Discussion:In conclusion, this cross-sectional study found that occasional smoking and ETS exposure were associated with an increase in the rate of respiratory symptoms (cough/sore throat and shortness of breath/fatigue) among young adults.
IntroductionYoung adulthood is a critical transition period in cigarette use ( Bachman, Wadsworth, O'Malley, Johnston, & Schulenberg, 1997 ;Chen & Kandel, 1995 ). Whereas fi rst experimentation with cigarettes occurs early in life for the majority of individuals, increased frequency of smoking and establishment of regular or heavy cigarette use often occur during the young adult years . Encouraging smoking cessation early in life is crucial to help individuals avoid many of the harms related to smoking ( Doll, Peto, Boreham, & Sutherland, 2004 ;Orleans, 2007 ). Effective strategies targeting occasional or intermittent young adult smokers are needed to interrupt the progression of smoking behavior and the development of nicotine dependence.Efforts to encourage cessation often focus on communicating the negative consequences of cigarette use. This approach is based on well-recognized health behavior theories such as the health belief model ( Janz & Becker, 1984 ;Rosenstock, Strecher, & Becker, 1988 ) and the theory of reasoned action ( Ajzen & Fishbein, 1980 ;Fishbein & Ajzen, 1975 ). Several studies have identifi ed concerns over health consequences as an
AbstractIntroduction: The perception of negative health consequences is a common motive for quitting smoking, but specifi c information on the immediate health effects of occasional smoking among young adults is limited.Method: To examine the relationship between cigarette use and symptoms of (a) cough or sore throat and (b) shortness of breath or fatigue after regular activities among young adults, we performed online health screening of a random sample of 25,000 college undergraduates. The screening survey assessed demographic characteristics, smoking and related health behaviors, and respiratory symptoms in the previous 30 days.