Smoking-related behaviors and attitudes of significant others (especially friends and parents) are among the most consistent predictors of adolescent smoking. However, theorists remain divided on whether the behaviors of significant others influence adolescent smoking directly or indirectly, and the relative influence of parental and peer smoking on adolescents' own smoking is still a matter of debate. In addition, little research has examined the role of significant others' behavior on different stages of smoking onset. In particular, not much information is available regarding gender and ethnic differences in social influences on smoking behavior. We use structural equation modeling to address these issues. Different theoretical perspectives from cognitive-affective theories (Ajzen 1985; Ajzen and Fishbein 1980) and social learning theories (Akers et al. 1979; Bandura 1969, 1982, 1986) have been integrated into a structural model of smoking influence. The results show that friends' smoking affects adolescent initiation into smoking both directly and indirectly, whereas parental smoking influences smoking initiation only indirectly. The data also show that friends' and parents' smoking affect smoking escalation only indirectly. In general, friends' smoking has a stronger effect on adolescents' smoking behavior, particularly on initiation. Multiple group comparisons of the structural models predicting smoking initiation among males and females reveal that parental approval of smoking plays a significant mediating role for females, but not for males. Comparisons of Whites, Blacks, Hispanics, and other ethnic groups reveal that there are some significant differences in the pathways of friends' influences among the four groups.
机构:
Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Gilman, Stephen E.
Rende, Richard
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Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI 02912 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Rende, Richard
Boergers, Julie
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Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI 02912 USA
Rhode Isl Hosp, Bradley Hasbro Childrens Res Ctr, Providence, RI USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Boergers, Julie
Abrams, David B.
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Amer Legacy Fdn, Schroeder Inst Tobacco Res & Policy Studies, Washington, DC USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Abrams, David B.
Buka, Stephen L.
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Brown Univ, Dept Community Hlth, Providence, RI 02912 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Buka, Stephen L.
Clark, Melissa A.
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Brown Univ, Ctr Gerontol & Hlth Care Res, Providence, RI 02912 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Clark, Melissa A.
Colby, Suzanne M.
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Brown Univ, Ctr Alcohol & Addict Studies, Providence, RI 02912 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Colby, Suzanne M.
Hitsman, Brian
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Northwestern Univ, Dept Prevent Med, Feinberg Sch Med, Chicago, IL 60611 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Hitsman, Brian
Kazura, Alessandra N.
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Univ Vermont, Coll Med, Maine Med Ctr, Portland, ME USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Kazura, Alessandra N.
Lipsitt, Lewis P.
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Brown Univ, Dept Psychol, Providence, RI 02912 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Lipsitt, Lewis P.
Lloyd-Richardson, Elizabeth E.
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Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI 02912 USA
Miriam Hosp, Weight Control & Diabet Res Ctr, Providence, RI 02906 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Lloyd-Richardson, Elizabeth E.
Rogers, Michelle L.
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Brown Univ, Ctr Gerontol & Hlth Care Res, Providence, RI 02912 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Rogers, Michelle L.
Stanton, Cassandra A.
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Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI 02912 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Stanton, Cassandra A.
Stroud, Laura R.
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Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI 02912 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
Stroud, Laura R.
Niaura, Raymond S.
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Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI 02912 USAHarvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
机构:
Georgetown Univ, Med Ctr, Lombardi Comprehens Canc Ctr, Washington, DC 20007 USAGeorgetown Univ, Med Ctr, Lombardi Comprehens Canc Ctr, Washington, DC 20007 USA
Mays, Darren
Gilman, Stephen E.
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Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
Massachusetts Gen Hosp, Boston, MA 02114 USAGeorgetown Univ, Med Ctr, Lombardi Comprehens Canc Ctr, Washington, DC 20007 USA
Gilman, Stephen E.
Rende, Richard
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Brown Univ, Sch Med, Providence, RI 02912 USAGeorgetown Univ, Med Ctr, Lombardi Comprehens Canc Ctr, Washington, DC 20007 USA
Rende, Richard
Luta, George
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Georgetown Univ, Med Ctr, Lombardi Comprehens Canc Ctr, Washington, DC 20007 USAGeorgetown Univ, Med Ctr, Lombardi Comprehens Canc Ctr, Washington, DC 20007 USA
Luta, George
Tercyak, Kenneth P.
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Georgetown Univ, Med Ctr, Lombardi Comprehens Canc Ctr, Washington, DC 20007 USAGeorgetown Univ, Med Ctr, Lombardi Comprehens Canc Ctr, Washington, DC 20007 USA
Tercyak, Kenneth P.
Niaura, Raymond S.
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Georgetown Univ, Med Ctr, Lombardi Comprehens Canc Ctr, Washington, DC 20007 USA
Amer Legacy Fdn, Schroeder Inst Tobacco Res & Policy Studies, Washington, DC USA
Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD USAGeorgetown Univ, Med Ctr, Lombardi Comprehens Canc Ctr, Washington, DC 20007 USA