Evidence map›Paper›PMID 29525899›Full record

ArticlePrevention science : the official journal of the Society for Prevention Research2019

Preventing Smoking Progression in Young Adults: the Concept of Prevescalation.

Andrea C Villanti, Raymond S Niaura, David B Abrams, Robin Mermelstein

Abstract readEditorial
In one paragraph

Article in Prevention science : the official journal of the Society for Prevention Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed.

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  5. Mediational Effects on Motivation to Quit Smoking After Exposure to a Cigarette Pictorial Warning Label Among Young Adults.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022
    Trial
  6. Trial
  7. Testing the Effects of Hookah Tobacco Social Media Risk Communication Messages Among Young Adults.Health education & behavior : the official publication of the Society for Public Health Education · 2021
    Trial
  8. Effect of plain cigarette packaging on point-of-sale purchasing behavior among young adults who smoke.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  9. Article
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  12. The Impact of the Transition into First Employment on Smoking Behavior Among Young Workers in China.International journal of environmental research and public health · 2026
    Article
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Andrea C VillantiVermont Center on Behavior and Health, Department of Psychiatry, University of Vermont, Burlington, VT, USA. andrea.villanti@uvm.edu.
Raymond S NiauraSchroeder Institute for Tobacco Research and Policy Studies at Truth Initiative, Washington, DC, USA.
David B AbramsSchroeder Institute for Tobacco Research and Policy Studies at Truth Initiative, Washington, DC, USA.
Robin MermelsteinDepartment of Psychology and Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, USA.

Funding

Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2013 to 2022
$21.3M
Examining Social Influences on Young Adult Smoking and Cessation TrajectoriesR03CA187756 · NCI · TRUTH INITIATIVE FOUNDATION · PI VILLANTI, ANDREA · 2014 to 2015
$148k
NCI NIH HHS R03 CA187756NCI NIH HHS R03CA187756NIGMS NIH HHS P20 GM103644NIGMS NIH HHS P20GM103644
6 · The paper itself

Abstract

As adolescents cross the threshold to young adulthood, they encounter more opportunities to engage in or accelerate previously discouraged or prohibited behaviors. Young adults, therefore, are more apt to initiate cigarette smoking and, more importantly, to accelerate their use if they tried and experimented as an adolescent. Preventing the escalation and entrenchment of smoking in the young adult years is critically important to reducing tobacco's long-term health toll. However, traditional interventions for youth have focused on preventing smoking initiation, and interventions for adults have focused on smoking cessation; both have failed to address the needs of young adults. We introduce the concept of "prevescalation" to capture the need and opportunity to prevent the escalation of risk behaviors that typically occur during young adulthood, with a focus on the example of cigarette smoking. Prevescalation negates the notion that prevention has failed if tobacco experimentation occurs during adolescence and focuses on understanding and interrupting transitions between experimentation with tobacco products and established tobacco use that largely occur during young adulthood. However, since risk behaviors often co-occur in young people, the core concept of prevescalation may apply to other behaviors that co-occur and become harder to change in later adulthood. We present a new framework for conceptualizing, developing, and evaluating interventions that better fit the unique behavioral, psychosocial, and socio-environmental characteristics of the young adult years. We discuss the need to target this transitional phase, what we know about behavioral pathways and predictors of cigarette smoking, potential intervention considerations, and research challenges.

Indexed as

Cigarette SmokingDisease ProgressionHumansYoung AdultPreventionSmoking progressionYoung adult

Identifiers

PMID29525899
PMCPMC6131072

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.