Four pathways to young-adult smoking status: adolescent social-psychological antecedents in a midwestern community sample.

Evaluated the ability of social-psychological factors, measured in adolescence, to predict young-adult smoking outcomes. Results showed substantial continuity in the antecedents of adolescent and young-adult smoking but important discontinuities as well. Beliefs in the negative social consequences of smoking and beliefs about academic success and independence were important to adolescent but not to adult smoking. Conversely, beliefs in the negative health consequences of smoking were more important to adult smoking than to adolescent smoking. Results also showed an appreciable amount of smoking onset after the high school years, as well as an appreciable amount of adolescent smoking that did not persist into young adulthood. Antecedents of late-onset smoking and of nonpersistent smoking are described.     

Adolescent personality antecedents of adult cigarette smoking: a longitudinal study

Comprehensive personality assessments, made independently for early and late adolescence, were employed to predict smoking onset and maximum number of cigarettes smoked per day as reported by adult smokers. Also, comparisons were made between adult smokers and nonsmokers. The results indicate that men who had been more sexually active as adolescents smoked more but that women who had been more emotionally constricted and under more conflict as adolescents were heavier smokers. Smoking started earlier for men who had showed little self-awareness and a rather macho orientation during their adolescence; early-smoking women tended to have been conventionally feminine. Personality differences between future smokers and nonsmokers were few but showed similar sex differences. The results suggest that manifesting once traditional sex-role characteristics for both adolescent boys and girls presages early onset and heavier adult cigarette smoking. Preventive antismoking educational campaigns aimed at youth might be guided by these findings because they suggest some motivational bases that may find later expression in smoking practices.     

The relation of modelling and the perception of parental care with adolescent smoking: a cross-sectional study

The smoking of tobacco among adolescents is due to several influential factors, both individual and social. The present study aimed at comparing the effects of different variables on adolescent cigarette smoking, specifically, peer and parent modelling, self-regulatory efficacy, and parental degree of care as perceived by the adolescent. Data were collected by means of a self-report questionnaire administered to a sample of 229 secondary school students aged between 15 and 20 years (mean = 16.69, SD = 1.14). To test the influence of different variables, we performed a binary logistic regression analysis. Results indicated that the father is a key figure in that his care and affection can prevent adolescents from becoming a smoker and his modelling is a risk factor. The significant influence of friends was also confirmed and indicated that peer modelling is a strong predictor of adolescent cigarette smoking. Finally, the results revealed that self-regulatory efficacy is a relevant psychological variable capable of preventing smoking initiation during adolescence.     

Trajectory of Adolescent Obesity: Exploring the Impact of Prenatal to Childhood Experiences

This study examined longitudinal associations of prenatal exposures as well as childhood familial experiences with obesity status from ages 10 to 18. Hierarchical generalized linear modeling was applied to examine 5,156 adolescents from the child sample of the 1979 National Longitudinal Survey of Youth. Higher maternal weight, maternal smoking during pregnancy, lower maternal education, and lack of infant breastfeeding were contributors to elevated adolescent obesity risk in early adolescence. However, maternal age, high birth weight of child, and maternal annual income exhibited long-lasting impact on obesity risk over time throughout adolescence. Additionally, childhood familial experiences were significantly related to risk of adolescent obesity. Appropriate use of family rules in the home and parental engagement in children’s daily activities lowered adolescent obesity risk, but excessive television viewing heightened adolescent obesity risk. Implementation of consistent family rules and parental engagement may benefit adolescents at risk for obesity.     

同伴、父母对青少年吸烟认识、吸烟行为的相对影响力

以1042名初一至高三学生为被试,考察了最要好同伴、父母对青少年吸烟认识和吸烟行为的相对影响力,以及同伴和父母对青少年吸烟行为的影响方式和影响途径。结果发现:(1)与父母作用相比,最要好同伴吸烟行为和态度对青少年吸烟认识的作用力要更大。但在不同的群体上,父母的影响力加强了;(2)与青少年吸烟认识相比,父母对青少年吸烟行为的作用力加大了,这种影响力同样表现在不同的群体上;(3)青少年的吸烟认识可以显著地预测其吸烟行为;(4)最要好同伴吸烟行为和态度、父母吸烟行为、青少年对吸烟的认识可以直接影响青少年的吸烟行为,而且最要好同伴吸烟行为和态度又通过青少年的吸烟认识对其吸烟行为产生间接的作用;(5)最要好同伴吸烟行为对青少年吸烟行为的影响力要大于父母的影响力。     

