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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA



Thursday, July 13, 2006 - 12:00 PM
13-316

Determinants of smoking stage transitions for adolescent boys and girls

Ciska Hoving, BH, Astrid Reubsaet, PhD, and Hein De Vries, PhD. Health Promotion and Health Education, University of Maastricht, P.O. Box 616, 6200 MD, Maastricht, Netherlands

Objective: To assess predictors of smoking stage transitions from never smoking to experimental and daily smoking in a sample of European adolescents (mean age 13) and the impact of gender on these predictors.

Methods: Data presented was collected within a school-based longitudinal European smoking prevention and cessation study (ESFA). At baseline, 8154 adolescents indicated to have never smoked and were included in subsequent analyses. One year later, their smoking status was reassessed. Logistic regression analyses were conducted to predict transition from never to ever smoking (experimental or daily). Possible predictors were measured at baseline and include demographics, motivational determinants and intention to smoke.

Results: More girls than boys reported to have experimented with smoking within the study period. Preliminary results indicate that predictors of smoking onset differ between smoking stages; some are also gender-specific. Predictors of transition from never smoking to experimental smoking in boys were being older, drinking more alcohol and feeling more pressure to smoke from siblings, whereas only the latter predicted experimental smoking in girls. Daily smoking in boys was predicted by being of non-native origin, drinking more alcohol and having more smoking peers; predictors of daily smoking in girls included having more positive or less negative beliefs regarding to smoking and feeling peer pressure. These results indicate that for smoking prevention programmes to be effective for both adolescent boys and girls, different gender-related determinants should be emphasized.