Trajectories of Smoking From Adolescence to Early Adulthood and Their Psychosocial Risk Factors

Objective: To explore patterns of persistence and change in smoking behavior as well as risk factors associated with the developmental course of smoking from age 13 to 25. Design: Data from the public use sample of the National Longitudinal Study of Adolescent Health ( N = 5,789) were analyzed using...

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Bibliographic Details
Published in:Health psychology 2008-11, Vol.27 (6), p.811-818
Main Authors: Costello, Darcé M, Dierker, Lisa C, Jones, Bob L, Rose, Jennifer S
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescence
Adolescent
Adolescent Development
Adult and adolescent clinical studies
Adulthood
Biological and medical sciences
Female
Human
Humans
Male
Medical sciences
Prediction
Prevalence
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychosocial factors
Risk Factors
Smoking
Smoking - epidemiology
Smoking Prevention
Surveys and Questionnaires
Tobacco Smoking
Young Adult
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Summary:Objective: To explore patterns of persistence and change in smoking behavior as well as risk factors associated with the developmental course of smoking from age 13 to 25. Design: Data from the public use sample of the National Longitudinal Study of Adolescent Health ( N = 5,789) were analyzed using semiparametric group-based modeling. Main Outcome Measures: Smoking quantity-frequency in the past 30 days. Results: Six distinct smoking trajectories were identified: nonsmokers, experimenters, stable light smokers, quitters, late escalators, and stable high smokers. Baseline risk factors that were associated with greater likelihood of membership in all of the smoking trajectory groups compared with nonsmokers included alcohol use, deviance, peer smoking, and (with the exception of the late escalators) drug use. Deviance, peer smoking, and alcohol and drug use also distinguished the likelihood of membership among several of the 5 smoking trajectory groups. Conclusion: The results add to basic etiologic research on developmental pathways of smoking in adolescence and young adulthood by providing evidence of heterogeneity in smoking behavior and prospectively linking different patterns of risk factors with the probability of trajectory group membership.
ISSN:0278-6133
1930-7810
DOI:10.1037/0278-6133.27.6.811