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Understanding factors that influence smoking uptake.

D B Buller1, R Borland, W G Woodall

  • 1The Cooper Institute, 14023 Denver West Parkway, Suite 100, Golden, Denver, CO 80401, USA. dbuller@cooperinst.org

Tobacco Control
|December 3, 2003
PubMed
Summary

Adolescent smoking patterns are linked to social context and attitudes. Susceptibility to smoking in never, past, and current users correlates with peer influence and positive smoking attitudes, requiring prospective confirmation.

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Area of Science:

  • Adolescent health
  • Tobacco control
  • Social epidemiology

Background:

  • Understanding adolescent smoking uptake is crucial for public health interventions.
  • Social context and individual attitudes significantly influence smoking initiation and continuation.

Purpose of the Study:

  • To investigate the relationship between adolescent smoking patterns and their social environment.
  • To identify attitudinal factors associated with smoking susceptibility and use among youth.

Main Methods:

  • A cross-sectional survey was conducted in public schools in Tucson, Arizona, and Albuquerque, New Mexico.
  • Data were collected from 982 children in grades 6-9 (ages 11-15).
  • Surveys assessed smoking history, nicotine dependence, susceptibility, social norms, attitudes, and demographics.

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Main Results:

  • 43% of children reported ever smoking; 57% were never smokers.
  • Ever smokers were more likely to have smoking in their social context and perceive smoking as normative.
  • Among never smokers, 25% were susceptible, associated with positive attitudes and peer smoking.
  • Among ever smokers, 36% were current smokers, also linked to social context and positive attitudes.

Conclusions:

  • Subgroups within never, past, and current adolescent smokers can be differentiated.
  • Susceptibility to smoking across these groups shares common attitudinal and social context patterns.
  • Prospective studies are needed to confirm these observed patterns of smoking uptake.