Intentions to quit smoking among youth in substance abuse treatment.
BACKGROUND
Smoking cessation interventions for adolescents in substance abuse treatment have shown promise. However, a better understanding of the correlates of substance use disordered (SUD) youths' intentions toward smoking cessation will help tailor cessation interventions to this population. The current study examined tobacco use, smoking-related self-efficacy, substance use and intentions to quit using alcohol and illicit drugs as correlates of intentions to quit smoking among youth in SUD treatment.


METHODS
Participants were 178 adolescents who were in inpatient (n=90) or outpatient (n=88) SUD treatment and had smoked at least once in the past 30 days. The sample was 44% female, 72% non-Hispanic Caucasian, with a mean age of 16.2 years (SD=1.2). Participants rated the likelihood that they would be nonsmokers in the next year (9-point scale).


RESULTS
SUD youth intention to quit smoking averaged 4.9 out of 10 (SD=3.2), comparable to intention to quit drinking (M=5.3, SD=3.6), but lower than their intention to quit using drugs (M=6.0, SD=3.4). Teens' intentions to quit smoking were associated with nicotine dependence (r=-.30, p<.01) and smoking cessation related self-efficacy (r=.36, p<.01), but not with pretreatment substance use severity (r=-.15). Controlling for nicotine dependence, teens' intentions to quit smoking were positively related to smoking cessation self-efficacy (pr=.26, p<.01) and intention to quit using illicit drugs (pr=.15, p<.05), but unrelated to intention to quit drinking.


CONCLUSIONS
Findings highlight the appropriateness of addressing adolescent tobacco use during SUD treatment, but emphasize the importance of assessing intention and other cognitions for each substance, as they may differ markedly.
Ramo
Danielle E
DE
Department of Psychiatry, University of California, San Francisco, 401 Parnassus Avenue, TRC 0984, San Francisco, CA 94143, USA. danielle.ramo@ucsf.edu
Prochaska
Judith J
JJ
Myers
Mark G
MG
D000293:Adolescent; D000428:Alcohol Drinking / Q000009:adverse effects; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D010045:Outpatients; D010556:Personality Tests; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D020377:Self Efficacy; D016540:Smoking Cessation; D012959:Socioeconomic Factors; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000150:complications* / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D013695:Temperance; D014029:Tobacco Use Disorder / Q000534:rehabilitation*
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