Psychological, peer, and family influences on smoking among an adolescent psychiatric sample

Abstract

While much is known about adolescent cigarette use and initiation in community samples, less is known about these factors among adolescents in clinic-referred populations or those with severe psychopathology. Data were collected from 106 adolescents aged 12 to 15 years (M = 13.6; SD = .74) recruited from a psychiatric inpatient facility. Hierarchical logistic regressions assessed the relationship between psychological, peer, and family environment factors and smoking at baseline and 18 months post-hospitalization. Conduct problem symptoms, friends’ cigarette use, and friends’ marijuana use were associated with greater odds of lifetime and current smoking at baseline, but not at follow-up. After accounting for the significant effect of baseline use, greater family conflict predicted decreased odds of having initiated smoking at the 18 month follow-up. The period following inpatient psychiatric hospitalization may represent an important window for smoking cessation and prevention efforts targeting peer and family factors, especially for youth with externalizing problems.

Smoking behaviours among young people in custody in New South Wales, Australia

“…Both young women and Aboriginal young people were significantly more likely to have most or all of their close friends as smokers. Peer group smoking has been shown in other studies to determine whether a young person smokes [20,21], and parental and peer influences were also strong in a study of adolescents with psychiatric problems [22]. This study also found that most minors obtained their tobacco from a shop, suggesting the governance around the sale of tobacco to minors is lax.…”

A systematic review of the unique prospective association of negative affect symptoms and adolescent substance use controlling for externalizing symptoms.

“…In addition to these mixed results, several articles found no association between depressive symptoms and tobacco use (Capaldi & Stoolmiller, 1999; Dishion et al, 1999; Pedersen and Von Soest, 2009; Hu, Griesler, Schaffran, & Kandel, 2011; Miller-Johnson et al, 1998; Nargiso et al, 2012; Wu et al, 2008) and no articles reported an association between depressive disorders and nicotine disorders (out of three tests, Dierker et al, 2001; Griesler et al, 2008; Fergusson & Woodward, 2002) when controlling for externalizing symptoms.…”

The Experiences of Tobacco Use among South-Western Taiwanese Adolescent Males

“…Smoking in order to establish friendship was also considered by Naing, Ahmad, Musa, Hamid, Ghazail, and Bakar [ 5 ] to be one of the factors related to smoking habits of male adolescents. Nargiso, Becker, Wolff, Uhl, Simon, Spirito, and Prinstein [ 35 ] also found that friends’ cigarette use had a great effect on smoking outcomes within adolescents. Peer influence was generally the major reason for them taking the habit.…”