Tobacco use among high school athletes and nonatieletes: results of the 1997 youth risk behavior survey

In the United States today, the use of tobacco has become an entrenched part of teenage culture. The present study used the 1997 Youth Risk Behavior Survey (YRBS), which collected data from a nationally representative sample of 16,262 students in public and private high schools, to compare the tobacco use patterns of athletes and nonathletes. The independent variable, athletic participation, differentiated between moderately involved (1 or 2 teams) and highly involved (3 or more teams) athletes. Frequency of cigarette and cigar smoking and smokeless tobacco use served as the operational measure of tobacco use. Age, race/ethnicity, parental education, and residence were controlled. Logistic regression was used to calculate odds ratios for female and male athletes and nonathletes for each of the tobacco use variables. It was found that both male and female athletes were less likely to have ever smoked regularly, the effect being stronger for more highly involved athletes of both genders. Cigar smoking was unrelated to athlete status. Both female and male athletes were more likely to have used smokeless tobacco, the effect being stronger for more highly involved athletes of both genders. The findings are discussed in terms of access to health information, performance considerations, social status factors, the salience of an athletic identity, and the influence of the athletic subculture on its members.     

Tobacco Use Trends among Adolescents and Adults in South Africa

The purpose of this review is to synthesize the national prevalence data from eight surveys on tobacco use in South Africa over the past 13 years. Results from the national studies indicate that tobacco use among adults is on the decline in South Africa. The same applies to daily smoking and daily smokeless tobacco use among adolescents. However, onset of tobacco use and the prevalence of current smoking among adolescents seem not to have changed over the years. While exposure to tobacco smoke outside the home decreased from 56.5% in 1999 to 36.2% in 2002 among adolescents, exposure to tobacco smoke inside the home increased from 41.7% in 1999 to 73.3% in 2002. This change may be attributed to the introduction of the tobacco control act that from 2000 banned smoking in public places. The decline of overall daily smoking in South Africa may be attributed to the tobacco control strategy based on 1) rapidly increasing excise taxes on tobacco, and (2) comprehensive legislation, of which the most important features are banning all tobacco advertising and sponsorship, and prohibition of smoking in public and work places.     

Locus of control and smokeless tobacco use among adolescents

Seventh-grade students from two school districts in rural North Carolina were surveyed to determine the prevalence and correlates of smokeless tobacco use. The survey was carried out as part of a larger project intended to study prevalence of "risky" behaviors, specifically alcohol and tobacco use. Data were collected from 322 students: 49% male, 36.6% nonwhite. Of those reporting use of smokeless tobacco (11.4%), virtually all were male; most reported weekly use, with a small proportion (1.3%) reporting daily use. Locus of control of "occasional" users was significantly more internal than those reporting "regular" use (p less than .05).     

Adolescent gambling and drug use

In this study, 4516 adolescents (aged 11–16 years) completed a questionnaire examining the relationship between underage National Lottery gambling, underage scratchcard gambling, cigarette smoking, drinking alcohol and drug use. It was found that these behaviours were closely linked. Adolescent gamblers reported that they were significantly more likely to drink alcohol (particularly ‘alcopops’), smoke tobacco and take drugs compared to non-gamblers. © 1998 John Wiley & Sons, Ltd.     

Personality, motivational and situational determinants of regular and occasional use of smokeless tobacco

This study evaluated the effects of personality, motivational, and situational factors on Regular (n=191) and Occasional (n=80) users of smokeless tobacco (SLT) products. The participants completed the Eysenck Personality Questionnaire (EPQ), Spielberger’s State-Trait Personality Inventory (STPI) and Anger Expression (AX) Scale, and questionnaires designed to evaluate the reasons why SLT-Users begin, continue, and are motivated to use smokeless tobacco. Occasional Users had higher scores than Regular Users on the EPQ Extraversion scale; no other personality differences were found between these groups. Ratings of the importance of the reasons for beginning to use tobacco products were quite similar for the Regular and Occasional Users; novelty and enjoyment were ranked highest by both groups. In contrast, Regular Users rated 7 of the 10 reasons for continuing to use tobacco as significantly more important than Occasional Users; enjoyment, stimulation and management of emotions were ranked as most important by both groups. Findings that smokeless tobacco products enhanced positive affect and intellectual stimulation, and reduced anxiety and boredom were generally consistent with Eysenck’s Diathesis Stress Model.     

