The Importance of Smoking Definitions for the Study of Adolescent Smoking Behavior

  • Park Sun-Hee (University of Pennsylvania School of Nursing) ;
  • June Kyung-Ja (Soonchunhyang University Department of Nursing)
  • Published : 2006.06.01

Abstract

Purpose. Smoking is the leading cause of death and smoking initiation rarely occurs after adolescence. Thus research on adolescent smoking is crucial. A consistent definition of smoking is important because inconsistent definitions make comparisons across studies an arduous task. Thus, the aim of the study was to suggest future research directions for smoking definitions after examining pitfalls in the literature. Methods. In this study the literature on adolescent smoking in the U.S. and South Korea was examined, and three types of smoking definitions were identified. Limitations in the studies are identified and future research directions are suggested. Results. In the U.S. literature, smoking definitions can be categorized into three groups: definitions based on stage models, smoking trajectories, and definitions derived from specific data. In the South Korean literature, various levels of smoking have not been differentiated. Conclusions. While the literature does not provide a definitive answer regarding the definition of smoking, it suggests three issues to consider for future research. First, multiple measures of smoking are more desirable than a one-time measure. Second, theory- or trajectory-based smoking definitions are more desirable than definitions derived from available data. Finally, regularity and amount of cigarette use should be incorporated in defining smoking behavior.

