Reviews 28 studies comparing adolescent self-report of smoking with biological indicators. Identifies four factors limiting agreement: biases in self-report due to limitations of biological measures; limitations of self-report measures; social desirability; and analytic and statistical issues. Concludes that, with optimal measurement, self-report…

Evaluated intrinsic-extrinsic model of motivation for smoking cessation using two samples (Ns=1,217 and 151) of smokers. Analysis on Reasons for Quitting scale supported intrinsic-extrinsic motivation distinction, defining four-factor model with two intrinsic and two extrinsic dimensions. Found that smokers with higher levels of intrinsic relative…

Examined tobacco advertisements in gender-oriented magazines (N=74). Found more advertisements present in women's than men's magazines, and messages contained in advertisements were differentially stressed as function of magazine's primary readership. This survey and followup three months later indicated that Surgeon General's report in spring of…

Subjects (N=970) in five stages of smoking cessation completed test measuring 10 change processes: consciousness raising, dramatic relief, self-liberation, social liberation, counterconditioning, stimulus control, self-reevaluation, environmental reevaluation, reinforcement management, and helping relationship. Assessed 770 subjects six months…

Conducted prospective examination of factors associated with smoking relapse. Findings from 618 subjects revealed that, at year 1, signal detection analysis (SDA) produced one subgroup with 25 percent nonrelapse rate and another with 9 percent nonrelapse rate. At year two, SDA produced one subgroup with 19 percent nonrelapse rate and another with…

Measured 100 ex-smokers' self-efficacy for recovery of abstinence (SER) after lapse. Moderate SER subjects maintained abstinence nonsignificantly longer than did high SER subjects, significantly longer than low SER subjects. Findings are consistent with Bandura's hypothesis that SER should be high enough to avoid becoming hopeless if lapse occurs,…

Tested transtheoretical model of change positing stages through which smokers move as they successfully change their smoking habit. Subjects in precontemplation (n=166), contemplation (n=794), and preparation (n=506) stages were compared on smoking history, 10 processes of change, pretest self-efficacy, decisional balance, and one- and six-month…

Examines adolescents' knowledge of the detrimental effects of smoking on pregnant women and fetuses and its relationship to efforts to quit smoking with a sample of pregnant adolescents (N=71). A three-group randomized intervention design -- Teen FreshStart, Teen Freshstart with buddy, and usual care control -- was used. Results show that…

Reviews the theoretical and empirical bases from which inferences regarding addictive smoking in adolescence can be drawn. It appears that although a significant proportion of teenage smokers do progress to dependence, this is not an inevitable outcome for all adolescent smokers. More research is needed in this area, specifically in measurement…

Evaluates the appropriateness and feasibility of nicotine replacement therapy (NRT) in teenage smokers. Available forms of NRT, theoretical rationale and efficacy of NRT, ethical considerations, and the feasibility of NRT in teenage smokers are addressed. Several characteristics similar to adult nicotine dependent smokers have been found in teen…

Assessed the short-term effects of a television counteradvertising media campaign, the Florida "truth" campaign, on rates of adolescents' smoking initiation. Followup surveys of adolescents interviewed during the first 6 months of the advertising campaign indicated that exposure to the "truth" campaign lowered the risk of youth…

Investigated whether age at initiation of regular smoking and likelihood of quitting smoking through age 35 years would differ among younger and older women. Data from annual population-based surveys of residents of Geneva, Switzerland, indicated that young female smokers had a higher propensity to quit than older women. There were no differences…

About 28% of college students smoke tobacco, and many will continue smoking into adulthood. Although little is known about how to help college students quit smoking. I promising strategy is healthcare providers' advice. To estimate their lifetime receipt of brief advice and to identify characteristics that predict who may receive that advice, 348…

Adolescent smokers (N = 211) were randomized to 1 of 2 groups: (a) nicotine patch plus bupropion SR (sustained release; 150 mg per day) or (b) nicotine patch plus placebo. Group skills training sessions were conducted each week by research staff. Abstinence rates at Weeks 10 and 26 were as follows: (a) patch plus bupropion, 23% and 8%, (b) patch…