Journal
SUBSTANCE USE & MISUSE
Volume 53, Issue 8, Pages 1399-1402Publisher
TAYLOR & FRANCIS INC
DOI: 10.1080/10826084.2017.1404104
Keywords
Adolescence; adolescent health; social cognitive theory; smoking and tobacco use; tobacco control and policy
Categories
Funding
- National Cancer Institute [1 P50 CA180906]
- FDA's Center for Tobacco Products (CTP)
- NATIONAL CANCER INSTITUTE [P50CA180906] Funding Source: NIH RePORTER
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Background: Outcome expectations are an important determinant of health behavior, according to Social Cognitive Theory; yet recent literature has not examined the relationship between outcome expectations and tobacco product use (e.g., use of cigarettes, cigars, hookah, e-cigarettes, or smokeless tobacco). Objectives: This study examines if outcome expectations at baseline, among an adolescent cohort of never users of tobacco products, predicts tobacco product use (i.e., cigarettes, hookah, e-cigarette, cigar, or smokeless tobacco) or susceptibility to use at 6-month follow-up. Methods: Data are from the first two waves of a Texas cohort study of urban middle school and high school students, which were collected in 2014-2015. Logistic regression analyses were used; these adjusted for socio-demographic variables. Analyses were limited to never users of any tobacco product at baseline (n = 1999, N = 357,035). Results: Outcome expectations related to stress relief predicted ever use of (AOR: 4.21, 95% CI 1.84-9.60) and susceptibility (AOR: 2.97, 95% CI 1.01-8.70) to tobacco products. Additional outcome expectations (e.g., relaxation, concentration, slimness, etc.) were not associated with ever use or susceptibility. Conclusions/Importance: This study extends the literature regarding outcome expectations among adolescents regarding tobacco products. It is important that interventions offer alternative solutions to stress relief that do not include tobacco products.
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