Beliefs About Tobacco, Health, and Addiction Among Adults in Cambodia: Findings from a National Survey

There remains a very high rate of smoked and smokeless tobacco use in the Western Pacific Region. The most recent findings from national adult tobacco surveys indicate that very few daily users of tobacco intend to quit tobacco use. In Cambodia, a nation that is predominantly Buddhist, faith-based tobacco control programs have been implemented where, under the fifth precept of Buddhism that proscribes addictive behaviors, monks were encouraged to quit tobacco and temples have been declared smoke-free. In the present study, we included items on a large national tobacco survey to examine the relation between beliefs (faith-based, other) about tobacco, health, and addiction among adults (18 years and older). In a stratified, multistage cluster sample (n = 13,988) of all provinces of Cambodia, we found that (1) 88–93% believe that Buddhist monks should not use tobacco, buy tobacco, or be offered tobacco during a religious ceremony; (2) 86–93% believe that the Wat (temple) should be a smoke-free area; (3) 93–95% believe that tobacco is addictive in the same way as habits (opium, gambling, alcohol) listed under the fifth precept of Buddhism; and (4) those who do not use tobacco are significantly more likely to cite a Buddhist principle as part of their anti-tobacco beliefs. These data indicate that anti-tobacco sentiments are highly prevalent in the Buddhist belief system of Cambodian adults and are especially evident among non-users of tobacco. Our findings indicate that faith-based initiatives could be an effective part of anti-tobacco campaigns in Cambodia.     

Youth Responses to Anti‐Smoking Advertisements From Tobacco‐Control Agencies,Tobacco Companies,and Pharmaceutical Companies1

Emotional reactions to anti‐smoking advertising (e.g., fear, sadness, anger) may play an important role in promoting smoking‐related attitudinal and behavioral change. Overall, 278 youth completed response ratings of 16 different elements of 50 anti‐smoking ads made by tobacco‐control agencies, tobacco companies, and pharmaceutical companies. Compared with tobacco‐control ads, tobacco‐company ads were more likely to elicit positive emotions and less likely to elicit negative emotions and to be of interest to youth. Compared with tobacco‐control ads, pharmaceutical company ads were less likely to elicit negative emotional responses or cognitively engage youth and more likely to elicit positive emotions. These findings suggest that youth may be unlikely to respond to tobacco‐company advertising in ways that may lead to a lower likelihood of smoking.     

Experimental evaluation of a modular approach to mobilizing antitobacco influences of peers and parents

The experimental evaluation of two components of a community intervention to prevent adolescent tobacco use are described. Youth antitobacco activities (e.g., peer quizzes, sidewalk art, poster and T-shirt giveaways, etc.) and family communications activities (pamphlets to parents and student quizzes of parents) were evaluated in two time-series experiments, each of which was conducted in two experimental and one control community. Students in Grades 6 and 8 and their parents were assessed in a series of four phone surveys in the first experiment and six phone surveys in the second. Implementation of the youth antitobacco and family communications activities led to significantly greater exposure of young people to antitobacco information. They led to increases in parent and youth knowledge about tobacco use and more negative attitudes toward tobacco. In Experiment 2, youths in intervention communities had significantly lower rated intentions to smoke. The findings suggest the value of a modular approach to community interventions for influencing the social context relevant to the onset of adolescent tobacco use.     

Adolescent alcohol use in context: the role of parents and peers among African American and European American youth

African American youth are less likely to use alcohol than their European American counterparts; however, the greater consequences of use for African American youth highlight the need for greater research attention to this group. Two social contexts that have been linked with adolescent alcohol use are parents and peers, yet these studies have rarely included African American youth or failed to examine potential racial differences. This study examined the main and interactive effects of parents and peers, as well as the moderating role of race on alcohol use, in African American and European American rural adolescents (n=71) identified as at high-risk for alcohol use. Contrary to study hypotheses, however, parents were not a more robust moderator for African American than European American youth. Clinical implications for prevention and intervention programming for both African American and European American youth are discussed.     

