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Prevention Science

, Volume 7, Issue 4, pp 397–402 | Cite as

A Multi-Level Analysis Examining how Smoking Friends, Parents, and Older Students in the School Environment are Risk Factors for Susceptibility to Smoking Among Non-Smoking Elementary School Youth

  • Scott T. Leatherdale
  • Paul W. McDonald
  • Roy Cameron
  • Mari Alice Jolin
  • K. Stephen Brown
Original Paper

Abstract

The purpose of this study was to examine how social models for smoking are related to smoking susceptibility among a sample of non-smoking elementary school students. The Tobacco Module of the School Health Action, Planning and Evaluation System (SHAPES) was administered to 6,431 students (grades 6 to 8) in 57 elementary schools in the province of Ontario, Canada. Multi-level logistic regression analysis was used to examine how smoking friends, parents, and the prevalence of smoking among grade 8 students at a school were related to smoking susceptibility among the 2,478 non-smoking grade 6 and 7 students. Findings indicate that non-smoking grade 6 and 7 students are more likely to be susceptible to smoking if they have (a) smoking friends, (b) a mother who smokes, or (c) two or more close friends who smoke and attend a school with a relatively high smoking rate among the grade 8 students. Sub-populations of non-smoking youth may be at increased risk for smoking because of the elementary school they attend. Future school-based smoking prevention programs might benefit from targeting prevention programming activities to the schools that are putting students at the greatest risk for smoking.

Keywords

Smoking susceptibility Multi-level logistic regression Social influences Youth Prevention 

Notes

Acknowledgements

The authors would like to thank the National Cancer Institute of Canada (NCIC), the Canadian Cancer Society (CCS), the Centre for Behavioural Research and Program Evaluation (CBRPE), and the Ontario Tobacco Research Unit (OTRU) for providing financial support for this project.