Adolescent Personality Antecedents of Adult Cigarette Smoking: A Longitudinal Study

Comprehensive personality assessments, made independently for early and late adolescence, were employed to predict smoking onset and maximum number of cigarettes smoked per day as reported by adult smokers. Also, comparisons were made between adult smokers and nonsmokers. The results indicate that men who had been more sexually active as adolescents smoked more but that women who had been more emotionally constricted and under more conflict as adolescents were heavier smokers. Smoking started earlier for men who had showed little self-awareness and a rather macho orientation during their adolescence; early-smoking women tended to have been conventionally feminine. Personality differences between future smokers and nonsmokers were few but showed similar sex differences. The results suggest that manifesting once traditional sex-role characteristics for both adolescent boys and girls presages early onset and heavier adult cigarette smoking. Preventive antismoking educational campaigns aimed at youth might be guided by these findings because they suggest some motivational bases that may find later expression in smoking practices.     

Heightened stress and depression follow cigarette smoking

Research shows cigarette smoking does not provide mood control benefits, but rather nicotine dependency is associated with mood lability, leading to heightened feelings of stress and depression in many regular smokers. Beginning to smoke during adolescence prospectively leads to increased stress and depression; stopping smoking is followed by enduring mood improvements.     

Assessing the feasibility of using contingency management to modify cigarette smoking by adolescents

Cigarette smoking is a leading cause of preventable death in the United States. Many smokers initiate this dangerous behavior during adolescence. This report describes a contingency management intervention designed to initate and maintain a period of abstinence from cigarettes by adolescent smokers. Results suggest that the intervention was generally successful and that further investigation of this topic is warranted.     

A family member's job loss as a risk factor for smoking among adolescents.

Life events are associated with an increased likelihood of adolescent smoking. This study examined a family member's job loss as a predictor of smoking initiation over a 1-year period. Southern California students completed surveys in 6th and 7th grade. Of the 2,168 students, 252 (12%) reported that an adult in the household had lost a job within the past 6 months. Controlling for demographic, socioeconomic. educational, and parenting characteristics. 6th-grade never-smokers who reported a job loss were significantly more likely to have tried smoking by 7th grade and to have smoked in the past 30 days. Job loss for a household member is a risk factor for adolescents' involvement in problem behaviors such as smoking.     

Parenting style and adolescent smoking cognitions and behaviour

Parenting style and smoking-related cognitions have both successfully predicted adolescent smoking behaviour. Data were collected among 482 Dutch adolescents to examine whether effects of parenting styles (authoritative, permissive, authoritarian, rejecting, neglecting, measured by underlying dimensions support, strict control, and psychological control) on adolescent lifetime smoking were mediated by cognitions (pro-smoking attitude, social norm, self-efficacy, intention) and to study the role of gender in this process. Support was not significantly associated with smoking behaviour. The inverse relation between strict control and smoking was partly mediated by attitude and intention, both associated with increased smoking. Psychological control related directly to increased lifetime smoking. Combinations of dimensions creating the specific styles were not associated with cognitions or behaviour. Maternal and paternal parenting were equally associated with smoking cognitions and behaviour; nor were effects moderated by adolescent gender. Interventions to prevent adolescent smoking initiation should aim at increasing strict control and reducing psychological control.     

Adolescent reasons for quitting smoking: initial psychometric evaluation.

