Skip to main content
PMC home page
Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 1996 Jun;50(3):340–346. doi: 10.1136/jech.50.3.340

Tobacco use prevalence and correlates among adolescents in a clinician initiated tobacco prevention trial in California, USA.

M F Hovell 1, D J Slymen 1, K J Keating 1, J A Jones 1, S Burkham-Kreitner 1, C R Hofstetter 1, D Noel 1, B Rubin 1
PMCID: PMC1060293  PMID: 8935468

Abstract

OBJECTIVES: Baseline data for the clinician initiated, tobacco prevention trial, the first non-school based clinician mediated tobacco prevention study, were used to explore the degree to which young people receiving orthodontic treatment use tobacco and the differences in use rates between national, California, and patient samples. Correlates of tobacco use were identified and these correlates were contrasted with findings from the published reports. DESIGN AND SETTING: A 26 item telephone survey assessed demographic information, tobacco use, selected health related behaviours, and variables based on social learning theory. The study was conducted among 11 to 18 year old orthodontic patients from San Diego, Orange, Riverside, San Bernardino, and Los Angeles Counties, California, USA. PARTICIPANTS: Of the 17925 patients who were eligible, 16915 (> 94%) completed the survey. MEASUREMENTS AND MAIN RESULTS: Multivariate analyses were conducted using a logistic mixed effects model. Although the 30 day prevalence rate of tobacco use (6%, n = 1010) proved lower than California and national samples, the rates for the age, gender, and race ethnicity subgroups showed trends similar to those seen in California and national samples. Ten variables were significantly associated with tobacco use (p < 0.05), including 30 day alcohol use (OR = 7.88), age (OR = 1.32), and living with a tobacco user (OR = 1.72). CONCLUSIONS: Because 6% of orthodontic patients use tobacco, interventions are warranted to reach the health "Objectives for the Nation". Patterns of correlates of tobacco use were essentially the same for orthodontic patients, California, and national samples, suggesting that these associations are generalisable.

