Childhood social position may influence adolescent substance use through a number of mechanisms.
Peers may influence adolescent drinking behaviour by serving as role models and by influencing attitudes towards alcohol.
The Tripartite Influence Model [ 30, 31] also suggests that weight comments and opinions from parents and peers may influence adolescent weight perception.
The results provide some evidence that the local food environment around secondary schools may influence adolescent diet, though effects were small.
Therefore, it is crucial to understand the socio-cultural context of Nepal while designing tobacco control programs, which may influence adolescent's smoking behavior that may ultimately also influence their perception and reaction to anti-smoking initiatives.
They do, however, caution that schools and neighborhoods "may influence adolescent developmental trajectories more strongly than they affect the levels of achievement or behavior observed at any particular point" (p. 446).
