| A survey of adolescent smoking patterns. | |
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MedLine Citation:
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PMID: 8770804 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Most adults who smoke regularly started during adolescence. To understand adolescent smoking trends better, we investigated smoking patterns, and habits among vocational high school students. METHODS: One hundred fifty-four students, aged 14 to 20 years from two vocational schools, completed a 23-item questionnaire. The 99 who were smokers further completed a 55-item questionnaire investigating smoking patterns, criteria for addiction, health concerns, and quitting experiences. All students were tested for objective laboratory measures of smoking, including exhaled carbon monoxide and salivary cotinine. RESULTS: Sixty-five percent of the student sample smoked at least 10 cigarettes a day, began smoking by 13 years, and easily purchased tobacco over-the-counter. Predictors for smoking included a close friend, parent, or sibling who was a smoker. Significantly poorer grade performance and higher use of alcohol and marijuana were found among smokers. Student's knowledge of health risks of smoking exceeded 95 percent but was of little concern for 70 percent of the smokers. More than one half of smokers had multiple unsuccessful quitting attempts. Exhaled carbon monoxide readings accurately detected smokers and proved more immediate, more sensitive, and less costly than salivary cotinine measurements. CONCLUSIONS: The high association for poor school performance and alcohol and marijuana use among adolescent smokers is a growing trend. These issues carry immediate short-term health and social implications, which physicians should explore. Almost all the smokers had tried at least once to quit but relapsed rapidly. One third remain highly motivated to quit. Physicians should not hesitate to offer smoking cessation assistance; one third might be willing to listen. |
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Authors:
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A Dappen; R H Schwartz; R O'Donnell |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of the American Board of Family Practice / American Board of Family Practice Volume: 9 ISSN: 0893-8652 ISO Abbreviation: J Am Board Fam Pract Publication Date: 1996 Jan-Feb |
Date Detail:
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Created Date: 1996-10-03 Completed Date: 1996-10-03 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8807505 Medline TA: J Am Board Fam Pract Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 7-13 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Fairfax Hospital, Falls Church, Virginia, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adolescent Behavior Adult Analysis of Variance Attitude to Health Carbon Monoxide / analysis Cotinine / analysis Female Humans Male Smoking / epidemiology, psychology, trends* Smoking Cessation |
| Chemical | |
Reg. No./Substance:
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486-56-6/Cotinine; 630-08-0/Carbon Monoxide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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