Full text

PDF
340

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Best J. A., Thomson S. J., Santi S. M., Smith E. A., Brown K. S. Preventing cigarette smoking among school children. Annu Rev Public Health. 1988;9:161–201. doi: 10.1146/annurev.pu.09.050188.001113. [DOI] [PubMed] [Google Scholar]
  2. Botvin G. J., Botvin E. M. Adolescent tobacco, alcohol, and drug abuse: prevention strategies, empirical findings, and assessment issues. J Dev Behav Pediatr. 1992 Aug;13(4):290–301. [PubMed] [Google Scholar]
  3. Cleary P. D., Hitchcock J. L., Semmer N., Flinchbaugh L. J., Pinney J. M. Adolescent smoking: research and health policy. Milbank Q. 1988;66(1):137–171. [PubMed] [Google Scholar]
  4. Curtis S. Promoting health through a developmental analysis of adolescent risk behavior. J Sch Health. 1992 Nov;62(9):417–420. doi: 10.1111/j.1746-1561.1992.tb01260.x. [DOI] [PubMed] [Google Scholar]
  5. Elder J. P., Wildey M., de Moor C., Sallis J. F., Jr, Eckhardt L., Edwards C., Erickson A., Golbeck A., Hovell M., Johnston D. The long-term prevention of tobacco use among junior high school students: classroom and telephone interventions. Am J Public Health. 1993 Sep;83(9):1239–1244. doi: 10.2105/ajph.83.9.1239. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Epps R. P., Manley M. W. The clinician's role in preventing smoking initiation. Med Clin North Am. 1992 Mar;76(2):439–449. doi: 10.1016/s0025-7125(16)30361-3. [DOI] [PubMed] [Google Scholar]
  7. Farrell A. D., Danish S. J., Howard C. W. Relationship between drug use and other problem behaviors in urban adolescents. J Consult Clin Psychol. 1992 Oct;60(5):705–712. doi: 10.1037//0022-006x.60.5.705. [DOI] [PubMed] [Google Scholar]
  8. Fiore M. C., Pierce J. P., Remington P. L., Fiore B. J. Cigarette smoking: the clinician's role in cessation, prevention, and public health. Dis Mon. 1990 Apr;36(4):181–242. doi: 10.1016/0011-5029(90)90007-e. [DOI] [PubMed] [Google Scholar]
  9. Glynn T. J., Manley M. W., Pechacek T. F. Physician-initiated smoking cessation program: the National Cancer Institute trials. Prog Clin Biol Res. 1990;339:11–25. [PubMed] [Google Scholar]
  10. Hatziandreu E. J., Pierce J. P., Lefkopoulou M., Fiore M. C., Mills S. L., Novotny T. E., Giovino G. A., Davis R. M. Quitting smoking in the United States in 1986. J Natl Cancer Inst. 1990 Sep 5;82(17):1402–1406. doi: 10.1093/jnci/82.17.1402. [DOI] [PubMed] [Google Scholar]
  11. Hovell M. F., Hofstetter C. R., Sallis J. F., Rauh M. J., Barrington E. Correlates of change in walking for exercise: an exploratory analysis. Res Q Exerc Sport. 1992 Dec;63(4):425–434. doi: 10.1080/02701367.1992.10608765. [DOI] [PubMed] [Google Scholar]
  12. Landrine H., Richardson J. L., Klonoff E. A., Flay B. Cultural diversity in the predictors of adolescent cigarette smoking: the relative influence of peers. J Behav Med. 1994 Jun;17(3):331–346. doi: 10.1007/BF01857956. [DOI] [PubMed] [Google Scholar]
  13. Moreno C., Laniado-Laborin R., Sallis J. F., Elder J. P., de Moor C., Castro F. G., Deosaransingh K. Parental influences to smoke in Latino youth. Prev Med. 1994 Jan;23(1):48–53. doi: 10.1006/pmed.1994.1007. [DOI] [PubMed] [Google Scholar]
  14. Oetting E. R., Beauvais F. Adolescent drug use: findings of national and local surveys. J Consult Clin Psychol. 1990 Aug;58(4):385–394. doi: 10.1037//0022-006x.58.4.385. [DOI] [PubMed] [Google Scholar]
  15. Reimers T. M., Pomrehn P. R., Becker S. L., Lauer R. M. Risk factors for adolescent cigarette smoking. The Muscatine study. Am J Dis Child. 1990 Nov;144(11):1265–1272. doi: 10.1001/archpedi.1990.02150350097035. [DOI] [PubMed] [Google Scholar]
  16. Rose G., Colwell L. Randomised controlled trial of anti-smoking advice: final (20 year) results. J Epidemiol Community Health. 1992 Feb;46(1):75–77. doi: 10.1136/jech.46.1.75. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Russell M. A., Wilson C., Taylor C., Baker C. D. Effect of general practitioners' advice against smoking. Br Med J. 1979 Jul 28;2(6184):231–235. doi: 10.1136/bmj.2.6184.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Sallis J. F., Hovell M. F., Hofstetter C. R., Barrington E. Explanation of vigorous physical activity during two years using social learning variables. Soc Sci Med. 1992 Jan;34(1):25–32. doi: 10.1016/0277-9536(92)90063-v. [DOI] [PubMed] [Google Scholar]
  19. Schulenberg J., Bachman J. G., O'Malley P. M., Johnston L. D. High school educational success and subsequent substance use: a panel analysis following adolescents into young adulthood. J Health Soc Behav. 1994 Mar;35(1):45–62. [PubMed] [Google Scholar]
  20. Stanton W. R., Oei T. P., Silva P. A. Sociodemographic characteristics of adolescent smokers. Int J Addict. 1994 May;29(7):913–925. doi: 10.3109/10826089409047917. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Epidemiology and Community Health are provided here courtesy of BMJ Publishing Group

RESOURCES