The influence of depressive symptoms on experimental smoking and intention to smoke in a diverse youth sample

Institute for Health Promotion and Disease Prevention Research, Keck School of Medicine, University of Southern California, Los Angeles, CA 90089-7798, USA.
Nicotine & Tobacco Research (Impact Factor: 3.3). 05/2005; 7(2):243-8. DOI: 10.1080/14622200500055483
Source: PubMed


Numerous studies have shown associations between smoking and depression, but the generalizability of the relationship across ethnic groups remains unknown. The present study assessed the association between depression and smoking intention and experimentation among adolescents from four ethnic groups in the Los Angeles area-Chinese/Chinese American, Latino/Hispanic, Persian/Iranian, and White. Over 800 7th graders in the Los Angeles area completed measures of depressive symptoms, experimentation with smoking, intention to smoke, and sociodemographic covariates. Chinese/Chinese American students had the lowest levels of depressive symptoms, whereas Latinos/Hispanics had the highest levels. Latinos/Hispanics also were the most likely to intend to smoke in the next year and were the most likely to have started experimenting with cigarette smoking. Depressive symptoms were significantly associated with intention to smoke even after controlling for language use acculturation, socioeconomic status, gender, and ethnicity. The association between depressive symptoms and intention to smoke did not vary significantly across ethnic groups. These results indicate that the association between depressive symptoms and adolescent smoking generalizes across diverse ethnic groups.

Download full-text


Available from: Carl Anderson Johnson,
  • Source
    • "Comorbidity rates for smoking and depression range from 31%−60% (Borrelli et al., 1996; Breslau, Kilbey & Andreski, 1991; Glassman et al., 1990). Most of the studies linking cigarette smoking to depression, however, have been cross-sectional, begging the question of the direction of the relationship (Acierno et al., 2000; Anda et al., 1990; Escobedo, Kirch, & Anda, 1996; Glassman et al., 1990; Nezami et al., 2005; Weiss, Mouttapa, Chou, Nezami, & Johnson, 2005) and findings from prospective studies have been mixed regarding the direction of effects. For example, Munafo and colleagues reported that the level of depressed mood predicted progression to smoking initiation but depressed mood predicted progression from initiation to regular smoking only for female adolescents (Munafò, Hitsman, Rende, Metcalfe, & Niaura, 2007). "
    [Show abstract] [Hide abstract]
    ABSTRACT: This study reports findings from two-level growth curve modeling of cigarette smoking and depressive symptoms based on the first three waves of data from a longitudinal study of Indigenous adolescents and their parents/caretakers in the northern Midwest and Canada. The 743 adolescents were aged 10-13 years at Wave 1 and 12-15 years at Wave 3. Over the three years of the study the overall retention rate was 93%. By Wave 3, 39% of the adolescent girls and 25% of the boys had smoked cigarettes in the past 12 months. The growth curve results indicated that smoking increased for both adolescent boys and girls across time. Depressive symptoms were associated with an increase in cigarette smoking for girls but not boys.
    Addictive behaviors 05/2009; 34(5):421-6. DOI:10.1016/j.addbeh.2008.12.009 · 2.76 Impact Factor
  • Source
    • "Depression and depressive symptoms have been identified as important determinants of adolescent smoking [18] [19]. Depressed adolescents are more likely to initiate smoking than their less depressed counterparts; however, there is still controversy about the direction of causality in the depression-smoking relationship because smoking is also associated with an increased risk of subsequent depression [20] [21]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Using logistic and multiple regression, we examined the association between hostility, level of depressive symptoms, and smoking in a sample of 1699 ethnically diverse students in California. Self-reports were collected twice from each student, at the beginning of the 6th and 7th grade years. Among 6th graders who had not smoked, depressive symptoms and hostility were associated with smoking initiation by the 7th grade. Among those students who had already tried smoking, increases in depressive symptoms and hostility were associated with more frequent smoking. The association between hostility and smoking was stronger for students reporting higher levels of depressive symptoms.
    Journal of Adolescence 03/2005; 28(1):49-62. DOI:10.1016/j.adolescence.2004.03.009 · 2.05 Impact Factor

Show more