A prospective test of distal and proximal determinants of smoking initiation in early adolescents

Scott C Carvajal, Teresa M. Granillo

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

This study tests a broad array of determinants of utility for developing smoking preventive interventions using a population-based cohort of early adolescents. Multivariable logistic regressions using never-smokers at baseline (N = 1137; age 11-14) showed a model of distal determinants was more predictive of initiation within the approximate 10 month follow up period than one of proximal determinants. When all determinants were simultaneously considered, lesser academic achievement and fewer environmental impediments to smoking most strongly predicted initiation. The findings are consistent with some current smoking prevention programs, however such programs may be further potent by using theory-based social development approaches and through reducing tobacco availability or social contexts where youth can smoke without another adult knowing.

Original languageEnglish (US)
Pages (from-to)649-660
Number of pages12
JournalAddictive Behaviors
Volume31
Issue number4
DOIs
StatePublished - Apr 2006

Fingerprint

Tobacco
Smoke
Logistics
Smoking
Availability
Logistic Models
Population

Keywords

  • Adolescents
  • Determinants
  • Initiation
  • Onset
  • Smoking

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

A prospective test of distal and proximal determinants of smoking initiation in early adolescents. / Carvajal, Scott C; Granillo, Teresa M.

In: Addictive Behaviors, Vol. 31, No. 4, 04.2006, p. 649-660.

Research output: Contribution to journalArticle

@article{96b5bca5a1be41fcbbcae38bc2640151,
title = "A prospective test of distal and proximal determinants of smoking initiation in early adolescents",
abstract = "This study tests a broad array of determinants of utility for developing smoking preventive interventions using a population-based cohort of early adolescents. Multivariable logistic regressions using never-smokers at baseline (N = 1137; age 11-14) showed a model of distal determinants was more predictive of initiation within the approximate 10 month follow up period than one of proximal determinants. When all determinants were simultaneously considered, lesser academic achievement and fewer environmental impediments to smoking most strongly predicted initiation. The findings are consistent with some current smoking prevention programs, however such programs may be further potent by using theory-based social development approaches and through reducing tobacco availability or social contexts where youth can smoke without another adult knowing.",
keywords = "Adolescents, Determinants, Initiation, Onset, Smoking",
author = "Carvajal, {Scott C} and Granillo, {Teresa M.}",
year = "2006",
month = "4",
doi = "10.1016/j.addbeh.2005.05.047",
language = "English (US)",
volume = "31",
pages = "649--660",
journal = "Addictive Behaviors",
issn = "0306-4603",
publisher = "Elsevier Limited",
number = "4",

}

TY - JOUR

T1 - A prospective test of distal and proximal determinants of smoking initiation in early adolescents

AU - Carvajal, Scott C

AU - Granillo, Teresa M.

PY - 2006/4

Y1 - 2006/4

N2 - This study tests a broad array of determinants of utility for developing smoking preventive interventions using a population-based cohort of early adolescents. Multivariable logistic regressions using never-smokers at baseline (N = 1137; age 11-14) showed a model of distal determinants was more predictive of initiation within the approximate 10 month follow up period than one of proximal determinants. When all determinants were simultaneously considered, lesser academic achievement and fewer environmental impediments to smoking most strongly predicted initiation. The findings are consistent with some current smoking prevention programs, however such programs may be further potent by using theory-based social development approaches and through reducing tobacco availability or social contexts where youth can smoke without another adult knowing.

AB - This study tests a broad array of determinants of utility for developing smoking preventive interventions using a population-based cohort of early adolescents. Multivariable logistic regressions using never-smokers at baseline (N = 1137; age 11-14) showed a model of distal determinants was more predictive of initiation within the approximate 10 month follow up period than one of proximal determinants. When all determinants were simultaneously considered, lesser academic achievement and fewer environmental impediments to smoking most strongly predicted initiation. The findings are consistent with some current smoking prevention programs, however such programs may be further potent by using theory-based social development approaches and through reducing tobacco availability or social contexts where youth can smoke without another adult knowing.

KW - Adolescents

KW - Determinants

KW - Initiation

KW - Onset

KW - Smoking

UR - http://www.scopus.com/inward/record.url?scp=33645242824&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33645242824&partnerID=8YFLogxK

U2 - 10.1016/j.addbeh.2005.05.047

DO - 10.1016/j.addbeh.2005.05.047

M3 - Article

VL - 31

SP - 649

EP - 660

JO - Addictive Behaviors

JF - Addictive Behaviors

SN - 0306-4603

IS - 4

ER -