Most adolescent smokers report intentions to quit, and the majority attempt cessation. However, little is known regarding the relationship between adolescent motives for cessation and smoking cessation efforts. To this end, the present study describes an initial evaluation of the psychometric characteristics of the Adolescent Reasons for Quitting scale (ARFQ), a measure of adolescent motives for smoking cessation. Participants were 109 current smoking high school students assessed at baseline and 6-month follow-up. The ARFQ item content and format was developed in a separate qualitative study with 36 high school students who had previously attempted to quit smoking. Exploratory factor analyses of ARFQ items yielded 3 subscales: Short-Term Consequences, Social Disapproval, and Long-Term Concerns. Validation analyses were conducted in relation to concurrent intentions to stop smoking and prospective smoking cessation attempts, providing evidence of concurrent, predictive, and discriminant validity. In particular, the Social Disapproval and Long-Term Concerns subscales significantly predicted subsequent cessation attempts. As such, the ARFQ may prove valuable for informing interventions to encourage adolescent smoking cessation.     

Reducing smoking among pregnant adolescents

Pregnant adolescents who smoke present a double obstetrical risk. Not only is the adolescent mother at risk from the biological, social, educational, and economic factors associated with childbearing at a young age, she and her developing infant also risk the complications associated with maternal smoking. This paper describes a psychosocial intervention designed to reduce smoking in a group of pregnant adolescents. Five modules are presented. Each is designed to: (1) heighten awareness of the issue, (2) provide motivational messages, (3) enhance the adolescent's social skills, and (4) teach specific smoking-cessation skills.     

A Q-methodological study of smoking identities

In contrast to the psychological literature on adolescent smoking, little research has investigated the social identities of adult smokers. This study aimed to identify shared ‘smoking identities’ amongst a sample of 64 British smokers from different socio-economic groups using Q-methodology. Participants were asked to sort 70 items concerning smoking and smokers according to their agreement/disagreement with them. The 64 Q-sorts were then subjected to a by-person factor analysis yielding six factors, with the first four interpretable factors being presented here. Each factor is understood to represent a distinct ‘identity position’. The first two, the ‘addicted’ smoker, and the ‘in control’ smoker, oriented around a biomedical model of smoking as an addictive health risk. The final two, the ‘no big deal’ smoker and the ‘proud’ smoker reflected alternative understandings and values. The identity positions also differed in the extent to which smoking was considered a core part of self-identity. Unpacking the ‘smoking identities’ of current smokers offers the opportunity to devise targeted health promotion.     

Bi-directional relations between anti-smoking parenting practices and adolescent smoking in a Dutch sample.

OBJECTIVE: Parenting is generally regarded a determinant of adolescent behavior, whereas the reverse is seldom considered. Reported effects of anti-smoking parenting practices on adolescent smoking are inconsistent. Cross-sectional results may have been misinterpreted and child effects have been overlooked. The main goal of this study was to explain previous inconsistent effects of anti-smoking parenting practices, by examining bi-directional relations between parenting and adolescent smoking. DESIGN AND MAIN OUTCOME MEASURES: Bi-directional relations were studied using a cross-lagged model where anti-smoking house rules, communication about smoking, and adolescent smoking were assessed at three subsequent years. RESULTS: The most prominent finding was that adolescent smoking behavior was a stronger predictor of parenting than vice versa. Anti-smoking house rules decreased as a result of adolescent smoking behavior, while communication increased. The reduction in house rules was more pronounced if parents smoked, while the increase in communication was greater for non-smoking parents. Results were independent of adolescent sex. CONCLUSION: Further research is needed to establish which aspects of parenting can be effective in deterring adolescent smoking. This study emphasizes the need for caution in interpreting cross-sectional research findings relating parenting to adolescent smoking.     

Psychosocial functioning of young adults who have experienced and recovered from major depressive disorder during adolescence

The authors examined whether adolescent major depressive disorder (MDD) was associated with difficulties in young adult functioning and whether differences would remain significant after accounting for nonmood disorder, MDD recurrence, functioning in adolescence, or current mood state. A total of 941 participants were assessed twice during adolescence and at age 24. In unadjusted analyses, adolescent MDD was associated with most young adult functioning measures. Associations were not due to interactions with adolescent comorbidity, but differences in global functioning and mental health treatment appeared as a result of MDD recurrence. Accounting for levels of functioning in adolescence or for current depression at age 24 eliminated the remaining associations. The implications of these findings for efforts to prevent MDD in adolescence are discussed.     

