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Predicting Adolescent Tobacco Use: The Influence of Cognitive, Behavioral, and Environmental Factors

 Janet Brigham, Ph.D.
  
 

Abstract:
Most use of tobacco, the major cause of premature death in the U.S., begins during adolescence. Subjects for this analysis, drawn from a longitudinal risk study, included N=48 males first assessed at age 10-12 and again at age 16. Tobacco exposure was determined by plasma cotinine, a metabolite of nicotine. Regression analysis indicated that three measures taken during the first assessment predicted tobacco exposure 4-6 years later, as verified by cotinine levels. Childhood factors associated with tobacco use at age 16 were these: (1) diminished ERP amplitudes at fronto-central leads; (2) decreased sleep regularity, as measured in the Dimensions of Temperament Survey; and (3) increased maternal stress, as determined from the Parental Stress Scale. Childhood measures accounted for 36% of the variance in nicotine exposure . These findings underscore the value of considering a broad context of neurocognitive and other factors that influence the likelihood of substance use.

 
 


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