The changing risk profile of the American adolescent smoker: implications for prevention programs and tobacco interventions

Journal Name: 
J.Adolesc.Health
Authors: 
Camenga,D.R.
Klein,J.D.
Roy,J.
Abstract: 
PURPOSE: To determine how the association between cigarette smoking and other risky behaviors, such as substance use, violence, and risky sexual practices, has changed between 1991 and 2003. METHODS: Youth Risk Behavior Surveys (YRBS) from 1991 to 2003 were analyzed. For each cohort, logistic regression models controlling for gender, race/ethnicity, and school grade were used to describe the associations between smoking and other risky behaviors. Changes in the odds ratios over time were confirmed with a trend analysis. RESULTS: The strength of the relationship between smoking and other risky behaviors increased for lifetime number of sexual partners (1991 odds ratio [OR] 1.49; 2003 OR 1.61 (p < .001)), sexual partners in the past 3 months (1991 OR 1.77; 2001 OR 2.05 (p < .001)), and never wearing a bicycle helmet 1991 OR 1.40; 1997 OR 5.94 (p < .001). Increases were also seen for binge drinking, and physical fighting. The association between cigarette smoking and marijuana use decreased slightly. CONCLUSIONS: Future prevention efforts and tobacco intervention programs should recognize that current adolescent smokers are even more likely to engage in risky sexual behavior, risky alcohol-related behaviors, and to not use a seatbelt or bicycle helmet than were adolescents in the early nineties
7
2006
Volume: 
39
Pages: 
120-10
Keywords: 
Adolescent, Adolescent Behavior, analysis, Comparative Study, electronic, Female, Health Surveys, Humans, intervention, Intervention Studies, Male, Medicine, Methods, New York, Odds Ratio, Pediatrics, prevention & control, psychology, regression, Research, Research Support, Risk, Risk-Taking, sexual, Sexual Behavior, Sexual Partners, Smoking, Substance-Related Disorders, support, survey, trends, Universities, Violence