Perceived importance of being thin and smoking initiation among young girls.

Abstract:

BACKGROUND:Smoking among adolescents remains unacceptably high and the difference in potential risk factors for smoking initiation between male and female adolescents has been explored. Although the association between smoking initiation and dieting behaviour has been observed among girls, the mechanism of the association is unknown. OBJECTIVE:To examine prospectively the association between perceived importance of being thin at baseline and smoking initiation among girls. DESIGN:A four year prospective cohort survey including perceived importance of being thin at baseline and smoking behaviour, conducted in 1993 and 1996. SETTING AND PARTICIPANTS:273 Massachusetts female adolescents aged 12-15 years at baseline who reported having smoked no more than one cigarette by the time of the baseline survey, drawn from households sampled by random digit dialing. MAIN OUTCOME MEASURE:Progression to established smoking, defined as having smoked 100 or more cigarettes in their lifetime. RESULTS:After adjusting for age, smoking status at baseline, and race/ethnicity, girls who valued thinness most strongly and somewhat strongly were both more likely to have become established smokers, compared to the girls who valued thinness least strongly. The odds ratios are 4.5 (95% confidence interval (CI), 1.4 to 16.7) and 3.4 (95% CI 1.04 to 10.9), respectively. CONCLUSIONS:The level of perceived importance of being thin among young female adolescents predicts future smoking initiation. Smoking prevention programmes designed for female adolescents may therefore benefit from the inclusion of content related to importance of being thin.

journal_name

Tob Control

journal_title

Tobacco control

authors

Honjo K,Siegel M

doi

10.1136/tc.12.3.289

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

289-95

issue

3

eissn

0964-4563

issn

1468-3318

journal_volume

12

pub_type

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