References

  1. Ajzen, I. (1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.CrossRefGoogle Scholar
  2. Anderson, C. B., Pollack, K. I., & Witter, D. W. (2002). Relations between self-generated positive and negative expected smoking outcomes and smoking behaviour: an exploratory study among adolescents. Psychology of Addictive Behaviors, 16, 196–204.CrossRefPubMedGoogle Scholar
  3. Aveyard, P., Markham, W. A., & Cheng, K. K. (2004). A methodological review of the evidence that schools cause pupils to smoke. Social Science & Medicine, 58, 2253–2265.CrossRefGoogle Scholar
  4. Band, P. R., Le, N. D., Fang, R., & Deschamps, M. (2002). Carcinogenic and endocrine disrupting effects of cigarette smoke and the risk of breast cancer. Lancet, 360, 1044–1049.CrossRefPubMedGoogle Scholar
  5. Bandura A. (1986). Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
  6. Cameron, R., Brown, K. S., Best, J. A., Pelkman, C. L., Madill, C. L., Manske, S. R., & Payne, M. E. (1999). Effectiveness of a social influences smoking prevention program as a function of provider type, training method, and school risk. American Journal of Public Health, 89, 1827–1831.PubMedCrossRefGoogle Scholar
  7. Cameron, R., Brown, K. S., & Manske, S. (2004). The School Smoking Profile: a tool for evaluating interventions. Centre for Behavioural Research and Program Evaluation: Waterloo, Ontario.Google Scholar
  8. Distefan, J. M., Gilpin, E. A., Choi, W. S., & Pierce, J. P. (1998). Parental influences predict adolescent smoking in the United States, 1989–1993. Journal of Adolescent Health, 22, 466–474.CrossRefPubMedGoogle Scholar
  9. Evans, N., Farkas, A., Gilpin, E., Berry, C., Pierce, J. P. (1995). Influence of tobacco marketing and exposure to smokers on adolescent susceptibility to smoking. Journal of the National Cancer Institute, 87, 1538–1545.PubMedGoogle Scholar
  10. Feighery, E., Borzekowski, D. L. G., Schooler, C., & Flora, J. (1998). Seeing, wanting, owning: the relationship between receptivity to tobacco marketing and smoking susceptibility in young people. Tobacco Control, 7, 123–128.PubMedGoogle Scholar
  11. Flay, B. R., Petraitis, J., & Hu, F. B. (1999). Psychosocial risk and protective factors for adolescent tobacco use. Nicotine & Tobacco Reseach, 1, S59–S65.CrossRefGoogle Scholar
  12. Gritz, E. R., Prokhorov, A. V., Hudmon, K. S., Mullin Jones, M., Rosenblum, C., Chang, C. C., Chamberlain, R. M., Taylor, W. C., Johnston, D., & deMoor, C. (2003). Predictors of susceptibility to smoking and ever smoking: a longitudinal study in a triethnic sample of adolescents. Nicotine & Tobacco Research, 5, 493–506.CrossRefGoogle Scholar
  13. Hussong, A. M. (2002). Differentiating peer contexts and risk for adolescent substance use. Journal of Youth and Adolescence, 31, 207–220.CrossRefGoogle Scholar
  14. Jones, M. B. (1998). Behavioral contagion and official delinquency: epidemic course in adolescence. Social Biology, 45, 134–142.PubMedGoogle Scholar
  15. Kaufman, N. J., Castrucci, B. C., Mowery, P. D., Gerlach, K. K., Emont, S., & Orleans, T. (2002). Predictors of change on the smoking uptake continuum among adolescents. Archives of Pediatrics and Adolescent Medicine, 156, 581–587.PubMedGoogle Scholar
  16. Leatherdale, S. T., Cameron, R., Brown, K. S., & McDonald, P. W. (2005). Senior student smoking at school, student characteristics, and smoking onset among junior students: a multi-level analysis. Preventive Medicine, 40, 853–859.CrossRefPubMedGoogle Scholar
  17. Leatherdale, S. T., Brown, K. S., Cameron, R., & McDonald, P. W. (2005). Social modelling in the school environment, student characteristics and smoking susceptibility: a multi-level analysis. Journal of Adolescent Health, 37, 330–336.Google Scholar
  18. Leatherdale, S., & Manske, S. (2005) The relationship between student smoking in the school environment and smoking onset in elementary school students. Cancer Epidemiology, Biomarkers & Prevention, 14, 1762–1765.CrossRefGoogle Scholar
  19. Manske, S. R., Brown, K. S., & Cameron, R. (1997). School-based smoking control: a research agenda. Cancer Prevention and Control, 1, 196–212.PubMedGoogle Scholar
  20. Peto, R., Darby, S., Deo, H., Silcocks, P., Whitley, E., & Doll, R. (2000). Smoking, smoking cessation, and lung cancer in the UK since 1950: combination of national statistics with two case-control studies. British Medical Journal, 321, 323–329.CrossRefPubMedGoogle Scholar
  21. Pierce, J. P., Choi, W. S., Gilpin, E. A., Farkas, A. J., & Merritt, R. K. (1996). Validation of susceptibility as a predictor of which adolescents take up smoking in the United States. Health Psychology, 15, 355–361.CrossRefPubMedGoogle Scholar
  22. Pierce, J. P., Distefan, J. M., Kaplan, R. M., Gilpin, E. A. (2005). The role of curiosity in smoking initiation. Addictive Behaviors, 30, 685–696.CrossRefPubMedGoogle Scholar
  23. Rasbash, J., Browne, W., Healy, M., Cameron, B., & Charlton, C. (2001). MlwiN Version 1.10.0007. Multi-Level Models Project, 2001: Institute of Education.Google Scholar
  24. Straub, D. M., Hills, N. K., Thompson, P. J., & Moscicki, A. B. (2003). Effects of pro- and anti-tobacco advertising on non-smoking adolescents’ intentions to smoke. Journal of Adolescent Health, 32, 36–43.CrossRefPubMedGoogle Scholar
  25. Wakefield, M. A., Chaloupka, F. J., Kaufman, N. J., Orleans, C. T., Barker, D. C., & Ruel, E. E. (2000). Effect of restrictions on smoking at home, at school, and in public places on teenage smoking: cross sectional study. British Medical Journal, 321, 333–337.CrossRefPubMedGoogle Scholar
  26. Wiehe, S. E., Garrison, M. M., Christakis, D. A., Ebel, B. E., & Rivara, F. P. (2005). A systematic review of school-based smoking prevention trials with long-term follow-up. Journal of Adolescent Health, 36, 162–169.CrossRefPubMedGoogle Scholar

Copyright information

© Society for Prevention Research 2006

Authors and Affiliations

  • Scott T. Leatherdale
    • 1
    • 2
    • 3
  • Paul W. McDonald
    • 2
    • 4
  • Roy Cameron
    • 2
    • 5
  • Mari Alice Jolin
    • 4
  • K. Stephen Brown
    • 4
    • 6
  1. 1.Division of Preventive OncologyCancer Care OntarioTorontoCanada
  2. 2.Department of Health Studies and GerontologyUniversity of WaterlooTorontoCanada
  3. 3.Department of Public Health ScienceUniversity of TorontoTorontoCanada
  4. 4.Population Health Research GroupUniversity of WaterlooTorontoCanada
  5. 5.Centre for Behavioural Research and Program Evaluation of the National CancerInstitute of Canada and the Canadian Cancer SocietyTorontoCanada
  6. 6.Department of Statistics and Actuarial ScienceUniversity of WaterlooTorontoCanada

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