Abstract
The primary aim of this study was to examine youth risk behaviors in relation to: (a) making a smoking quit attempt, and (b) successful cessation among adolescent smokers. Data were analyzed from the public use dataset of the 2003 national school-based Youth Risk Behavior Survey. The sample consisted of 2,033 students (weighted mean age of 16.3 years, 49.8% female, 73.6% White) who reported a history of daily smoking. While almost two-thirds (63.5%) of adolescent smokers reported making a quit attempt in the last year, only 10% of those were able to successfully quit. Factors associated with making a quit attempt included depression and participating in sports while high-risk sexual activity and engaging in substance use other than alcohol or marijuana were negatively related to making a quit attempt. Externalizing health behaviors (e.g., fighting, drug use, and high risk sexual activity) were associated with decreased likelihood of cessation. Findings from this study may inform efforts to develop more effective smoking prevention and treatment programs for youth.
Similar content being viewed by others
References
Abrams, K., Skolnik, N., & Diamond, J. J. (1999). Patterns and correlates of tobacco use among suburban Philadelphia 6th- through 12th-grade students. Family Medicine, 31(2), 128–132.
Audrain-McGovern, J., Rodriguez, D., & Moss, H. B. (2003). Smoking progression and physical activity. Cancer Epidemiology, Biomarkers and Prevention, 12(11 Pt 1), 1121–1129.
Baumeister, S. E., & Tossmann, P. (2005). Association between early onset of cigarette, alcohol and cannabis use and later drug use patterns: An analysis of a survey in European Metropolises. European Addiction Research, 11(2), 92–98. doi:10.1159/000083038.
Brener, N. D., Collins, J. L., Kann, L., Warren, C. W., & Williams, B. I. (1995). Reliability of the Youth Risk Behavior Survey questionnaire. American Journal of Epidemiology, 141(6), 575–580.
Brown, R. A., Kahler, C. W., Niaura, R., Abrams, D. B., Sales, S. D., Ramsey, S. E., et al. (2001). Cognitive-behavioral treatment for depression in smoking cessation. Journal of Consulting and Clinical Psychology, 69(3), 471–480. doi:10.1037/0022-006X.69.3.471.
Brown, R. A., Lewinsohn, P. M., Seeley, J. R., & Wagner, E. F. (1996). Cigarette smoking, major depression, and other psychiatric disorders among adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 35(12), 1602–1610. doi:10.1097/00004583-199612000-00011.
Brown, R. A., Ramsey, S. E., Strong, D. R., Myers, M. G., Kahler, C. W., Lejuez, C. W., et al. (2003). Effects of motivational interviewing on smoking cessation in adolescents with psychiatric disorders. Tobacco Control, 12(Suppl 4), IV3–IV10. doi:10.1136/tc.12.suppl_4.iv3.
Brown, S. A. (2001). Facilitating change for adolescent alcohol problems: A multiple options approach. In E. F. Wagner & H. B. Waldron (Eds.), Innovations in adolescent substance abuse interventions (pp. 169–187). Amsterdam: Pergamon.
Burt, R. D., & Peterson, A. V., Jr. (1998). Smoking cessation among high school seniors. Preventive Medicine, 27(3), 319–327. doi:10.1006/pmed.1998.0269.
Chen, X., Unger, J. B., Palmer, P., Weiner, M. D., Johnson, C. A., Wong, M. M., et al. (2002). Prior cigarette smoking initiation predicting current alcohol use: Evidence for a gateway drug effect among California adolescents from eleven ethnic groups. Addictive Behaviors, 27(5), 799–817. doi:10.1016/S0306-4603(01)00211-8.
Curry, S. J., Grothaus, L., & McBride, C. (1997). Reasons for quitting: Intrinsic and extrinsic motivation for smoking cessation in a population-based sample of smokers. Addictive Behaviors, 22(6), 727–739. doi:10.1016/S0306-4603(97)00059-2.
Donovan, J. E., & Jessor, R. (1985). Structure of problem behavior in adolescence and young adulthood. Journal of Consulting and Clinical Psychology, 53(6), 890–904. doi:10.1037/0022-006X.53.6.890.
DuRant, R. H., Smith, J. A., Kreiter, S. R., & Krowchuk, D. P. (1999). The relationship between early age of onset of initial substance use and engaging in multiple health risk behaviors among young adolescents. Archives of Pediatrics and Adolescent Medicine, 153(3), 286–291.
Easton, A., & Kiss, E. (2005). Covariates of current cigarette smoking among secondary school students in Budapest, Hungary, 1999. Health Education Research, 20(1), 92–100. doi:10.1093/her/cyg102.
Ellickson, P. L., Tucker, J. S., & Klein, D. J. (2001). High-risk behaviors associated with early smoking: Results from a 5-year follow-up. The Journal of Adolescent Health, 28(6), 465–473. doi:10.1016/S1054-139X(00)00202-0.
Everett, S. A., Malarcher, A. M., Sharp, D. J., Husten, C. G., & Giovino, G. A. (2000). Relationship between cigarette, smokeless tobacco, and cigar use, and other health risk behaviors among U.S. high school students. The Journal of School Health, 70(6), 234–240.
Flay, B. R., Hu, F. B., & Richardson, J. (1998). Psychosocial predictors of different stages of cigarette smoking among high school students. Preventive Medicine, 27(5 Pt 3), A9–A18. doi:10.1006/pmed.1998.0380.