Perceived health: a test of incremental validity in relation to smoking outcome expectancies, motivation to smoke and desire to quit smoking

This study examined the role of perceived health in predicting theoretically-relevant aspects of smoking behavior among 161 young adult regular smokers (67 females; mean age = 21.9 years (SD = 7.2), cigarettes per day (M) = 12.2 (SD = 5.7)) recruited from the general community. Consistent with prediction, results indicated that relative to anxiety sensitivity, gender, number of cigarettes smoked per day and nicotine dependence, perceived physical health uniquely and significantly predicted expectancies for negative affect reduction and expectancies that smoking would lead to negative personal consequences. Additionally, perceived health incrementally predicted motivation to smoke to reduce negative affect. In contrast to expectation, perceived health was unrelated to motivation to quit smoking. Results are discussed in relation to the role of perceived health as a cognitive vulnerability factor for specific types of smoking patterns.     

Enrichment in Pre-Kindergarten Life Predicts Initiation of Cigarette Smoking in Asian American and Hispanic/Latino Adolescents

The risk of tobacco use during adolescence may be traced back to early childhood, the time when a child is most vulnerable to environmental influence. We examined daily-life enrichment during pre-kindergarten period as a predictor of initiation of cigarette smoking among Asian American and Hispanic/Latino children during adolescence. Survey data were collected from students in grades seven to nine in California. Among the 2,719 participants who completed the survey, 37% were Asian American and 44% were Hispanic/Latino. Five aspects of childhood life before kindergarten were assessed, including having lots of toys for the child, parents' read to the child often, having a plenty of good food for the child, bringing the child to travel, and parents spending adequate time with the child. Findings from our research indicate that children with more enriched early childhood are less likely to start smoking during adolescence. Consequently, enhancing daily life during early childhood may represent a new strategy for adolescent smoking prevention.     

Actions taken by schools when tobacco policies are violated: associations with adolescent smoking prevalence

This study examined the association of adolescent smoking prevalence with actions taken by schools (i.e., informing parents or disciplining pupils at school) for violating the school tobacco policy. Interaction terms between actions taken by schools and role models' smoking behavior or support for adolescents were also examined. Data were collected using self-completed questionnaires from a nationally representative Norwegian sample of 15-year-olds (1,404 pupils, 51% males) and 73 staff members. Informing parents when the school tobacco policy was violated by contrast with other actions taken by schools was not associated with lower levels of adolescent smoking. Disciplining pupils was associated with lower levels of adolescent smoking but the association was no longer significant when examined together with parents' and teachers' smoking behavior or support. Exposure to parents' and teachers' smoking, and teachers' support were associated with adolescent smoking prevalence, irrespective of actions taken by schools. Identifying the mechanism under which these different home and school factors relate to adolescent smoking may be worthwhile to inform intervention initiatives.     

Adolescent smoking intentions: gender differences in peer context.

Despite widespread interest in adolescent smoking behavior, little research has been directed to the social dynamics of adolescent smoking. In this paper, smoking intentions and peer group influences among a sample of 1,689 Grade 8 students from southern Ontario were analyzed to ascertain possible gender-specific correlates in adolescent smoking intentions. The peer environment was found to be a crucial factor in adolescent smoking behavior. Particularly striking for adolescent girls was the firmness of their expressed intentions to continue to smoke quite early in their smoking lives.     

Sex differences in predictors of adolescent smoking cessation.

Sex differences in predictors of smoking cessation were investigated among 337 male and 490 female participants in the RAND adolescent panel study. Participants reported smoking at least 11-20 times during the past year at Grade 10, with cessation defined as not smoking during the past year at Grade 12. Controlling for demographics, sex-specific analyses indicated that girls who quit smoking within 2 years had friends who smoked less frequently, perceived less parental approval of their smoking, had weaker intentions to continue smoking, used marijuana less frequently, attended fewer different schools, were more likely to have an intact nuclear family, experienced greater peer support, and rated themselves as healthier. Similar analyses for boys yielded results that were generally weaker and nonsignificant, with smoking quantity accounting for several associations in the sex-specific models. Despite these differences, interaction tests revealed significant sex differences for only three predictors. Implications of these results for understanding adolescent smoking cessation are discussed.