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Depression, anxiety, and smoking initiation: A prospective study over 3 years

Author

Listed:
  • Patton, G.C.
  • Carlin, J.B.
  • Coffey, C.
  • Wolfe, R.
  • Hibbert, M.
  • Bowes, G.

Abstract

Objectives. This report considers the extent to which depression and anxiety predict smoking onset in adolescence. Methods. A 6-wave cohort design was used to study a sample of 14- and 15-year-old students (n = 2032) drawn from 44 secondary schools in the state of Victoria, Australia. The students were surveyed between 1992 and 1995 with a computerized questionnaire that included a 7-day retrospective diary for tobacco use and a structured psychiatric interview. Results. Experimental smokers were 29 times more likely than nonsmokers to make a transition into daily use in the subsequent 6 months. Depression and anxiety, along with peer smoking, predicted initiation of experimental smoking. Specifically, depression and anxiety accentuated risks associated with peer smoking and predicted experimentation only in the presence of peer smoking. Conclusions. The finding that experimental smoking is an overwhelming strong predictor of later daily smoking focuses attention on smoking initiation. Depressive an anxiety symptoms are associated with higher risks for initiation through an increased susceptibility to peer smoking influences. Promoting the psychological well- being of adolescents and addressing perceived interpersonal benefits of smoking may play a role in the prevention of adolescent tobacco use.

Suggested Citation

  • Patton, G.C. & Carlin, J.B. & Coffey, C. & Wolfe, R. & Hibbert, M. & Bowes, G., 1998. "Depression, anxiety, and smoking initiation: A prospective study over 3 years," American Journal of Public Health, American Public Health Association, vol. 88(10), pages 1518-1522.
    • Handle: RePEc:aph:ajpbhl:1998:88:10:1518-1522_9
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    Citations

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    Cited by:

    1. Jean-Claude Vuille & Maya Schenkel, 2002. "Psychosocial determinants of smoking in Swiss adolescents with special reference to school stress and social capital in schools," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 47(4), pages 240-250, July.
    2. Dean R. Lillard, 2020. "The Economics of Nicotine Consumption," NBER Working Papers 26912, National Bureau of Economic Research, Inc.
    3. Seung-Sup Kim & Yeonseung Chung & Melissa J Perry & Ichiro Kawachi & S V Subramanian, 2012. "Association between Interpersonal Trust, Reciprocity, and Depression in South Korea: A Prospective Analysis," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-8, January.
    4. Kim Korinek & Peter Loebach & Ha Ngoc Trinh, 2017. "Military service and smoking in a cohort of northern Vietnamese older adults," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 43-51, January.
    5. Phoenix Kit-han Mo & Ji-Bin Li & Hui Jiang & Joseph T. F. Lau, 2019. "Problematic Internet Use and Smoking among Chinese Junior Secondary Students: The Mediating Role of Depressive Symptomatology and Family Support," IJERPH, MDPI, vol. 16(24), pages 1-12, December.
    6. Lillard, Dean R. & Molloy, Eamon & Sfekas, Andrew, 2013. "Smoking initiation and the iron law of demand," Journal of Health Economics, Elsevier, vol. 32(1), pages 114-127.
    7. Nihaya Al-Sheyab & Mahmoud A. Alomari & Smita Shah & Patrick Gallagher & Robyn Gallagher, 2014. "Prevalence, Patterns and Correlates of Cigarette Smoking in Male Adolescents in Northern Jordan, and the Influence of Waterpipe Use and Asthma Diagnosis: A Descriptive Cross-Sectional Study," IJERPH, MDPI, vol. 11(9), pages 1-16, September.
    8. Jiang, Wei & Lu, Yi & Xie, Huihua, 2020. "Education and mental health: Evidence and mechanisms," Journal of Economic Behavior & Organization, Elsevier, vol. 180(C), pages 407-437.
    9. Rusdi Abd Rashid & Sharmilla Kanagasundram & Mahmoud Danaee & Hazreen Abdul Majid & Ahmad Hatim Sulaiman & Muhammad Muhsin Ahmad Zahari & Chong Guan Ng & Benedict Francis & Wan Azlinda Irnee Wan Husin, 2019. "The Prevalence of Smoking, Determinants and Chance of Psychological Problems among Smokers in an Urban Community Housing Project in Malaysia," IJERPH, MDPI, vol. 16(10), pages 1-9, May.

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