Keywords

References

  1. Abroms, L., Simons-Morton, B., Haynie, D.L., & Chen, R. (2005). Psychosocial predictors of smoking trajectories during middle and high school. Addiction, 100(6), 852-861 https://doi.org/10.1111/j.1360-0443.2005.01090.x
  2. Arday, D.R., Giovino, G.A., Schulman, J., Nelson, D.E., Mowery, P., & Samet, J.M. (1995). Cigarette smoking and self-reported health problems among U.S. high school seniors, 1982-1989. Am J Health Promot, 10(2), 111-116 https://doi.org/10.4278/0890-1171-10.2.111
  3. Audrain-McGovern, J., Rodriguez, D., Tercyak, K.P., Cuevas, J., Rodgers, K., & Ptterson, F. (2004). Identifying and characterizing adolescent smoking trajectories. Cancer Epidemiol Biomarkers Prev, 13(12),2023-2034
  4. Audrain, J., Rodriguez, D., & Moss, H.B. (2003). Smoking progression and physical activity. Cancer Epidemiol Biomarkers Prev, 12,1121-1129
  5. Center for Disease Control and Prevention. (2002). Annual smoking-attributable mortality, years of potential life lost, and economic costs: United States, 1995-1999. Morb Mortal Wkly Rep, 51(14), 300-303
  6. Center for Disease Control and Prevention. (2004). Cigarette use among high school students: United States, 1991-2003. Morb Mortal Wkly Rep, 53(23), 499-502
  7. Chassin, L., Presson, .C.C., Pitts, S.C., & Sherman, S.J. (2000). The natural history of cigarette smoking from adolescence to adulthood in a midwestern community sample: Multiple trajectories and their psychosocial correlates. Health Psychol, 19,223-231 https://doi.org/10.1037/0278-6133.19.3.223
  8. Flay, B.R, D'Averns, J.R, Best, J.A., Kersell, M.W., & Ryzn, K. B. (1983). Cigarette smoking: Why young people do it and ways of preventing it. In P. McGarth & P. Firestone (Eds.), Pediatric and adolescent behavioral medicine (pp. 132-167). New York: Springer-Verlag
  9. Hennekens, C.H., & Buring, J.E. (1987). Epidemiology in Medicine. Philadelphia,PA: Lippincott Williams & Wilkins
  10. Hirschman, R.S., Leventhal, H., & Glynn, K. (1984). The development of smoking behaviour: Conceptualisation and supportive cross-sectional survey data. J Appl Soc Psychol, 14, 184-206 https://doi.org/10.1111/j.1559-1816.1984.tb02231.x
  11. Johnston, L., O'Malley, P., & Bachman, J. (2001). Monitoring the future: National survey results on drug use, 1975-2000. Volume II: College students and adults ages 19-40. Bethesda, MD: National Institute on Drug Abuse
  12. Karp, I., O'Loughlin, J., Paradis, G., Hanley, J., & Difranza, J. (2005). Smoking trajectories of adolescent novice smokers in a longitudinal study of tobacco use. Ann Epidemiol, 15(6),445-452 https://doi.org/10.1016/j.annepidem.2004.10.002
  13. Korean Institute for Youth Development. (2004). Korean Youth Panel Survey Questionnaire. Retrieved February 16, 2006, from http://www.youthnet.re.kr/panel/jung_question.asp
  14. Korea National Statistical Office (2005). 2005 Youth Statistics. Retrieved March 1, 2006, from http://www.nso.go.kr/nso2005/pds/j-potal/potal_04/potal_0404/index.j
  15. Kremers, S.P.J., de Vries, H., Mudde, A.N., & Candel, M. (2004). Motivational stages of adolescent smoking initiation: Predictive validity and predictors of transitions. Addict Behav, 29, 781-789 https://doi.org/10.1016/j.addbeh.2004.02.007
  16. Kremers, S.P.J., Mudde, A.N., & de Vries, H. (2004a). Development and longitudinal test of an instrument to measure behavioral stages of smoking initiation. Subst Alcohol Actions Misuse, 39(2), 225-252
  17. Lee, J.Y., & Moon, Y. (2003). Adolescent smoking survey report in Uljin-gun. Unpublished manuscript, Nam Seoul University
  18. Leventhal, H., & Cleary, P.D. (1980). The smoking problem: A review of the research and theory in behavioral risk modification. Psychol Bull, 88(2),370-405 https://doi.org/10.1037/0033-2909.88.2.370
  19. National Center for Health Statistics. (n.d.). Cigarette smoking. Retrieved Februrary 26,2006, from http://www.cdc.gov/nchs/ datawhJnchsdefs/cigarettesmoking.htm
  20. Pallonen, U.E., Prochaska, J.O., Velicer, W.F., Prokhorov, A.V., & Smith, N.F. (1998). Stages of acquisition and cessation for adolescent smoking: An empirical integration. Addict Behav, 23, 303-324 https://doi.org/10.1016/S0306-4603(97)00074-9
  21. Park, S. (2006). Predictors of the transition from experimental to regular smoking. Unpublished doctoral dissertation, University of Pennsylvania, Philadelphia, Pennsylvania, the United States
  22. Park, S.W. (2005). Estimation of smoking rates among adolescents in a community by design-based analysis. Unpublished manuscript
  23. 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 Psychol, 15(5),355-361 https://doi.org/10.1037/0278-6133.15.5.355
  24. Prochaska, J. O., & DiClemete, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. J Consult Clin Psychol, 51(3), 390-395 https://doi.org/10.1037/0022-006X.51.3.390
  25. Soldz, S., & Cui, X. (2002). Pathways through adolescent smoking: A 7-year longitudinal grouping analysis, Health Psychology, 21,495-504 https://doi.org/10.1037/0278-6133.21.5.495
  26. Stanton, W. R., Flay, B. R., Colder, C. R., & Mehta, P. (2004). Identifying and predicting adolescent smokers' developmental trajectories. Nicotine Tab Res, 6(5), 843-852 https://doi.org/10.1080/14622200410001734076
  27. Sun, P., Unger, J. B., & Sussman, S. (2005). A new measure of smoking initiation and progression among adolescents. Am J Health Behav, 29(1), 3-11 https://doi.org/10.5993/AJHB.29.1.1
  28. Yonsei University School of Public Health (2005). 2005 National Smoking Survey of Middle & High School Students. Retrieved March 10, 2006, from http://www.nso.go.kr/nso2005/pds/jpotal/potal_04/potal_0404/index.j
  29. Werch, C.E., & Anzalone, D. (1995). Stage theory and research on tobacco, alcohol, and other drug use. Journal of Drug Education, 25(2), 81-98 https://doi.org/10.2190/Q3YY-M40L-H4A2-8404
  30. White, H.R., Pandina, R.J., & Chen, P.H. (2002). Developmental trajectories of cigarette use from early adolescence into young adulthood. Drug and Alcohol Dependence, 65, 167-178 https://doi.org/10.1016/S0376-8716(01)00159-4