is higher in public schools’ children than in private schools (30% vs. 21%; p = 0.005). In addition, wrong perception of comfortable feeling after smoking, easy access to cigarettes, parent’s addiction, and smoking in front of children are the determining factors.CONCLUSION: This study suggests that the prevalence of cigarettes smoking among children exists in considerable proportion. It is higher in public schools children. The health and education authorities should take urgent steps to encounter this major health issue.