Dieting and smoking initiation in early adolescent girls and boys: a prospective study

Austin, S. Bryn; Gortmaker, S. L.

doi:10.2105/ajph.91.3.446

Cited by 92 publications

(20 citation statements)

References 39 publications

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“…35-38 Consideration of alcohol use and marijuana use alongside cigarette smoking, and assessment of cigarette smoking behaviors other than smoking initiation, which was a focus of previous studies, increases understanding of the relationship between weight status and cigarette smoking. One of the main questions arising from the current findings pertains to why higher weight status is related specifically to regular cigarette smoking but not other forms of problematic substance use.…”

Section: Discussionmentioning

confidence: 99%

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Does Adolescent Weight Status Predict Problematic Substance Use Patterns?

Lanza

Grella

2014

Am J Hlth Behav

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Objectives To identify underlying patterns of cigarette smoking, alcohol use, and marijuana use in young adulthood, and ascertain whether adolescent over-weight or obesity status predicts problematic substance use patterns. Methods The study included 15,119 participants from the National Longitudinal Study of Adolescent Health (Add Health) at Wave 1 (11-19 years) and Wave 3 (18-26 years). Latent class analysis was conducted. Results Participants were classified into a Low Substance Use (35%), Regular Smokers (12%), High-risk Alcohol use (33%), or High Substance Use (20%) class. Over-weight/obese adolescents had a greater likelihood of belonging to the Regular Smokers class. Conclusions Overweight/obese adolescents are at higher risk of engaging in regular cigarette smoking without problematic alcohol or marijuana use.

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Section: Discussionmentioning

confidence: 99%

“…A study of early adolescents in the US indicated that obese girls were less likely to initiate tobacco use 2 years later compared to non-obese girls. 35 On the other hand, another US study and a Swedish study found that smoking initiation was more likely among obese girls compared to nonobese girls. 36,37 No significant relationships were found among boys.…”

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confidence: 95%

Does Adolescent Weight Status Predict Problematic Substance Use Patterns?

Lanza

Grella

2014

Am J Hlth Behav

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“…Media consumption patterns differ by gender beginning in early childhood[34-36]. Magazines frequently read by adolescents of both sexes present content focused on body image, appearance, and having a provocative, authority-challenging attitude[36], factors which may relate to tobacco use, exercise and tanning behavior[37-41]. As media engagement explained only a part of gender-expression differences in risk behavior, future research should explore other possible mechanisms, including socialization by parents[42] and peers[43, 44].…”

Section: Discussionmentioning

confidence: 99%

Masculine Boys, Feminine Girls, and Cancer Risk Behaviors: An 11-Year Longitudinal Study

Roberts

Rosario

Calzo

et al. 2014

Journal of Adolescent Health

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Objective Cancer risk behaviors often begin in adolescence and persist through adulthood. Tobacco use, indoor tanning, and physical inactivity are highly prevalent, socially patterned cancer risk behaviors, and their prevalence differs strongly by sex. It is therefore possible that these behaviors also differ by gender expression within the sexes due to social patterning. Methods We examined whether 5 cancer risk behaviors differed by childhood gender expression within the sexes and whether patterns of media engagement (e.g., magazine readership and trying to look like media personalities) explained possible differences, in a US population-based cohort (N=9,435). Results The most feminine girls had higher prevalence of indoor tanning (prevalence risk ratio (pRR)=1.32, 95% CI=1.23, 1.42) and physical inactivity (pRR=1.16, 95% CI=1.01, 1.34) and lower prevalence of worse smoking trajectory (prevalence odds ratio (pOR)=0.75, 95% CI=0.65, 0.88) and smoking cigars (pRR=0.61, 95% CI=0.47, 0.79) compared with least-feminine girls. Media engagement accounted for part of the higher prevalence of indoor tanning. The most masculine boys were more likely to chew tobacco (pRR=1.78, 95% CI=1.14, 2.79) and smoke cigars (pRR=1.55, 95% CI=1.17, 2.06), but less likely to follow a worse smoking trajectory (pOR=0.69, 95% CI=0.55, 0.87) and be physically inactive (pRR=0.54, 95% CI=0.43, 0.69) compared with least-masculine boys. Conclusions We found some strong differences in patterns of cancer risk behaviors by gender expression within the sexes. Prevention efforts that challenge the “masculinity” of smoking cigarettes and cigars and chewing tobacco and challenge the “femininity” of indoor tanning to reduce their appeal to adolescents should be explored.

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“…The ASE model incorporates insights from other tested and validated social cognitive theories, and suggests that behavior is the result of intentions and abilities, whereby motivational factors, such as various attitudes, social influences, and self-efficacy determine intention, while abilities and environmental barriers (e.g., availability, restrictions) determine whether intentions will be realized (Ajzen, 1991; Bandura, 2001). Within this framework, gender is not a central focus; however, gender differences in determinants of adolescent smoking initiation are widely documented and evidence also points to differential effects of smoking prevention and cessation interventions by gender (Amos et al, 2012; Austin and Gortmaker, 2001; Babar et al, 2010; Greaves, 2007; Nichter, 2003; Okoli et al, 2013; Rice et al, 2003; Trudeau et al, 2007; Zhu et al, 1996). Moreover, the defined gender roles found in Jordan are likely to influence smoking uptake differently for boys compared to girls (Maziak et al, 2004; Nichter, 2003).…”

Section: Introductionmentioning

confidence: 99%

Determinants of waterpipe smoking initiation among school children in Irbid, Jordan: A 4-year longitudinal analysis

McKelvey¹,

Attonito²,

Madhivanan³

et al. 2014

Drug and Alcohol Dependence

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Objective Guided by the Attitude-Social influence-self Efficacy (ASE) theory, this study identified predictors of waterpipe (WP) smoking initiation in a WP naïve cohort of Jordanian schoolchildren. Methods A school-based cohort of all 7th grade students (N=1,781) in 19 of 60 schools in Irbid, Jordan, was followed from 2008 to 2011. Generalized linear mixed modeling was used to examine predictors of WP initiation among WP-naïve students (N=1,243). Results During the 3-year study, WP initiation was documented in 39% of boys and 28% of girls. Prior cigarette smoking (boys: Odds Ratio 7.41; 95% Confidence Interval 4.05–12.92 and girls: 8.48; 4.34–16.56) and low WP refusal self-efficacy (boys: 26.67; 13.80–51.53 and girls: 11.49; 6.42–20.55) were strongly predictive of initiating WP. Boys were also more likely to initiate WP smoking if they had siblings (2.30; 1.14- 4.64) or teachers (2.07; 1.12–3.84) who smoked and girls if they had friends (2.96; 1.59–5.54) who smoked. Conclusion There is a sizeable incidence of WP initiation among students of both sexes. These findings will help in designing culturally responsive prevention interventions against WP smoking. Gender-specific factors, refusal skills, and cigarette smoking need to be important components of such initiatives.

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Dieting and smoking initiation in early adolescent girls and boys: a prospective study

Cited by 92 publications

References 39 publications

Does Adolescent Weight Status Predict Problematic Substance Use Patterns?

Does Adolescent Weight Status Predict Problematic Substance Use Patterns?

Masculine Boys, Feminine Girls, and Cancer Risk Behaviors: An 11-Year Longitudinal Study

Determinants of waterpipe smoking initiation among school children in Irbid, Jordan: A 4-year longitudinal analysis

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