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. 2014 Nov-Dec;40(6):634-42.
doi: 10.1590/S1806-37132014000600007.

Correlates of experimentation with smoking and current cigarette consumption among adolescents

Amanda Gimenes Bonilha  1 , Antonio Ruffino-Netto  2 , Mayara Piani Sicchieri  3 , Jorge Alberto Achcar  4 , Antonio Luiz Rodrigues-Júnior  4 , José Baddini-Martinez  3
Affiliations

Correlates of experimentation with smoking and current cigarette consumption among adolescents

Amanda Gimenes Bonilha et al. J Bras Pneumol. 2014 Nov-Dec.

Abstract
in English, Portuguese

Objective: The aim of this study was to analyze social characteristics and stress as correlates of cigarette smoking in adolescence. The main intent was to identify elements that distinguish adolescents who had experimented with smoking and did not progress to regular smoking from those who became current smokers.

Methods: Students at 10 high schools in the city of Ribeirão Preto, Brazil, completed a questionnaire based on an instrument employed in a similar large-scale study. The students were classified as never-smokers or experimenters. The experimenters were subcategorized as having become current smokers or nonprogressors. Analyses were performed using adjusted logistic models.

Results: A total of 2,014 students (mean age, 16.2 ± 1.1 years; females, 53%) completed the questionnaire. We categorized 1,283 students (63.7%) as never-smokers, 244 (12.1%) as current smokers, and 487 (24.2%) as nonprogressors. We found that experimentation with smoking was associated with being held back a grade in school (OR = 1.80), alcohol intake (low/occasional, OR = 8.92; high/regular, OR = 2.64), illicit drug use (OR = 9.32), having a sibling or cousin who smokes (OR = 1.39), having a friend who smokes (OR = 2.08), and high levels of stress (in females only, OR = 1.32). Factors associated with an increased risk of transitioning from experimenter to current smoker were alcohol intake (low/occasional, OR = 3.28; high/regular, OR = 2.16), illicit drug use (OR = 3.61), and having a friend who smokes (OR = 7.20).

Conclusions: Current smoking was associated with a profile of socioeconomic correlates different from that associated with experimentation only. Our data (showing that current smoking was associated with having a friend who smokes, alcohol intake, and illicit drug use) suggest the need for comprehensive approaches to discourage substance use during adolescence.

Objetivo: Analisar características sociais e estresse como correlatos de consumo de cigarros na adolescência. O principal objetivo foi identificar elementos que distingam adolescentes que experimentaram cigarros e não progrediram para o tabagismo regular daqueles que se tornaram fumantes correntes.

Métodos: Estudantes de 10 escolas do ensino médio de Ribeirão Preto responderam um questionário baseado em instrumento empregado em um estudo com escala semelhante. Os estudantes foram classificados em indivíduos que nunca fumaram (NF) e experimentadores de cigarros (E). O grupo E foi subcategorizado em fumantes atuais e indivíduos que não progrediram para tabagismo corrente. As análises foram realizadas usando modelos logísticos ajustados.

Resultados: Um total de 2.014 estudantes (16,2 ± 1,1 anos; mulheres, 53%) responderam o questionário. Categorizamos 1.283 alunos (63,7%) em nunca fumantes, 244 (12,1%) como fumantes atuais e 487 (24,2%) como não progressores. A experimentação de cigarros foi associada a repetição de anos na escola (OR = 1,80), consumo de álcool (baixo/ocasional, OR = 8,92; intenso/frequente, OR = 2,64), uso de drogas ilícitas (OR = 9,32), fumantes entre irmãos ou primos (OR = 1,39), fumantes entre amigos (OR = 2,08) e níveis elevados de estresse (apenas em mulheres, OR = 1,32). Fatores associados com um risco maior de passar de experimentador de cigarros para fumante atual foram consumo de álcool (baixo/ocasional, OR = 3,28; regular/elevado, OR = 2,16), uso de drogas ilícitas (OR = 3,61) e amigos fumantes (OR = 7,20).

Conclusões: O tabagismo atual associou-se com um perfil de correlatos socioeconômicos diferentes daqueles associados apenas à experimentação. Nossos achados (tabagismo atual associou-se a amigos fumantes, consumo de álcool e de drogas ilícitas) sugerem a necessidade de abordagens abrangentes para o desencorajamento do uso dessas substâncias na adolescência.

Keywords: Adolescent behavior; Smoking; Stress, psychological; Tobacco use.

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References

    1. Oliveira AF, Valente JG, Leite IC. The disease burden attributable to smoking in the state of Rio de Janeiro, Brazil in 2000. Clinics (Sao Paulo) 2008;63(2):215–222. http://dx.doi.org/10.1590/S1807-59322008000200010 - DOI - PMC - PubMed
    1. Schroeder SA. New evidence that cigarette smoking remains the most important health hazard. N Engl J Med. 2013;368(4):389–390. http://dx.doi.org/10.1056/NEJMe1213751 - DOI - PubMed
    1. US Department of Health and Human Services. Public Health Service.Office of the Surgeon General . Preventing tobacco use among youth and young adults: a report of the Surgeon General, 2012. Atlanta: US Department of Health and Human Services; 2012. pp. 899–899.
    1. Carvajal SC, Wiatrek DE, Evans RI, Knee CR, Nash SG. Psychosocial determinants of the onset and escalation of smoking: cross-sectional and prospective findings in multiethnic middle school samples. J Adolesc Health. 2000;27(4):255–265. http://dx.doi.org/10.1016/S1054-139X(00)00124-5 - DOI - PubMed
    1. Conrad KM, Flay BR, Hill D. Why children start smoking cigarettes: predictors of onset. Br J Addict. 1992;87(12):1711–1724. http://dx.doi.org/10.1111/j.1360-0443.1992.tb02684.x - DOI - PubMed

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