TY - JOUR
T1 - Predictors of smoking development in a population-based sample of adolescents
T2 - A prospective study
AU - Van Den Bree, Marianne B.M.
AU - Whitmer, Michelle D.
AU - Pickworth, Wallace B.
N1 - Funding Information:
The authors are grateful for continual information technology and library support provided by Mary Pfeiffer, graphics support by Sietse Los, and the helpful comments of an anonymous reviewer. This research uses data from the Add Health project, a program project designed by J. Richard Udry (PI) and Peter Bearman, and funded by Grant P01-HD31921 from the National Institute of Child Health and Human Development to the Carolina Population Center, University of North Carolina at Chapel Hill, with cooperative funding participation by the National Cancer Institute; the National Institute of Alcohol Abuse and Alcoholism; National Institute on Deafness and Other Communication Disorders; National Institute on Drug Abuse; National Institute of General Medical Sciences; National Institute of Mental Health; National Institute of Nursing Research; the Office of AIDS Research, National Institutes of Health (NIH); Office of Behavior and Social Science Research, NIH; Office of the Director, NIH; the Office of Research on Women's Health, NIH; Office of Population Affairs, Department of Health and Human Services (DHHS); National Center for Health Statistics, Centers for Disease Control and Prevention (CDC), DHHS; Office of Minority Health, CDC, DHHS; Office of Minority Health, Office of Public Health and Science, DHHS; Office of the Assistant Secretary for Planning and Evaluation, DHHS; and National Science Foundation. Persons interested in obtaining data files from the National Longitudinal Study of Adolescent Health should contact Add Health Project, Carolina Population Center, 123 West Franklin Street, Chapel Hill, North Carolina 27516-2524 (http://www.cpc.unc.edu/addhealth).
PY - 2004/9
Y1 - 2004/9
N2 - Purpose To study the development of smoking behavior in adolescents using a longitudinal, multivariate design. Methods Adolescents (n = 14,133, age range 12 to 18 years) took part in the longitudinal Add Health study (two waves, separated by 1 year, 56% smokers and 44% nonsmokers at Wave 1). Eight risk factor domains were established at Wave 1 (daily activities, psychological health, personality, school situation, family functioning, rough living, religion, and neighborhood status), which were further separated into subdomains by factor analysis. Subdomains were used to predict risk at Wave 2 of smoking initiation, progression, or failure to discontinue, using logistic regression analysis. Analyses were performed for boys and girls separately and results corrected for age, race, urbanicity, and socioeconomic status. Results Use/abuse of other substances by self and peers influenced most stages of smoking, whereas trouble in school was associated with initiation and progression of smoking. Poor family relations predicted initiation of experimental smoking for girls, whereas low involvement in active pastimes predicted failure to discontinue experimental smoking. For boys, low religiosity predicted progression to regular smoking and failure to quit regular smoking, whereas delinquency also reduced success of regular smoking discontinuation. Conclusions These findings may direct efforts for prevention and intervention of adolescent smoking behavior and may also provide guidance for future studies.
AB - Purpose To study the development of smoking behavior in adolescents using a longitudinal, multivariate design. Methods Adolescents (n = 14,133, age range 12 to 18 years) took part in the longitudinal Add Health study (two waves, separated by 1 year, 56% smokers and 44% nonsmokers at Wave 1). Eight risk factor domains were established at Wave 1 (daily activities, psychological health, personality, school situation, family functioning, rough living, religion, and neighborhood status), which were further separated into subdomains by factor analysis. Subdomains were used to predict risk at Wave 2 of smoking initiation, progression, or failure to discontinue, using logistic regression analysis. Analyses were performed for boys and girls separately and results corrected for age, race, urbanicity, and socioeconomic status. Results Use/abuse of other substances by self and peers influenced most stages of smoking, whereas trouble in school was associated with initiation and progression of smoking. Poor family relations predicted initiation of experimental smoking for girls, whereas low involvement in active pastimes predicted failure to discontinue experimental smoking. For boys, low religiosity predicted progression to regular smoking and failure to quit regular smoking, whereas delinquency also reduced success of regular smoking discontinuation. Conclusions These findings may direct efforts for prevention and intervention of adolescent smoking behavior and may also provide guidance for future studies.
KW - Adolescents
KW - Cigarettes
KW - Delinquency
KW - Gender differences
KW - Longitudinal
KW - Religion
KW - Risk factors
KW - School
KW - Smoking stages
KW - Substance use
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U2 - 10.1016/j.jadohealth.2003.09.021
DO - 10.1016/j.jadohealth.2003.09.021
M3 - Article
C2 - 15313498
AN - SCOPUS:4143094829
SN - 1054-139X
VL - 35
SP - 172
EP - 181
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 3
ER -