Use in 1992 of tranquilizers and smokeless tobacco among Miami's public school students

This analysis examined tranquilizer use by 466 adolescents in Dade County, Florida public schools in 1992. Significant factors which increased the probability of use include that the adolescents were female, older students, peers' use of tranquilizers, ready access, and they lived alone. Smokeless tobacco use among 468 students was positively and significantly linked to peer influence, students being male, younger, living alone, and the availability of smokeless tobacco.     

Expectancy Accessibility, Alcohol Expectancies, and Intentions to Consume Alcohol

Drug use tends to correlate more strongly with positive expectancies than with negative expectancies. The expectancy-accessibility model provides one explanation for this disparity. This model suggests that the association between positive expectancies of a drug's effects and intentions to use the drug are larger because positive expectancies are often more accessible in memory. Previous work supports the model for positive expectancies and intentions to use smokeless tobacco. Positive expectancies correlated significantly with intentions to use smokeless tobacco only when they were primed in memory. The current study attempted to extend these findings to alcohol consumption. Positive expectancies correlated significantly with intentions to drink when they were primed in memory, as the model predicts. Nevertheless, positive expectancies also correlated significantly with intentions when negative expectancies were primed. In addition, negative expectancies were not associated with intentions to drink, regardless of priming condition. These latter results are not consistent with the model. These findings suggest that the expectancy-accessibility model may be limited.     

Smoking,Methylation at AHRR,and Recidivism Risk in a Community Correction Sample of Individuals at High Risk for Recidivism

Individuals supervised by community correction programs have a high rate of tobacco use and high frequency of tobacco dependence. As compared with supervisees without tobacco dependence, probationers and parolees with tobacco dependence were more likely to abuse other substances and report poorer health. In this sample of 374 predominantly felon and repeat offenders, at high risk for recidivism, over 95% of subjects smoked or used other tobacco products, 87% were actively smoking at the time of interview, and 70% met criteria for lifetime tobacco dependence. Seventy-four percent had DNA demethylation, defined as methylation less than 83%, at the aryl hydrocarbon receptor repressor (AHRR) residue interrogated by cg0557592 at the time of interview. Seventy-eight percent exhibited four-year recidivism. Demethylation was associated with four-year recidivism in women, but not men. These findings suggest that methylation at cg05575921 serves as a semi-quantitative measure of both recent use and lifetime burden, that community correction populations continue to smoke at high risk, that measurement of methylation may add to the identification of female offenders at risk for recidivism, and that treatments to assist in cessation efforts are desperately needed. Copyright © 2015 John Wiley & Sons, Ltd.     

Assessing variations in the expression of gratitude in youth: A three-cohort replication in southern Brazil

Children are not born grateful; their understanding and expression of gratitude develops during childhood and adolescence. We used a qualitative measure designed to assess how youth would respond to a benefactor, hypothesizing that their types of responses would systematically alter with age, and were able to test the reliability of this measure via replication across three cohorts. Participants (N = 1101) aged 7 to 14 constituted three independent cohorts (2008, 2012, and 2015–2017) from the same southern Brazilian city. Participants’ responses were reliably coded into three types of gratitude (verbal, concrete, and connective); across samples, older youth were more likely to express verbal and connective gratitude; younger youth were more likely to express concrete gratitude. The age-related patterns of expression were very similar in each of the three samples (one discrepant result from nine possible), suggesting that it is a reliable measure with which to assess age-related changes in the expression of youth gratitude. Gratitude, we suggest, is not simply a unidimensional construct allowing judgments of how grateful individuals are; instead, our research suggests that youth of different ages express different types of gratitude, increasingly more complex, the most sophisticated of which comes closest to gratitude as a virtue.

     

Association of Religious Commitment and Tobacco Use Among Muslim Adolescents

The purpose of this study was to examine the relationship between religious observance and tobacco use among a sample of Jordanian youth. Using multistage, random sampling, a cross-sectional survey of middle and high school students was conducted. Of the 950 Muslim students in the study, 32 % were daily tobacco users and 72 % prayed regularly. Frequency of praying was negatively associated with tobacco smoking. Religious observance was found to be strongly associated with tobacco smoking among Jordanian youth. Our results indicate that religion can be a culturally important tool in health professionals’ efforts for tobacco control.     

