ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2017
Predictors of Cigarette Smoking Initiation in Early, Middle, and Late Adolescence.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Effectiveness of a Dentist-based Anti-Smoking Intervention Among Malaysian Adolescents: A Randomized Controlled Field Trial.Asian Pacific journal of cancer prevention : APJCP · 2025Trial
- Effectiveness of a Digital Health Game Intervention on Early Adolescent Smoking Refusal Self-Efficacy.Health education & behavior : the official publication of the Society for Public Health Education · 2024Trial
- The Association Between Adolescent Mental Health Symptoms and Characteristics of Cigarette and E-Cigarette Use.Substance use & misuse · 2026Article
- Longitudinal Examination of Loneliness and Smoking in Adolescents and Young Adults: A Multiple Dataset Study.International journal of mental health and addiction · 2026Article
- Prevalence and predictors of tobacco use among Saudi adolescents: the Global Youth Tobacco Survey (GYTS) 2022.BMC public health · 2025Article
- Trends in Mental Health Symptoms, Nicotine Product Use, and Their Association Over Time Among Adolescents in Canada, England, and the US: Findings From the ITC Adolescents Tobacco and Vaping Survey, 2020-2023.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Tobacco Product Users Among School-Going Adolescents in Malaysia: Prevalence and Associated Factors.The Malaysian journal of medical sciences : MJMS · 2025Article
- The impact of family systems and social networks on substance use initiation and recovery among women with substance use disorders.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024Article
- Problematic substance use in depressed adolescents: Prevalence and clinical correlates.Addictive behaviors reports · 2024Article
- Associations of weight control related behaviors with current cigarette smoking among Chinese adolescents: Results from an ongoing school-based survey in Zhejiang province.Tobacco induced diseases · 2024Article
- Anxiety and depressive symptoms as predictors of substance use initiation among adolescents living on and near a Tribal reservation in the Great Plains region of the U.S.Frontiers in child and adolescent psychiatry · 2024Article
- Racial differences in early adolescent substance use: Child abuse types and family/peer substance use as predictors.Journal of ethnicity in substance abuse · 2024Article
- Brain Injury Is Prevalent and Precedes Tobacco Use among Youth and Young Adults Experiencing Homelessness.International journal of environmental research and public health · 2023Article
- The Effectiveness of Self-Help Group (SHG) Intervention on Smoking Prevention of Adolescents in Aceh, Indonesia: A Controlled Field Trail.Asian Pacific journal of cancer prevention : APJCP · 2023Article
- Abbreviated version of Penn State Worry Questionnaire for Chinese adolescents: Age, gender and longitudinal invariance.Frontiers in psychiatry · 2023Article
- Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia.BMC public health · 2022Article
- Weight misperception and substance use: Brazilian Study of Cardiovascular Risks in Adolescents (ERICA).BMC public health · 2022Article
- The Genetic and Environmental Influences Contributing to the Association between Electronic and Conventional Cigarette Initiation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Article
- Indonesian adolescents' perspectives on smoking habits: a qualitative study.BMC public health · 2021Article
- Social Smoking Environment and Associations With Cardiac Rehabilitation Attendance.Journal of cardiopulmonary rehabilitation and prevention · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLittle is known about age-related differences in risk factors for cigarette smoking initiation. We identified predictors of initiation in early, middle, and late adolescence from among sociodemographic factors, indicators of smoking in the social environment, psychological characteristics, lifestyle indicators, and perceived need for cigarettes.
methodsData were drawn from a longitudinal study of 1,801 children recruited at age 10-11 years from 29 elementary schools in Montreal, Canada. Multivariable logistic regression within a generalized estimating equations framework was used to identify predictors among never smokers across three 2-year windows: age 11-13 years (n = 1,221); age 13-15 years (n = 737); and age 15-17 years (n = 690).
resultsAmong the 18 risk factors investigated, two differed across age. Friends' smoking, a strong risk factor in early adolescence (odds ratio [95% confidence interval] = 5.78 [3.90-8.58]), lost potency in late adolescence (1.83 [1.31-2.57]). Depressive symptoms, a risk factor in early and middle adolescence (1.60 [1.26-2.02] and 1.92 [1.45-2.54], respectively), were inversely associated in late adolescence (.76 [.58-1.00]). Sex, TV viewing, and weight-related goals were not associated with initiation at any age. All other factors were significant in two or three age groups.
conclusionsMost risk factors for smoking initiation were stable across age. Tobacco control interventions may be robust for risk factors across age groups and may not need adjustment. At all ages, interventions should focus on eliminating smoking in the social environment and on reducing the availability of tobacco products.
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