Weaker Self-Esteem in Adolescence Predicts Smoking

Saari, Antti; Kentala, Jukka; Mattila, Kimmo

doi:10.1155/2015/687541

Cited by 14 publications

(14 citation statements)

References 24 publications

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“…Developmentally, the adolescent brain and body undergo rapid changes, including the establishment of new neuronal connections based on a cascade of new experiences and dramatic hormonal changes that may produce a period of vulnerability to psychiatric disorders 3. Moreover, adolescents may cope with new stresses by developing harmful habits and risky behaviors, including tobacco cigarette smoking (referred to as simply smoking from here forward) 4,5. There is a strong association between smoking and psychiatric disorders, though the nature of this association is not well understood.…”

Section: Introductionmentioning

confidence: 99%

<p>Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents</p>

Slomp¹,

Bara²,

Picharski³

et al. 2019

NDT

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BackgroundSeveral studies worldwide have pointed to depression and anxiety symptoms as being related to adolescent smoking. The aim of this study was to investigate, the potential link of cigarette smoking with depression, anxiety, and suicidal ideation and the influence of gender on these relationships in Brazilian adolescents.MethodsAssociations of smoking with Children Depressive Inventory version 2 (CDI2) scores, Hamilton Anxiety Scale (HAM-A) scores, and poor school performance (i.e., grade retention) were examined in 988 Brazilian students (age range, 11–17 years) enrolled in 82 public and private schools. Logistic regression modeling was employed and the resultant odds ratios (ORs) are reported with 95% CIs.ResultsOf 988 participants, 240 (24.3%) were smokers. Mean (±standard error) HAM-A scores were higher for smokers (21.1 ± 9.7) than nonsmokers (15.4 ± 8.6; p < 0.0001). Relative to nonsmokers, smokers had higher total CDI2 scores (p = 0.033), and higher scores for the CDI2 domains of Emotional Problems (p = 0.023), Negative Self-esteem (p < 0.001), and Functional Problems (p = 0.046). Suicidal ideation was common among smokers with depressive symptoms (54.2%). Smoking was associated with being held back three grades (p < 0.001). Female smokers were more likely to report suicidal ideation than male smokers (p = 0.020). Logistic regression modeling revealed significant associations of suicidal ideation with being female (OR, 1.81; 95% CI, 1.38–2.37), being a female smoker (OR, 2.05; 95% CI, 1.51–2.80), and having a HAM-A score > 16 (OR, 2.18; 95% CI, 1.66–2.86).ConclusionSmoking was found to be associated with anxiety symptoms, depressive symptoms, and poor school performance in Brazilian adolescents; and female smokers reported more suicidal ideation than male smokers.

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Section: Introductionmentioning

confidence: 99%

<p>Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents</p>

Slomp¹,

Bara²,

Picharski³

et al. 2019

NDT

View full text Add to dashboard Cite

show abstract

“… 13 , 14 In addition, low self-esteem in adolescents increases their smoking tendency during adulthood as well. 15 Moreover, there is a positive relationship between low self-esteem at school and drug abuse, 16 which might be provoked by poor performance at school and low approval of the peers. 17 Nazarzadeh et al found a significant and negative relationship between self-esteem and smoking stages.…”

Section: Introductionmentioning

confidence: 99%

“… 19 On the other hand, Mohammadpoorasl et al found no significant relationship between self-esteem and progress at smoking stages 20 and between low self-esteem of adolescence and smoking during adulthood. 15 …”

Section: Introductionmentioning

confidence: 99%

Cigarette and hookah smoking and their relationship with self-esteem and communication skills among high school students

Anbarlouei¹,

Sarbakhsh²,

Dadashzadeh³

et al. 2018

Health Promot Perspect

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Background: Tobacco smoking is one of the most important public health problems that may be prevented. There is limited information about its relationship with communication skills. Findings on the relationships between self-esteem and cigarette/hookah smoking are inconsistent. The aim of this study was to investigate the relationships between cigarette and hookah smoking,self-esteem and communication skills among a representative sample of high school students. Methods: In this cross-sectional study, a sample of 1321 tenth-grade students (14-17 years) was selected through multi-stage proportionally cluster sampling in Tabriz, 2017. The participants completed a self–administered multiple choice questionnaire including questions about cigarette smoking, hookah smoking, self-esteem, and communication skills. Results: After controlling for potential confounders, the results demonstrated that higher score of self-esteem protects students against being in advanced stages of cigarette smoking (odds ratio [OR] = 0.95, 95% CI: 0.92-0.99, P=0.012). However, there was no significant association between self-esteem score and the hookah smoking. Also, there was no significant association between communication skills score and cigarette and hookah smoking. Conclusion: According to our findings, self-esteem was associated with cigarette smoking, but not with hookah smoking. Furthermore, there was no statistically significant association between communication skills score and cigarette and hookah smoking.

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“…The majority of studies about the relationship of self-esteem and smoking conducted in adolescents have been cross sectional 20, 21 and cohort 22, 23 studies. Identification of the causal impact of self-esteem on smoking stages faces seemingly insurmountable problems in observational data, where self-esteem is not manipulable by the researcher and cannot be assigned randomly [24].…”

Section: Introductionmentioning

confidence: 99%

Causal Effect of Self-esteem on Cigarette Smoking Stages in Adolescents: Coarsened Exact Matching in a Longitudinal Study

Khosravi

Mohammadpoorasl

Holakouie-Naieni

et al. 2016

Osong Public Health and Research Perspectives

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ObjectivesIdentification of the causal impact of self-esteem on smoking stages faces seemingly insurmountable problems in observational data, where self-esteem is not manipulable by the researcher and cannot be assigned randomly. The aim of this study was to find out if weaker self-esteem in adolescence is a risk factor of cigarette smoking in a longitudinal study in Iran.MethodsIn this longitudinal study, 4,853 students (14–18 years) completed a self-administered multiple-choice anonym questionnaire. The students were evaluated twice, 12 months apart. Students were matched based on coarsened exact matching on pretreatment variables, including age, gender, smoking stages at the first wave of study, socioeconomic status, general risk-taking behavior, having a smoker in the family, having a smoker friend, attitude toward smoking, and self-injury, to ensure statistically equivalent comparison groups. Self-esteem was measured using the Rosenberg 10-item questionnaire and were classified using a latent class analysis. After matching, the effect of self-esteem was evaluated using a multinomial logistic model.ResultsIn the causal fitted model, for adolescents with weaker self-esteem relative to those with stronger self-esteem, the relative risk for experimenters and regular smokers relative to nonsmokers would be expected to increase by a factor of 2.2 (1.9–2.6) and 2.0 (1.5–2.6), respectively.ConclusionUsing a causal approach, our study indicates that low self-esteem is consistently associated with progression in cigarette smoking stages.

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Weaker Self-Esteem in Adolescence Predicts Smoking

Cited by 14 publications

References 24 publications

<p>Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents</p>

<p>Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents</p>

Cigarette and hookah smoking and their relationship with self-esteem and communication skills among high school students

Causal Effect of Self-esteem on Cigarette Smoking Stages in Adolescents: Coarsened Exact Matching in a Longitudinal Study

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