Thoughts of Self‐Harm and Help‐Seeking Behavior among Youth in the Community

The association between thoughts of self‐harm and help‐seeking among youth with symptoms of depression was examined. Data were drawn from the Health Behavior of School‐aged Children Study (n = 15, 686), a nationally representative sample of youth in the United States. Analyses focused on comparing help‐seeking behaviors among youth with and without thoughts of deliberate self‐harm (DSH) when depressed. Depressed youth with thoughts of DSH exhibited different patterns of help‐seeking than those without. Both groups most frequently sought help from friends and parents. However, adolescents with thoughts of DSH were statistically more likely than youth without to seek help from friends (DSH: 69.9%; no DSH: 57.8%; AOR = 1.46), but less likely to seek help from parents (DSH: 53.7%; no DSH: 73.1%; AOR = 0.47). Youth with DSH were more likely to seek help from school officials (AOR = 1.05), health professionals (AOR: 1.83), or a counselor (AOR = 1.93) compared with those without thoughts of DSH who were more likely to seek help from a sibling (AOR: 0.77) or other relatives (AOR: 0.78). Results may help inform programs to improve identification of youth at risk of self‐harm in community and school settings.     

Refusal and Resistance Skills for Children and Adolescents: A Selected Review

The authors review the literature on refusal and resistance skill (RRS) training implemented with children and adolescents. RRS training is critically evaluated across different target behaviors and outcomes. RRS efficacy is considered for tobacco use, including smoking and smokeless tobacco, alcohol and substance abuse, and sexual activity. Factors that influence RRS training are identified and process variables are discussed. These include age and gender, media formats (video or live), and teacher-led versus peer-led approaches. Conclusions are drawn based on the reviewed literature.     

Comparison of delay discounting of different outcomes in cigarette smokers,smokeless tobacco users,e-cigarette users,and non-tobacco users

Delay discounting is the process by which a commodity loses value as the delay to its receipt increases. Rapid discounting predicts various maladaptive behaviors including tobacco use. Typically, delay discounting of different outcomes has been compared between cigarette smokers and nonsmokers. To better understand the relationship of delay discounting to different modes of tobacco use, we examined the differences in delay discounting of different outcomes between cigarette smokers, smokeless tobacco users, e-cigarette users, and non-tobacco users. In the present study, all participants completed 8 titrating delay-discounting tasks: $100 gain, $500 gain, $500 loss, alcohol, entertainment, food, a temporary health gain, and a temporary cure from a disease. Non-tobacco users discounted most outcomes less than tobacco users overall; however, there were no differences in discounting among the different types of tobacco users. These results suggest that nicotine consumption of any kind is associated with a higher degree of impulsivity compared to non-tobacco users. Adoption of tobacco products that have been perceived as less harmful (e.g., e-cigarettes) is not associated with a baseline difference or decrease in delay discounting if adopted after a history of cigarette use.     

Expectancy Accessibility and the Influence of Outcome Expectancies on Adolescent Smokeless Tobacco Use

This study investigated the moderating influence of expectancy accessibility on the relation between outcome expectancies and drug use intentions. Specifically, it was hypothesized that expectancies made temporarily more accessible would predict smokeless tobacco intentions to a greater degree than would less accessible expectancies. In addition, it was anticipated that expectancies regarding positive outcomes of smokeless tobacco use would be better predictors of intention than would expectancies about negative outcomes. Results partially supported the accessibility hypothesis, but this effect occurred for positive outcome expectancies only. In addition, the anticipated prepotency of positive over negative expectancies in predicting drug use intentions was strongly supported. These findings are consistent with theories of problem behavior which differentiate between positive and negative outcome expectancies and which postulate that accessibility of expectancies plays an important role in expectancy-behavior relations.     

Retrospective Analysis of Gender Differences in Reaction to Media Coverage of Crisis Events: New Insights on the Justice and Care Orientations

We surveyed 2,125 men and 3,735 women (N = 5,860) across the USA to test hypothesized relationships regarding women’s and men’s use of justice and care orientations when they confront crisis events with moral implications. Consistent with previous research, we found that women were more likely than men to adopt a care orientation. Contrary to expectations, however, women also adopted a justice response to a greater degree than did men. We found that, in response to a crisis, women, unlike men, were more likely to believe they would connect with others and take action. Implications for explaining inconsistencies in prior research findings on the justice and care orientations, and for conceptualizing these important constructs in a new way, are discussed.