Psychosocial determinants of the onset and escalation of smoking: Cross- sectional and prospective findings in multiethnic middle school samples

Scott C Carvajal, Dawm E. Wiatrek, Richard I. Evans, C. Raymond Knee, Susan G. Nash

Research output: Contribution to journalArticle

110 Citations (Scopus)

Abstract

Purpose: To investigate a broad range of social influence-related and global determinants of smoking to aid in the design of comprehensive multiethnic interventions by testing the most important factors of initiation and escalation of smoking across various subgroups. Methods: Cross-sectional (N = 2546) and cohort (N = 736) samples of multiethnic middle school students near a large Southwestern metropolis were surveyed through self-report questionnaires. The confidential questionnaires included information on demographics, risk factors, and smoking behavior and were administered in class by trained data collectors. Multivariable logistic regression analysis was used to examine the statistical significance and strength of the factors. Results: Those lower in self-esteem and higher in social assertiveness appeared to be most at risk for the onset of smoking, whereas those low in optimism appeared to be the most at risk for the escalation of smoking. Attitudes, friends' norms, parents' norms, perceived behavioral control, and perceived prevalence were consistent predictors of all smoking status outcomes. Conclusions: The behavioral-specific determinants of smoking appear to be important predictors of smoking status outcomes in all demographic subgroups. The relationships of the global determinants were more dependent on the smoking outcome variable and subgroup examined. The findings may serve to help facilitate the targeting of comprehensive interventions aimed at reducing adolescent smoking in multiethnic and ethnic group-specific populations. (C) Society for Adolescent Medicine, 2000.

Original languageEnglish (US)
Pages (from-to)255-265
Number of pages11
JournalJournal of Adolescent Health
Volume27
Issue number4
DOIs
StatePublished - Oct 2000
Externally publishedYes

Fingerprint

Smoking
Demography
Assertiveness
Peptide Initiation Factors
Ethnic Groups
Self Concept
Self Report
Parents
Logistic Models
Regression Analysis
Students
Population

Keywords

  • Adolescents
  • Ethnic differences
  • Gender differences
  • Smoking
  • Sociopsychological factors

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Psychosocial determinants of the onset and escalation of smoking : Cross- sectional and prospective findings in multiethnic middle school samples. / Carvajal, Scott C; Wiatrek, Dawm E.; Evans, Richard I.; Knee, C. Raymond; Nash, Susan G.

In: Journal of Adolescent Health, Vol. 27, No. 4, 10.2000, p. 255-265.

Research output: Contribution to journalArticle

@article{6d12844e6b544fd09ade5342408cb3c4,
title = "Psychosocial determinants of the onset and escalation of smoking: Cross- sectional and prospective findings in multiethnic middle school samples",
abstract = "Purpose: To investigate a broad range of social influence-related and global determinants of smoking to aid in the design of comprehensive multiethnic interventions by testing the most important factors of initiation and escalation of smoking across various subgroups. Methods: Cross-sectional (N = 2546) and cohort (N = 736) samples of multiethnic middle school students near a large Southwestern metropolis were surveyed through self-report questionnaires. The confidential questionnaires included information on demographics, risk factors, and smoking behavior and were administered in class by trained data collectors. Multivariable logistic regression analysis was used to examine the statistical significance and strength of the factors. Results: Those lower in self-esteem and higher in social assertiveness appeared to be most at risk for the onset of smoking, whereas those low in optimism appeared to be the most at risk for the escalation of smoking. Attitudes, friends' norms, parents' norms, perceived behavioral control, and perceived prevalence were consistent predictors of all smoking status outcomes. Conclusions: The behavioral-specific determinants of smoking appear to be important predictors of smoking status outcomes in all demographic subgroups. The relationships of the global determinants were more dependent on the smoking outcome variable and subgroup examined. The findings may serve to help facilitate the targeting of comprehensive interventions aimed at reducing adolescent smoking in multiethnic and ethnic group-specific populations. (C) Society for Adolescent Medicine, 2000.",
keywords = "Adolescents, Ethnic differences, Gender differences, Smoking, Sociopsychological factors",
author = "Carvajal, {Scott C} and Wiatrek, {Dawm E.} and Evans, {Richard I.} and Knee, {C. Raymond} and Nash, {Susan G.}",
year = "2000",
month = "10",
doi = "10.1016/S1054-139X(00)00124-5",
language = "English (US)",
volume = "27",
pages = "255--265",
journal = "Journal of Adolescent Health",
issn = "1054-139X",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Psychosocial determinants of the onset and escalation of smoking

