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Do popular students smoke? The association between popularity and smoking among middle school students.
J Adolesc Health 2005; 37(4):323-9JA

Abstract

BACKGROUND

Several studies have shown an association between popularity and behavior, indicating that popular people tend to reflect the norms of their group. Among adolescents, it has been hypothesized that popular students are more likely to smoke, especially in schools with high smoking prevalence.

METHODS

Data were collected on friendship patterns and smoking from 1,486 sixth and seventh graders in 16 middle schools in southern California. Susceptibility to smoke was measured as not stating a commitment not to smoke in the future, and smoking as ever taken a puff or smoked a whole cigarette. We measured popularity as the number of times a student was chosen as a friend. Multivariate logistic regression was used to correlate popularity with susceptibility to smoke and smoking at follow-up controlling for baseline outcomes, demographic characteristics, and clustering within schools.

RESULTS

Popularity was associated with increased susceptibility to smoke (Adjusted Odds Ratio [AOR] = 5.64, p < .001) and smoking (AOR = 5.09, p < .05) over the 1-year interval between surveys. Although the association was strongest for non-White boys, we did not find evidence of interactions between popularity and gender or ethnicity.

CONCLUSIONS

Popular middle school students were more likely to become smokers compared to their less popular peers. Although there seems some difference in the association by gender and ethnicity, the evidence does not suggest subgroup effects in this population. Implications for the study of adolescent smoking and prevention programming are discussed.

Authors+Show Affiliations

Institute for Prevention Research School of Medicine, University of Southern California, Alhambra, California 91803, USA. tvalente@usc.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16182143

Citation

Valente, Thomas W., et al. "Do Popular Students Smoke? the Association Between Popularity and Smoking Among Middle School Students." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 37, no. 4, 2005, pp. 323-9.
Valente TW, Unger JB, Johnson CA. Do popular students smoke? The association between popularity and smoking among middle school students. J Adolesc Health. 2005;37(4):323-9.
Valente, T. W., Unger, J. B., & Johnson, C. A. (2005). Do popular students smoke? The association between popularity and smoking among middle school students. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 37(4), pp. 323-9.
Valente TW, Unger JB, Johnson CA. Do Popular Students Smoke? the Association Between Popularity and Smoking Among Middle School Students. J Adolesc Health. 2005;37(4):323-9. PubMed PMID: 16182143.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Do popular students smoke? The association between popularity and smoking among middle school students. AU - Valente,Thomas W, AU - Unger,Jennifer B, AU - Johnson,C Anderson, PY - 2004/04/26/received PY - 2004/10/12/accepted PY - 2005/9/27/pubmed PY - 2006/5/12/medline PY - 2005/9/27/entrez SP - 323 EP - 9 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 37 IS - 4 N2 - BACKGROUND: Several studies have shown an association between popularity and behavior, indicating that popular people tend to reflect the norms of their group. Among adolescents, it has been hypothesized that popular students are more likely to smoke, especially in schools with high smoking prevalence. METHODS: Data were collected on friendship patterns and smoking from 1,486 sixth and seventh graders in 16 middle schools in southern California. Susceptibility to smoke was measured as not stating a commitment not to smoke in the future, and smoking as ever taken a puff or smoked a whole cigarette. We measured popularity as the number of times a student was chosen as a friend. Multivariate logistic regression was used to correlate popularity with susceptibility to smoke and smoking at follow-up controlling for baseline outcomes, demographic characteristics, and clustering within schools. RESULTS: Popularity was associated with increased susceptibility to smoke (Adjusted Odds Ratio [AOR] = 5.64, p < .001) and smoking (AOR = 5.09, p < .05) over the 1-year interval between surveys. Although the association was strongest for non-White boys, we did not find evidence of interactions between popularity and gender or ethnicity. CONCLUSIONS: Popular middle school students were more likely to become smokers compared to their less popular peers. Although there seems some difference in the association by gender and ethnicity, the evidence does not suggest subgroup effects in this population. Implications for the study of adolescent smoking and prevention programming are discussed. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/16182143/Do_popular_students_smoke_The_association_between_popularity_and_smoking_among_middle_school_students_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(05)00130-8 DB - PRIME DP - Unbound Medicine ER -