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Health Psychol. 2007 Nov;26(6):769-76.

Movie exposure to smoking cues and adolescent smoking onset: a test for mediation through peer affiliations.

Author information

1
Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Avenue, Bronx, NY 10461, USA. wills@aecom.yu.edu

Abstract

OBJECTIVE:

To determine whether the effect of movie exposure to smoking on adolescent smoking onset is mediated through increased affiliation with peers who smoke.

DESIGN:

A longitudinal study was conducted with a sample of 5th- 8th graders; persons who were nonsmokers at the baseline assessment (N = 2,614) were followed up 18 months later. Movie exposure to smoking cues was assessed at baseline with a rigorous coding procedure.

MAIN OUTCOME MEASURE:

A school-based survey and follow-up telephone interview determined whether the participant smoked cigarettes.

RESULTS:

Longitudinal structural modeling analysis indicated movie-smoking exposure was related to smoking onset both through an indirect effect involving increased affiliation with peer smokers and through a direct effect. The analysis controlled for demographics, parenting style, rebelliousness and sensation seeking, school performance, parental smoking, and sibling smoking; several of these variables also had mediated or direct effects to smoking onset.

CONCLUSION:

The effect of movie exposure on adolescent smoking onset is attributable in part to a social mechanism. Implications of media effects for prevention are discussed.

PMID:
18020850
DOI:
10.1037/0278-6133.26.6.769
[Indexed for MEDLINE]

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