Subtypes within the precontemplation stage of adolescent smoking acquisition

Addictive Behaviors
Stef P J KremersHein de Vries

Abstract

The present study examined the existence of three possible subtypes within the precontemplation stage of smoking acquisition: committers, immotives, and progressives. The sample of the study included young people from six European countries (mean age = 13 years) who had never smoked regularly (n = 21 535). A cross-sectional design was used to assess cognitive determinants of smoking behavior: attitudes towards smoking, perceived social influences, and self-efficacy to remain a nonsmoker. Adolescents within the various stages of smoking acquisition were compared with regard to standardized T scores on these risk factors. The results showed that adolescents in the three subgroups of precontemplation differed from each other on every cognitive determinant tested, revealing a higher risk to start smoking among progressives than among immotives. Immotives revealed a higher risk to start smoking than committers. It is concluded that the use of subtypes within acquisition precontemplation in research on adolescent smoking may be a promising tool for investigating the initiation continuum and for improving the quality of both the implementation and evaluation of prevention programs.

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Citations

Apr 9, 2009·Health Education Research·M AusemsH De Vries
Jan 5, 2008·Public Health Nursing·Weihong ChenBruno D Zumbo
Aug 23, 2003·Journal of Epidemiology and Community Health·M R CroneR A Hira Sing
Dec 29, 2012·International Journal of Preventive Medicine·Asghar MohammadpooraslAkbar Fotouhi
Mar 18, 2005·Health Education Research·Saadhna PandayHein de Vries
Dec 6, 2011·Addictive Behaviors·Mary Colleen Simonelli, Wayne F Velicer
May 16, 2006·Addictive Behaviors·Wayne F VelicerJames O Prochaska
Apr 27, 2005·Preventive Medicine·Renske SpijkermanRutger C M E Engels
Jan 20, 2006·Substance Use & Misuse·Rutger C M E EngelsHein De Vries
Dec 8, 2004·Patient Education and Counseling·Stef P J KremersHein de Vries
Mar 1, 2012·Journal of Psychopharmacology·Kirsten LochbuehlerRutger C M E Engels
Apr 12, 2007·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Renske SpijkermanRutger C M E Engels
Jan 23, 2015·Journal of Korean Academy of Nursing·Sung Rae ShinSun Hwa Shin
Jul 8, 2005·Health Education Research·Rose M E HuverHein de Vries
Nov 16, 2006·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Paulo D VitoriaHein de Vries
Jan 14, 2011·British Journal of Health Psychology·L MerckenH de Vries
Mar 18, 2011·Revista de saúde pública·Paulo D VitóriaHein De Vries

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