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Saturation of tobacco smoking models and risk of alcohol and tobacco use among adolescents.
J Adolesc Health. 2004 Sep; 35(3):190-6.JA

Abstract

PURPOSE

To examine how saturation of an adolescent's environment with models of cigarette smoking (e.g., parents, siblings, friends) affects the probability of tobacco and alcohol use among junior high and high school students.

METHODS

The Health and Smoking Questionnaire was administered to 806 adolescents (182 smokers and 624 nonsmokers; 57.2% female) average age of 15.1 years (SD = 1.6) in a mid-size Midwestern town. The questionnaire contains standardized items in five domains: demographics, smoking status and history, perceptions of risk and risk reduction, risk factors for tobacco use, and parenting style.

RESULTS

Risk for smoking or using alcohol increased dramatically as the number of models who smoke increased in an adolescent's environment. For instance, adolescents with one significant other who smoked were nearly four times (OR = 3.76, p <.001) more likely to smoke than someone with no significant others who smoked. However, if an adolescent had four significant others who smoked, they were over 160 times more likely to smoke (OR = 161.25, p <.001). Similar results were found for alcohol use; adolescents who had one significant other who smoked were more than 2.5 (OR = 2.66, p <.001) times more likely to drink than those without smoking models. Adolescents who had four significant other smoking models were 13 times (OR = 13.08, p <.001) more likely to drink.

CONCLUSIONS

As the number of cigarette smokers in an adolescent's environment increases, risk of tobacco and alcohol use increases substantially. These data suggest that multiple models of tobacco use will substantially increase risk for substance use in adolescents.

Authors+Show Affiliations

University of Missouri-Kansas City and Mid America Heart Institute at Saint Luke's Hospital, 4825 Troost, Kansas City, MO 64110, USA. taylorj@umkc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15313500

Citation

Taylor, Jennifer E., et al. "Saturation of Tobacco Smoking Models and Risk of Alcohol and Tobacco Use Among Adolescents." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 35, no. 3, 2004, pp. 190-6.
Taylor JE, Conard MW, Koetting O'Byrne K, et al. Saturation of tobacco smoking models and risk of alcohol and tobacco use among adolescents. J Adolesc Health. 2004;35(3):190-6.
Taylor, J. E., Conard, M. W., Koetting O'Byrne, K., Haddock, C. K., & Poston, W. S. (2004). Saturation of tobacco smoking models and risk of alcohol and tobacco use among adolescents. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 35(3), 190-6.
Taylor JE, et al. Saturation of Tobacco Smoking Models and Risk of Alcohol and Tobacco Use Among Adolescents. J Adolesc Health. 2004;35(3):190-6. PubMed PMID: 15313500.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Saturation of tobacco smoking models and risk of alcohol and tobacco use among adolescents. AU - Taylor,Jennifer E, AU - Conard,Mark W, AU - Koetting O'Byrne,Kristin, AU - Haddock,C Keith, AU - Poston,W S Carlos, PY - 2004/01/07/accepted PY - 2004/8/18/pubmed PY - 2004/12/16/medline PY - 2004/8/18/entrez SP - 190 EP - 6 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 35 IS - 3 N2 - PURPOSE: To examine how saturation of an adolescent's environment with models of cigarette smoking (e.g., parents, siblings, friends) affects the probability of tobacco and alcohol use among junior high and high school students. METHODS: The Health and Smoking Questionnaire was administered to 806 adolescents (182 smokers and 624 nonsmokers; 57.2% female) average age of 15.1 years (SD = 1.6) in a mid-size Midwestern town. The questionnaire contains standardized items in five domains: demographics, smoking status and history, perceptions of risk and risk reduction, risk factors for tobacco use, and parenting style. RESULTS: Risk for smoking or using alcohol increased dramatically as the number of models who smoke increased in an adolescent's environment. For instance, adolescents with one significant other who smoked were nearly four times (OR = 3.76, p <.001) more likely to smoke than someone with no significant others who smoked. However, if an adolescent had four significant others who smoked, they were over 160 times more likely to smoke (OR = 161.25, p <.001). Similar results were found for alcohol use; adolescents who had one significant other who smoked were more than 2.5 (OR = 2.66, p <.001) times more likely to drink than those without smoking models. Adolescents who had four significant other smoking models were 13 times (OR = 13.08, p <.001) more likely to drink. CONCLUSIONS: As the number of cigarette smokers in an adolescent's environment increases, risk of tobacco and alcohol use increases substantially. These data suggest that multiple models of tobacco use will substantially increase risk for substance use in adolescents. SN - 1054-139X UR - https://www.unboundmedicine.com/medline/citation/15313500/Saturation_of_tobacco_smoking_models_and_risk_of_alcohol_and_tobacco_use_among_adolescents_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054139X04000874 DB - PRIME DP - Unbound Medicine ER -