Risk and protective factors for nicotine dependence in adolescence.
BACKGROUND
We investigated the role of psychosocial and proximal contextual factors on nicotine dependence in adolescence.


METHODS
Data on a multiethnic cohort of 6th to 10th graders from the Chicago public schools were obtained from four household interviews conducted with adolescents over two years and one interview with mothers. Structural equation models were estimated on 660 youths who had smoked cigarettes by the first interview.


RESULTS
Pleasant initial sensitivity to tobacco use, parental nicotine dependence (ND), adolescent ND and extensiveness of smoking at the initial interview had the strongest total effects on adolescent ND two years later. Perceived peer smoking and adolescent conduct problems were of lesser importance. Parental ND directly impacted adolescent ND two years later and had indirect effects through pleasant initial sensitivity and initial extensiveness of smoking. Parental depression affected initial adolescent dependence and depression but adolescent depression had no effect on ND. The model had greater explanatory power for males than females due partly to the stronger effect of conduct problems on dependence for males than females.


CONCLUSIONS
The findings underscore the importance of the initial drug experience and familial factors on adolescent nicotine dependence and highlight the factors to be the focus of efforts targeted toward preventing ND among adolescents.
Columbia University, New York, USA.
Mei-Chen
MC
Hu
Pamela
P
Griesler
Christine
C
Schaffran
Denise
D
Kandel
D000293:Adolescent; D000328:Adult; D019955:Conduct Disorder / Q000523:psychology; D003863:Depression / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008960:Models, Psychological; D010379:Peer Group; D012307:Risk Factors; D014029:Tobacco Use Disorder / Q000523:psychology*
J Consult Clin Psychol. 2004 Jun;72(3):400-10
15279524
Tob Control. 2006 Jun;15(3):199-204
16728750
CMAJ. 2006 Aug 1;175(3):255-61
16880445
Am Psychol. 1994 Sep;49(9):820-2
7978669
Nicotine Tob Res. 2002 Feb;4(1):79-93
11906684
Addiction. 1998 Apr;93(4):595-9
9684398
Am J Public Health. 2006 Feb;96(2):299-308
16380569
Arch Gen Psychiatry. 2003 Oct;60(10):1033-9
14557149
Addiction. 2009 Jan;104(1):129-37
19133898
Tob Control. 2002 Sep;11(3):228-35
12198274
J Health Soc Behav. 1997 Mar;38(1):55-71
9097508
Am J Prev Med. 1997 Sep-Oct;13(5):385-91
9315272
Drug Alcohol Depend. 2008 Aug 1;96(3):233-48
18455886
Biol Psychiatry. 2004 Jan 1;55(1):69-76
14706427
J Adolesc Health. 2005 Sep;37(3):202-10
16109339
Pediatrics. 2007 Oct;120(4):e974-83
17908753
J Am Acad Child Adolesc Psychiatry. 2008 Nov;47(11):1340-50
18827718
J Am Acad Child Adolesc Psychiatry. 1998 Sep;37(9):933-42
9841243
Addict Behav. 2010 Aug;35(8):771-8
20385446
J Abnorm Child Psychol. 1995 Jun;23(3):281-302
7642838
Addiction. 2008 Sep;103(9):1544-52
18783506
J Pers Soc Psychol. 1994 Oct;67(4):653-63
7965611
Pediatrics. 2010 Jun;125(6):1127-33
20439592
Drug Alcohol Depend. 2007 Nov 2;91(1):26-39
17553635
Br J Psychiatry. 2010 Jun;196(6):440-6
20513853
Drug Alcohol Depend. 2000 May 1;59 Suppl 1:S41-60
10773437
Dev Psychol. 1998 Nov;34(6):1189-201
9823504
Arch Pediatr Adolesc Med. 2007 Jul;161(7):704-10
17606835
Prev Med. 2005 Jun;40(6):853-9
15850887
Pediatrics. 2007 Jan;119(1):e264-74
17130279
Am J Epidemiol. 2009 Sep 1;170(5):585-97
19635735
J Genet Psychol. 1997 Jun;158(2):172-88
9168587
Arch Gen Psychiatry. 2005 Feb;62(2):173-81
15699294
J Am Acad Child Adolesc Psychiatry. 2002 Jun;41(6):671-9
12049441
J Am Acad Child Adolesc Psychiatry. 2001 Apr;40(4):443-9
11314570
JAMA. 1997 Sep 10;278(10):823-32
9293990
Am J Public Health. 2004 Jan;94(1):128-35
14713710
Soc Psychiatry Psychiatr Epidemiol. 1998 Feb;33(2):80-8
9503991
Am J Med Genet B Neuropsychiatr Genet. 2007 Jul 5;144B(5):596-604
17226798
J Clin Child Psychol. 1999 Sep;28(3):298-311
10446679
Br J Addict. 1991 May;86(5):611-5
1859928
Am J Public Health. 1998 Oct;88(10):1518-22
9772855
Drug Alcohol Depend. 2007 Jan 12;86(2-3):106-14
16837142
J Subst Abuse. 2000;12(3):287-310
11367605
Health Psychol. 1996 Sep;15(5):355-61
8891714
Arch Gen Psychiatry. 2003 Jul;60(7):692-700
12860773