T2 - Cross- sectional and prospective findings in multiethnic middle school samples

AU - Carvajal, Scott C

AU - Wiatrek, Dawm E.

AU - Evans, Richard I.

AU - Knee, C. Raymond

AU - Nash, Susan G.

PY - 2000/10

Y1 - 2000/10

N2 - Purpose: To investigate a broad range of social influence-related and global determinants of smoking to aid in the design of comprehensive multiethnic interventions by testing the most important factors of initiation and escalation of smoking across various subgroups. Methods: Cross-sectional (N = 2546) and cohort (N = 736) samples of multiethnic middle school students near a large Southwestern metropolis were surveyed through self-report questionnaires. The confidential questionnaires included information on demographics, risk factors, and smoking behavior and were administered in class by trained data collectors. Multivariable logistic regression analysis was used to examine the statistical significance and strength of the factors. Results: Those lower in self-esteem and higher in social assertiveness appeared to be most at risk for the onset of smoking, whereas those low in optimism appeared to be the most at risk for the escalation of smoking. Attitudes, friends' norms, parents' norms, perceived behavioral control, and perceived prevalence were consistent predictors of all smoking status outcomes. Conclusions: The behavioral-specific determinants of smoking appear to be important predictors of smoking status outcomes in all demographic subgroups. The relationships of the global determinants were more dependent on the smoking outcome variable and subgroup examined. The findings may serve to help facilitate the targeting of comprehensive interventions aimed at reducing adolescent smoking in multiethnic and ethnic group-specific populations. (C) Society for Adolescent Medicine, 2000.

AB - Purpose: To investigate a broad range of social influence-related and global determinants of smoking to aid in the design of comprehensive multiethnic interventions by testing the most important factors of initiation and escalation of smoking across various subgroups. Methods: Cross-sectional (N = 2546) and cohort (N = 736) samples of multiethnic middle school students near a large Southwestern metropolis were surveyed through self-report questionnaires. The confidential questionnaires included information on demographics, risk factors, and smoking behavior and were administered in class by trained data collectors. Multivariable logistic regression analysis was used to examine the statistical significance and strength of the factors. Results: Those lower in self-esteem and higher in social assertiveness appeared to be most at risk for the onset of smoking, whereas those low in optimism appeared to be the most at risk for the escalation of smoking. Attitudes, friends' norms, parents' norms, perceived behavioral control, and perceived prevalence were consistent predictors of all smoking status outcomes. Conclusions: The behavioral-specific determinants of smoking appear to be important predictors of smoking status outcomes in all demographic subgroups. The relationships of the global determinants were more dependent on the smoking outcome variable and subgroup examined. The findings may serve to help facilitate the targeting of comprehensive interventions aimed at reducing adolescent smoking in multiethnic and ethnic group-specific populations. (C) Society for Adolescent Medicine, 2000.

KW - Adolescents

KW - Ethnic differences

KW - Gender differences

KW - Smoking

KW - Sociopsychological factors

UR - http://www.scopus.com/inward/record.url?scp=0033796777&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033796777&partnerID=8YFLogxK

U2 - 10.1016/S1054-139X(00)00124-5

DO - 10.1016/S1054-139X(00)00124-5

M3 - Article

C2 - 11008088

AN - SCOPUS:0033796777

VL - 27

SP - 255

EP - 265

JO - Journal of Adolescent Health

JF - Journal of Adolescent Health

SN - 1054-139X

IS - 4

ER -