“…The most salient relate to peer influences, thrill-seeking orientation and mental health problems (Biglan, Duncan, Ary, and Smolkowski, 1995; Conrad, Flay, and Hill, 1992; Global Youth Tobacco Survey Collaborative Group, 2002; Koval, Pederson, and Chan, 2004; Morello, Duggan, Adger, Anthony, and Joffe, 2001; Schepis and Rao, 2005; VanDeBreen, Whitmer, and Pickworth, 2004). The interpersonal and personal nature of these factors indicate that prevention strategies should be comprehensive and encompass environmental changes to reduce the social acceptability of smoking, while at the same time addressing the needs of youth with other risk behaviors and or mental health problems which increase the barriers for achieving a healthy development.…”