Self-Initiated Quitting among Adolescent Smokers

Institute for Health Promotion and Disease Prevention Research, University of Southern California, Los Angeles, California, 90033, USA.
Preventive Medicine (Impact Factor: 3.09). 09/1998; 27(5 Pt 3):A19-28. DOI: 10.1006/pmed.1998.0379
Source: PubMed


This paper reviews the literature regarding predictors of adolescent self-initiated smoking cessation and investigates self-initiated smoking cessation among a large sample of alternative high school youth in southern California. Youth transfer to alternative schools because of academic or behavioral problems, and they are at relatively high risk for cigarette smoking.
Several demographic (e.g., gender), behavioral (e.g., level of smoking), and psychosocial (e.g., risk-taking) predictors of adolescent smoking cessation were investigated. The alternative high school cohort provided a sufficient sample size of quitters (defined as no use in the past 30 days, measured after a 1-year period) to permit a prospective examination of adolescent smoking cessation.
Although nine demographic, behavioral, or psychosocial variables discriminated among quitters and nonquitters in univariate analyses, only level of baseline smoking, smoking intention, and perceived stress were predictors in a final multivariable model.
Based on the literature review and findings among the cohort, smoking cessation programs for adolescents should include counteraction of problem-prone attitudes, support of wellness attitudes, provision of motivation to quit strategies, and assistance with overcoming withdrawal symptoms.

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Available from: Brian R Flay, Jul 11, 2015
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    • "An intention to quit is an important preliminary step for the behavioral change151617. Even though having an intention to quit is not the sole predictor of a smoking cessation, intention is highly associated with attempting to quit[15,18,19]and with smoking cessation[15,181920. To date, information regarding quitting intentions among the adult Jordanian population is lacking. "

    Full-text · Article · Jan 2011
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    • "doi:10.1016/j.healthpol.2010.04.009 months [1]. Adolescent smokers face difficult withdrawal symptoms and failed quit attempts, with many reporting relapse within six months of their initial quit attempt; however , many are motivated to quit and successful adolescent smoking cessation has been associated with student-level variation across social and psychological factors such as parental and peer support, healthy lifestyles, and psychosocial coping skills [3] [4] [5] [6] [7] [8]. A variety of tobacco control policies were enacted over the past two decades that aim to prevent smoking initiation and encourage cessation among adolescents. "
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    ABSTRACT: Research on the effects of state-level tobacco control policies targeted at youth has been mixed, with little on the effects of these policies and youth smoking cessation. This study explored the association between state-level tobacco control policies and youth smoking cessation behaviors from 1991 to 2006. The study design was a population-based, nested survey of students within states. Study participants were 8th, 10th, and 12th graders who reported smoking "regularly in the past" or "regularly now" from the Monitoring the Future study. Main cessation outcome measures were: any quit attempt; want to quit; non-continuation of smoking; and discontinuation of smoking. Results showed that cigarette price was positively associated with a majority of cessation-related measures among high school smokers. Strength of sales to minors' laws was also associated with adolescent non-continuation of smoking among 10th and 12th graders. Findings suggest that increasing cigarette price can encourage cessation-related behaviors among high school smokers. Evidence-based policy, such as tax increases on tobacco products, should be included as an important part of comprehensive tobacco control policy, which can have a positive effect on decreasing smoking prevalence and increasing smoking cessation among youth.
    Full-text · Article · Oct 2010 · Health Policy
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    • "Cigarette smoking among adolescents remains a major public health concern given the frequent persistence of this behavior into adulthood, resulting in significant health risks. Yet, investigations of adolescent smokers consistently indicate the majority are seriously thinking about quitting and frequently attempt to modify cigarette smoking behaviors without formal treatment (i.e., engage in self-change efforts such as quit attempts) (Burt & Peterson, 1998; Sussman et al., 1998b; Holden, Hund, Gable, & Mowery, 2003). However, little is known about the self-change process in youth or about potentially important factors such as gender that may influence self-change efforts. "
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    ABSTRACT: Little information describes how adolescents change their smoking behavior. This study investigated the role of gender in the relationship of motivation and cognitive variables with adolescent smoking self-change efforts. Self-report and semi-structured interview data from a prospective study of smoking self-change efforts were examined among 98 adolescent smokers ages 14-18 (55% female). Social disapproval motives and short-term consequence reasons for quitting, quit self-efficacy and intentions to quit were modeled in relation to prospective self-quit attempts assessed at a 6-month follow-up, separately by gender. Hypothesized mediating relationships were not supported although gender differences were noted. Social influence motives related to intention to quit and prospective self-quit attempts among girls. For boys, intention to quit predicted making a self-quit attempt. Findings emphasize the importance of examining adolescent models separately by gender and contribute to understanding of mechanisms involved in adolescent smoking change efforts.
    Preview · Article · Sep 2009 · Journal of Child & Adolescent Substance Abuse
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