Garrison, M. M., Christakis, D. A., Ebel, B. E., Wiehe, S. E., & Rivara, F. P. (2003). Smoking cessation interventions for adolescents: A systematic review. American Journal of Preventive Medicine, 25(4), 363–367. doi:10.1016/S0749-3797(03)00213-7.
Gordon, J. S., Lichtenstein, E., Severson, H. H., & Andrews, J. A. (2006). Tobacco cessation in dental settings: Research findings and future directions. Drug and Alcohol Review, 25(1), 27–37. doi:10.1080/09595230500459495.
Helstrom, A., Bryan, A., Hutchison, K. E., Riggs, P. D., & Blechman, E. A. (2004). Tobacco and alcohol use as an explanation for the association between externalizing behavior and illicit drug use among delinquent adolescents. Prevention Science, 5(4), 267–277. doi:10.1023/B:PREV.0000045360.23290.8f.
Jessor, R. (1998). New perspectives on adolescent risk behavior. In R. Jessor (Ed.), New perspectives on adolescent risk behavior. New York: Cambridge University Press.
Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (December 19, 2005). Decline in teen smoking appears to be nearing its end. University of Michigan News and Information Services: Ann Arbor, MI. Available on-line: www.monitoringthefuture.org; Accessed August 2, 2006.
Kentala, J., Utriainen, P., Pahkala, K., & Mattila, K. (1999). Can brief intervention through community dental care have an effect on adolescent smoking? Preventive Medicine, 29(2), 107–111. doi:10.1006/pmed.1999.0512.
Kolbe, L. J., Kann, L., & Collins, J. L. (1993). Overview of the Youth Risk Behavior Surveillance system. Public Health Reports, 108(Suppl 1), 2–10.
Lam, T. H., Stewart, S. M., Ho, S. Y., Lai, M. K., Mak, K. H., Chau, K. V., et al. (2005). Depressive symptoms and smoking among Hong Kong Chinese adolescents. Addiction (Abingdon, England), 100(7), 1003–1011. doi:10.1111/j.1360-0443.2005.01092.x.
Marcus, B. H., Albrecht, A. E., King, T. K., Parisi, A. F., Pinto, B. M., Roberts, M., et al. (1999). The efficacy of exercise as an aid for smoking cessation in women: a randomized controlled trial. Archives of Internal Medicine, 159(11), 1229–1234. doi:10.1001/archinte.159.11.1229.
Myers, M. G., & Brown, S. A. (2005). A controlled study of a cigarette smoking cessation intervention for adolescents in substance abuse treatment. Psychology of Addictive Behaviors, 19(2), 230–233. doi:10.1037/0893-164X.19.2.230.
Nonnemaker, J., Mowery, P., Hersey, J., Nimsch, C., Farrelly, M., Messeri, P., et al. (2004). Measurement properties of a nicotine dependence scale for adolescents. Nicotine & Tobacco Research, 6(2), 295–301. doi:10.1080/14622200410001676413.
Pate, R. R., Heath, G. W., Dowda, M., & Trost, S. G. (1996). Associations between physical activity and other health behaviors in a representative sample of US adolescents. American Journal of Public Health, 86(11), 1577–1581.
Prochaska, J. J., Rossi, J. S., Redding, C. A., Rosen, A. B., Tsoh, J. Y., Humfleet, G. L., et al. (2004). Depressed smokers and stage of change: Implications for treatment interventions. Drug and Alcohol Dependence, 76(2), 143–151. doi:10.1016/j.drugalcdep.2004.04.017.
Prokhorov, A. V., Hudmon, K. S., de Moor, C. A., Kelder, S. H., Conroy, J. L., & Ordway, N. (2001). Nicotine dependence, withdrawal symptoms, and adolescents’ readiness to quit smoking. Nicotine & Tobacco Research, 3(2), 151–155. doi:10.1080/14622200110043068.
Riedel, B. W., Robinson, L. A., Klesges, R. C., & McLain-Allen, B. (2002). Characteristics of adolescents caught with cigarettes at school: Implications for developing smoking cessation programs. Nicotine & Tobacco Research, 4(3), 351–354. doi:10.1080/14622200210141239.
Rodriguez, D., Moss, H. B., & Audrain-McGovern, J. (2005). Developmental heterogeneity in adolescent depressive symptoms: Associations with smoking behavior. Psychosomatic Medicine, 67(2), 200–210. doi:10.1097/01.psy.0000156929.83810.01.
Rose, J. S., Chassin, L., Presson, C. C., & Sherman, S. J. (1996). Prospective predictors of quit attempts and smoking cessation in young adults. Health Psychology, 15(4), 261–268. doi:10.1037/0278-6133.15.4.261.
Sussman, S., Sun, P., & Dent, C. W. (2006). A meta-analysis of teen cigarette smoking cessation. Health Psychology, 25(5), 549–557. doi:10.1037/0278-6133.25.5.549.
USDHHS. (1994). Preventing tobacco use among young people: A report of the Surgeon General. United States Goverment Printing Office: Washington D.C.
Zhu, S. H., Sun, J., Billings, S. C., Choi, W. S., & Malarcher, A. (1999). Predictors of smoking cessation in U.S. adolescents. American Journal of Preventive Medicine, 16(3), 202–207. doi:10.1016/S0749-3797(98)00157-3.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Abrantes, A.M., Lee, C.S., MacPherson, L. et al. Health risk behaviors in relation to making a smoking quit attempt among adolescents. J Behav Med 32, 142–149 (2009). https://doi.org/10.1007/s10865-008-9184-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10865-008-9184-1