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Am J Public Health. 1999 May; 89(5): 699–705.
PMCID: PMC1508726

Changes at the high end of risk in cigarette smoking among US high school seniors, 1976-1995.

Abstract

OBJECTIVES: This study identified high school seniors at low, moderate and high risk for cigarette use to examine changes in the prevalence of daily smoking within risk groups from 1976 to 1995. METHODS: Data were taken from the Monitoring the Future Projects national surveys of high school seniors. Risk classification was based on grade point average, truancy, nights out per week, and religious commitment. Logistic regression models were used to estimate trends for all seniors and separately for White (n = 244,221), African American (n = 41,005), and Hispanic (n = 18,457) made and female subgroups. RESULTS: Risk group distribution (low = 45%, moderate = 30%, high = 25%) changed little over time. Between 1976 and 1990, greater absolute declines in smoking occurred among high-risk students (17 percentage points) than among low-risk students (6 percentage points). Particularly large declines occurred among high-risk African Americans and Hispanics. Smoking increased in all risk groups in the 1990s. CONCLUSIONS: Among high school seniors, a large part of the overall change in smoking occurred among high-risk youth. Policies and programs to reduce smoking among youth must have broad appeal, especially to those at the higher end of the risk spectrum.

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Selected References

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  • Pierce JP, Fiore MC, Novotny TE, Hatziandreu EJ, Davis RM. Trends in cigarette smoking in the United States. Projections to the year 2000. JAMA. 1989 Jan 6;261(1):61–65. [PubMed]
  • Kessler DA, Witt AM, Barnett PS, Zeller MR, Natanblut SL, Wilkenfeld JP, Lorraine CC, Thompson LJ, Schultz WB. The Food and Drug Administration's regulation of tobacco products. N Engl J Med. 1996 Sep 26;335(13):988–994. [PubMed]
  • Bachman JG, Wallace JM, Jr, O'Malley PM, Johnston LD, Kurth CL, Neighbors HW. Racial/Ethnic differences in smoking, drinking, and illicit drug use among American high school seniors, 1976-89. Am J Public Health. 1991 Mar;81(3):372–377. [PMC free article] [PubMed]
  • Nelson DE, Giovino GA, Shopland DR, Mowery PD, Mills SL, Eriksen MP. Trends in cigarette smoking among US adolescents, 1974 through 1991. Am J Public Health. 1995 Jan;85(1):34–40. [PMC free article] [PubMed]
  • Donovan JE, Jessor R, Costa FM. Adolescent health behavior and conventionality-unconventionality: an extension of problem-behavior theory. Health Psychol. 1991;10(1):52–61. [PubMed]
  • Conrad KM, Flay BR, Hill D. Why children start smoking cigarettes: predictors of onset. Br J Addict. 1992 Dec;87(12):1711–1724. [PubMed]
  • Bachman JG, Johnston LD, O'Malley PM. Smoking, drinking, and drug use among American high school students: correlates and trends, 1975-1979. Am J Public Health. 1981 Jan;71(1):59–69. [PMC free article] [PubMed]
  • Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977 Mar;84(2):191–215. [PubMed]
  • Hawkins JD, Catalano RF, Miller JY. Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention. Psychol Bull. 1992 Jul;112(1):64–105. [PubMed]
  • Borland BL. Relative effects of low socio-economic status, parental smoking and poor scholastic performance on smoking among high school students. Soc Sci Med. 1975 Jan;9(1):27–30. [PubMed]
  • Schulenberg J, Bachman JG, O'Malley PM, Johnston LD. High school educational success and subsequent substance use: a panel analysis following adolescents into young adulthood. J Health Soc Behav. 1994 Mar;35(1):45–62. [PubMed]
  • Glynn TJ, Anderson DM, Schwarz L. Tobacco-use reduction among high-risk youth: recommendations of a National Cancer Institute Expert Advisory Panel. Prev Med. 1991 Mar;20(2):279–291. [PubMed]
  • Bachman JG, Johnston LD, O'Malley PM. Explaining the recent decline in cocaine use among young adults: further evidence that perceived risks and disapproval lead to reduced drug use. J Health Soc Behav. 1990 Jun;31(2):173–184. [PubMed]
  • Bachman JG, Johnston LD, O'Malley PM, Humphrey RH. Explaining the recent decline in marijuana use: differentiating the effects of perceived risks, disapproval, and general lifestyle factors. J Health Soc Behav. 1988 Mar;29(1):92–112. [PubMed]
  • Landrine H, Richardson JL, Klonoff EA, Flay B. Cultural diversity in the predictors of adolescent cigarette smoking: the relative influence of peers. J Behav Med. 1994 Jun;17(3):331–346. [PubMed]
  • Headen SW, Bauman KE, Deane GD, Koch GG. Are the correlates of cigarette smoking initiation different for black and white adolescents? Am J Public Health. 1991 Jul;81(7):854–858. [PMC free article] [PubMed]
  • Camp DE, Klesges RC, Relyea G. The relationship between body weight concerns and adolescent smoking. Health Psychol. 1993 Jan;12(1):24–32. [PubMed]
  • Faulkner DL, Escobedo LG, Zhu BP, Chrismon JH, Merritt RK. Race and the incidence of cigarette smoking among adolescents in the United States. J Natl Cancer Inst. 1996 Aug 21;88(16):1158–1160. [PubMed]
  • Lowry R, Kann L, Collins JL, Kolbe LJ. The effect of socioeconomic status on chronic disease risk behaviors among US adolescents. JAMA. 1996 Sep 11;276(10):792–797. [PubMed]
  • Lewitt EM, Coate D. The potential for using excise taxes to reduce smoking. J Health Econ. 1982 Aug;1(2):121–145. [PubMed]
  • Hazan AR, Glantz SA. Current trends in tobacco use on prime-time fictional television. Am J Public Health. 1995 Jan;85(1):116–117. [PMC free article] [PubMed]
  • Hazan AR, Lipton HL, Glantz SA. Popular films do not reflect current tobacco use. Am J Public Health. 1994 Jun;84(6):998–1000. [PMC free article] [PubMed]
  • Altman DG, Levine DW, Coeytaux R, Slade J, Jaffe R. Tobacco promotion and susceptibility to tobacco use among adolescents aged 12 through 17 years in a nationally representative sample. Am J Public Health. 1996 Nov;86(11):1590–1593. [PMC free article] [PubMed]
  • Pierce JP, Gilpin E, Burns DM, Whalen E, Rosbrook B, Shopland D, Johnson M. Does tobacco advertising target young people to start smoking? Evidence from California. JAMA. 1991 Dec 11;266(22):3154–3158. [PubMed]
  • O'Malley PM. Cigarette smoking among high school seniors: did the rate decline? Prev Med. 1984 Jul;13(4):421–426. [PubMed]
  • Wills TA, Cleary SD. The validity of self-reports of smoking: analyses by race/ethnicity in a school sample of urban adolescents. Am J Public Health. 1997 Jan;87(1):56–61. [PMC free article] [PubMed]
  • Pirie PL, Murray DM, Luepker RV. Smoking prevalence in a cohort of adolescents, including absentees, dropouts, and transfers. Am J Public Health. 1988 Feb;78(2):176–178. [PMC free article] [PubMed]

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