Smoke Dangers Deter Teen Smoking, Study Finds
Teenage smokers are more likely to quit because they
are concerned about hurting others from secondhand smoke than because they fear for their
own health, according to a survey in the journal Pediatrics.
The study, by researchers at UCSF and the
University of Pennsylvania, concludes that educating young people about secondhand
smokes harmful effects and encouraging nonsmokers to speak out should be key
elements of anti-tobacco programs.
The study found that among those 14 to 22
years of age in the US, believing that secondhand smoke harmed nonsmokers more than
doubles the chance that a smoker plans to stop or already has stopped smoking.
"Our study found for the first time that
among teens, concerns about secondhand smokes harmful effect on others are far more
likely to influence smokers to quit than are worries about their own health," said
Stanton Glantz, PhD, lead author on the study, a professor of medicine at UCSF and a
researcher in the UCSF Philip R. Lee Institute for Health Policy Studies.
"These results show that teens behave
just like grown ups," Glantz continued. "In the past, tobacco control programs
have identified clean indoor air as an 'adult' issue; our work shows that it is an
equally important element of prevention programs directed at teens."
Co-author on the study is Patrick Jamieson,
MS, Ed, a graduate student at the University of Pennsylvania.
The survey interviewed 300 smokers and 300
nonsmokers between the ages of 14 and 22 in the United States. It found that nonsmokers
were more likely to consider smoking risky than were smokers, and also were twice as
likely to consider secondhand smoke dangerous than smokers. Equally important, the only
statistically significant predictor of smokers planning to stop or having actually
stopped smoking was believing that secondhand smoke harmed nonsmokers.
The authors note that the results are from a
one-time, cross-sectional study, and so cause and effect should be interpreted more
cautiously than with longitudinal studies, which follow people over time.
Nonetheless, they conclude, the findings are
consistent with results of longitudinal studies of similar questions in adults, as well as
econometric studies and focus-group studies of anti-tobacco advertising in teens, which
indicate that secondhand smoke is one of three highly effective messages for reaching
teens. (The other two effective messages are educating people about addiction and about
the anti-tobacco industrys dishonest behavior -- such as the advertisements run in
the California and other state tobacco control campaigns.)
"Encouraging nonsmoking teens as
well as adults to object to breathing secondhand smoke and encouraging creation of
smoke-free homes is a productive tobacco control strategy for youth," the authors